For our members experiencing substance use disorders, CareSource's goal is to get more people into evidence-based care and to support them in their recovery journey. We know that treatment and social supports work for individuals and families impacted by substance use disorder.
Substance Use Disorder is a chronic disease that is treatable with specialized care. Most people diagnosed with a Substance Use Disorder can experience relief from their symptoms by actively participating in an individual treatment plan that includes individual and/or group therapy, medication management and integrating positive peer support networks into their lives.
Individuals with SUD are often unsure how to find help and navigate the range of services, resulting in either delaying treatment or placement in levels of care that can be inappropriate for their severity of symptoms. Finding the right treatment and supports at the right time allows individuals to maintain protective factors such as employment, housing, and childcare and avoid medical complications resulting in admission to critical care settings.
CareSource invests in a partnership to deploy an SUD Home Model of Care.
The partnership, deployed first in Indiana, leverages Wayspring’s SUD-focused analytics platform and local, community-based teams of medical clinicians, social workers and peer recovery specialists to support the complex medical, behavioral and social needs of members with SUD. A Certified Peer Recovery Specialist (or Recovery Coach) is a person with significant lived experience, has overcome issues with chemical dependency, substance abuse, and/or mental illness. This lived experience provides the Peer Specialist with a unique perspective and expertise to support our member’s vision of recovery.
CareSource recognizes that individuals with substance use disorders that we serve have other social needs. Addiction in and of itself can further fracture social connections, social assets, and resources. Using additional service offerings, such as care management, peer support, and life services, we can help offer and connect our members to social and resource supports to aid in retention in evidence-based clinical care.
The SUD Home program, the result of this partnership, aims to reduce the burdens and barriers on members throughout the full rehabilitation process by:
- Supporting care navigation during high-risk care transitions, each individual's connection to outpatient services and the critical early recovery periods.
- Establishing clients with a primary care provider in order to effectively detect and manage any current or underlying medical conditions.
- Prioritizing the management of high-risk individuals through the use of Wayspring’s virtual and in-person behavioral health, primary care and addiction medicine services.
- Utilizing CareSource’s case management team to ensure the development of an individualized and integrated care plan, facilitation of interdisciplinary care team meetings, and that members receive assistance with matters such as transportation, appointment scheduling and housing.
With the introduction of the SUD Home Model of Care, CareSource continues its mission to make a lasting difference in member’s lives by improving their health and well being.