How AXIS™ Technology Can Help Define Addiction Recovery
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The Healing Power Of Coaching Relationships: How AXIS™ Technology Can Help Defne Addiction Recovery Management A Face It TOGETHER and Welkin Health White Paper A dramatic increase in drug overdoses—now the leading cause of accidental death in the U.S., driven by a spike in opioid and prescription drug misuse—has pushed the disease of addiction into the spotlight like never before. The epidemic has taken a severe toll. In one small West Virginia town, 26 overdoses occurred in just a few hours. Despite the attention on the crisis and years of research identifying addiction as a chronic disease, current treatment models fall far short. The predominant approach continues to treat addiction as an acute health problem rather than with a continuum of care to match the chronic nature of the disease. As a result, millions of individuals and their families find themselves caught in a revolving door between treatment and relapse without the support to sustain long-term recovery. About Face It TOGETHER Health Face It TOGETHER Health is dedicated to The scale of addiction extends beyond broken families and relationships. helping payers and providers strengthen their recovery support programs. They provide a Employers lose productivity, valuable workers and around $250 billion annually, range of tools to extend engagement and and payers accrue astronomical costs from expensive recurring treatment reduce costs for better addiction population episodes. On the treatment side, providers face the nearly impossible task of health management. With its addiction wellness addressing the growing demand to produce measurable outcomes under a measurement tools, recovery coaching and AXIS support technology programs, Face It fractured system of care. TOGETHER provides the latest in personalized and effective addiction recovery care. Face It Technology has the power to dramatically improve today’s model of addiction TOGETHER Health is a division of the national care. Technological solutions enable engagement to better support individuals nonprofit Face It TOGETHER, which has been working in communities since 2009 to foster living with the disease and help them manage and sustain their recovery long system change around addiction. A key focus term. In addition, technology empowers providers and payers to capture and of their work is peer recovery coaching, with track data, offering flexibility to better meet the unique needs of different patient a major emphasis on data, technology and demographics and monitor health outcomes to reduce the costs of care. outcomes measurement. www.faceithealth.org The scope and complexity of the addiction crisis requires radical change in how healthcare systems and organizations approach the disease of addiction, paving the way for new solutions that will dramatically change treatment and recovery for the long term. About Welkin Health Welkin Health is a digital health company Reframing Addiction as a Disease that helps healthcare organizations improve health outcomes and reduce operational costs In 2014 more people died from drug overdoses than in any other year on record. through engagement, education, and support More than three out of five drug overdose deaths involved an opioid; today, at programs for people living with chronic disease. Our workflow and communication least half involve a prescription opioid. Deaths from drug overdose are up among software allows care teams to prioritize both men and women of all races, and adults of nearly all ages. patient outreach and reach individuals on any device, including SMS, phone call, and Although addiction has been conceptualized as a “chronic, progressive disease” email. Welkin helps teams focus on building and maintaining long-term relationships with for more than 200 years in the United States and is recognized as such within the custom configurations of the Welkin patient addiction community, treatment remains largely disconnected from mainstream relationship management platform. healthcare. Moreover, the addiction care field remains highly fragmented with To inquire about partnering with Welkin, services and support often costly and difficult to access. write to [email protected] WHITE PAPER PAGE 2 Social stigma around addiction is real and the fear of isolation and discrimination from peers prevent many from seeking treatment. Common misconceptions Scientific research about the disease persist and shadow individuals in their home life, places of work, communities and relationships with family and friends. The disease afflicts 22 has established million Americans, yet nearly 90% of those who are sick get no treatment in a given year. Many friends, family and co-workers assume addiction is a matter of willpower the importance of or self-control—or a lack thereof. Even those who are sick view their illness as a personal failing. Societal biases and stigma from the general public still serve as healthcare providers formidable barriers. to approach treatment Decades of research show that addiction is a chronic, relapsing disease, not unlike of addiction as they other chronic illnesses, such as heart disease. According to the National Institute on Drug Abuse, “both disrupt the normal, healthy functioning of the underlying organ, would any other have serious harmful consequences, and are preventable and treatable, but if left untreated, can last a lifetime.” chronic disease. Treating addiction is further exacerbated by the nature of the disease, where behaviors that begin as voluntary choices evolve into patterns of behavior that, in the case of addiction, result in changes in the brain that undermine self-control. Addiction shares many of the same disease characteristics as diabetes, hypertension and asthma—all undisputed chronic diseases—such as: t#FJOHJOnVFODFECZHFOFUJDT QFSTPOBM GBNJMZ TPDJBMBOEFOWJSPONFOUBM risk factors; t*OWPMWJOHUSFBUNFOUTUIBUDBOVTVBMMZSFNPWFPSSFEVDFTZNQUPNTPGUIF illness but cannot cure it; t3FRVJSJOHUSFBUNFOUTGPSPOHPJOHTFMGNBOBHFNFOU JODMVEJOHTJHOJmDBOU changes in lifestyle and behavior; t&YFSUJOHFYDFTTJWFEFNBOETPOGBNJMJFT DPXPSLFST TPDJBMOFUXPSLT UIF health care system and the economy. Scientific research has established the importance of healthcare providers to approach treatment of addiction as they would any other chronic disease. However, for a variety of complex reasons, the majority of treatment and recovery programs continue to treat the disease reactively, addressing the latest acute crisis instead of monitoring and mitigating triggers before a full-blown crisis. How Current Addiction Recovery Treatments Aren’t Enough Approaches to addiction treatment and recovery are typically based on the acute- care model of addiction treatment, which has been shown to be ineffective and expensive. Research shows that less than 10 percent of those suffering from the disease remain well one year after treatment. A shortcoming of the acute-care approach, according to one report, is that “the current treatment of addiction, like treatment of acute illnesses, is time-limited with no prolonged professional monitoring, support, or strategic reintervention (emphasis added),” ultimately creating a revolving door effect for patients. Learn more: faceithealth.org | welkinhealth.com WHITE PAPER PAGE 3 The report explains, “One of the problems with the expectation of long-term change following a single episode of care is that it holds substance abuse treatment to a very high standard—one that is not imposed on treatments for most medical or behavioral disorders.” Shortcomings within the healthcare system are abundant. Many physicians don’t have the proper training to identify or diagnose patients suffering from addiction. Treatment for addiction is not always provided by properly credentialed, medical professionals, and these professionals are often held to very low levels of accountability. Additionally, few treatment and recovery programs provide evidence-based outcomes, making it exceedingly difficult to determine what is working and what is not. “It is established science that recovery from all serious, chronic brain disorders, especially addiction, requires social connectedness with significant others who bring that vision of hope that wellness is possible for everyone,” said Sam Donaldson, PhD and Clinical Psychologist. “Today, there is no comprehensive measure of wellness to track and inform the long-term continuum of care essential for addiction sufferers to stay well.” A lack of standards and evidence-based approaches, as well as inherent shortcomings in the predominant model of care all contribute to barriers that make it difficult to get help and stay well. “One of the How Social and Behavioral Methods of Treatment Help problems with the In managing chronic diseases, approaches in addiction recovery that address the condition in the context of daily life, by integrating social and behavioral factors, expectation of long- have a significant impact on maintaining health long term. term change following For example, research has shown that education and the ongoing support and a single episode of engagement of patients with chronic disease, such as diabetes and hypertension, lead to successful behavioral changes, enabling patients to learn how to manage care is that it holds their illness effectively. substance abuse Given the added social stigma that individuals with addiction experience, support networks become even more critical, laying the framework for many treatment to a very successful addiction program approaches. Research shows that “people need support to