Abstract

This study applies chronic care model to reviewed patients’ chart augmented with focus group interviews to determine the percentage of SA patients with chronic diseases that get access to treatment at a North Carolina SA treatment facility. Among the 62 charts reviewed and 9 focus group interviews, 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 not get treatment in that facility but are referred out. Also, major access barriers include financial cost, lack of insurance, lack of transportation, long wait times, and stigma were documented. The results of the study highlight the need for comprehensive integrated care as well as community support for Substance abuse patients.