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Health Information Technology: An Expanded Care Coordination in Rural Tennessee.

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This summary is machine-generated.

This study shows that using health information technology improved care coordination for rural adults, significantly reducing alcohol and drug use. The initiative also decreased probation days, depression, and violent behaviors.

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Area of Science:

  • Mental Health Services Research
  • Health Information Technology
  • Rural Health Initiatives

Background:

  • Rural adults in East Tennessee face challenges accessing coordinated mental health and substance abuse services.
  • The University of Tennessee Children's Mental Health Services Research Center and the Helen Ross McNabb Center initiated a program to address these gaps.

Purpose of the Study:

  • To evaluate the effectiveness of an expanded care coordination program utilizing health information technology for rural adults.
  • To assess the impact of the intervention on substance use, treatment engagement, and associated negative outcomes.

Main Methods:

  • A 3-year initiative targeting rural adults in East Tennessee.
  • Utilized screening tools: Alcohol Use Disorder Identification Test (AUDIT), Drug Abuse Screening Test (DAST), and AC-COD.
  • Intervention included online modules and a minimum of four face-to-face clinician meetings.

Main Results:

  • Significant reductions in alcohol and drug use were observed.
  • Decreased alcohol use and outpatient treatment for alcohol and substance abuse.
  • Reported significant decreases in probation days, depression symptoms, physical complaints, and violent behaviors.

Conclusions:

  • Health information technology can enhance care coordination for rural populations with substance use disorders.
  • The program demonstrated positive outcomes in reducing substance use and improving mental health and behavioral indicators.
  • Further research with larger sample sizes is recommended to confirm efficacy and generalizability.