There is clear evidence that chronic medical diseases are more prevalent among individuals who suffer from a substance abuse (SA) disorder than those without. Several studies have found that patients with history of SA are often hospitalized than those whose do not. Chronic medical diseases co-existing with SA can lead to impaired physical functioning and decreased quality of life. Studies have however, demonstrated that managing chronic medical diseases may improve treatment outcomes and enhance physical functioning and quality of life. Yet, despite the fact that SA has a high prevalence of chronic medical conditions, many SA treatment facilities do not address these conditions. This study applies chronic care model to reviewed patients’ chart augmented with focus group interviews to determine the percentage of patients in SA treatment North Carolina facilities that have chronic medical diseases that receive treatment in the same facility. In all the 62 charts were reviewed, all patients, at least had a major chronic disease which include hepatitis C, hypertension, pain, obesity, arthritis, and diabetes; and as much as (92.3%) do get treatment in that facility but are referred out. The results of the study highlight the need for integrated care for Substance abuse patients.
Integrated Care; Substance Abuse; Chronic Care Model; Major Chronic Diseases