Explain the prevalence of mood, anxiety, and personality disorders among alcohol- and drug-dependent persons.

PPACA of 2010 brought many changes to the types of provider organizations available. ACOs and PCMHs are two new organizations formed under PPACA. Using the readings this week, discuss the origin, structure, and purpose of the new organizations formed under PPACA.

Using South University Online Library (for example, CINAHL) or the Internet, search any three articles from the list below and evaluate the challenges and opportunities facing payers and providers as ACOs and PCMHs are implemented:

The patient-center medical home and managed care: Times have changed, some components have not (Baird, 2011).
Patient-centered medical homes: Will health care reform provide new options for rural communities and providers? (Bolin, Gamm, Vest, Edwardson, & Miller, 2011)
Accountable Care Organizations: The case for flexible partnerships between health plans and providers (Goldsmith, 2011).
Payment reform for primary care within the accountable care organization a critical issue for health system reform (Goroll & Schoenbaum, 2012).
Accountable care organizations, the patient-centered medical home, and health care reform: What does it all mean? (Longworth, 2011)
Implementing accountable care organizations: Ten potential mistakes and how to learn from them (Singer & Shortell, 2011).

Based on your research, summarize your findings on the selected topics and compile your observations in a 5- to 6-page Microsoft Word document.

Support your responses with examples.

Cite any sources in APA format.

References:

Baird, M. A. (2011). The patient-center medical home and managed care: Times

have changed, some components have not. The Journal of the American

Board of Family Medicine, 24(6), 630–632.

Bolin, J. N., Gamm, L., Vest, J. R., Edwardson, N., & Miller, T. R. (2011).

Patient-centered medical homes: Will health care reform provide new

options for rural communities and providers? Family & Community

Health, 34(2), 93–101.

Goldsmith, J. (2011). Accountable Care Organizations: The case for flexible

partnerships between health plans and providers. Health Affairs,

30(1), 32–40.

Goroll, A. H., & Schoenbaum, S. C. (2012). Payment reform for primary care

within the accountable care organization a critical issue for health system

reform. JAMA: The Journal of the American Medical Association,

308(6), 577–578.

Longworth, D. L. (2011). Accountable care organizations, the patient-centered

medical home, and health care reform: What does it all mean?

Cleveland Clinic Journal of Medicine, 78(9), 571–582.

Singer, S., & Shortell, S. M. (2011). Implementing accountable care

organizations: Ten potential mistakes and how to learn from them. JAMA:

The Journal of the American Medical Association, 306(7), 758.

Assignment 2 Grading Criteria
Maximum Points
Discussed the impact of health care reform on patients and providers.
5
Evaluated the impact of patient-centered medical homes on the delivery of health care.
10
Evaluated the impact of ACOs on the delivery of health care.
10
Discussed the challenges facing patients and providers as ACOs and PCMHs are formed.
10
Discussed the opportunities facing patients and providers as ACOs and PCMHs are formed.
10
Used correct spelling, grammar, and professional vocabulary. Cited all sources using APA format.
5
Total:
50

******** SECOND****** **********second***************

Alcohol and Related Conditions

This week’s readings have covered various topics in historical perspectives. As addiction professionals, it is going to be important for you to stay current in the research and best practices of this industry. The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) is the first survey that uses the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) definitions of independent mood and anxiety disorders to examine comorbidity or co-occurrence of mental health disorders. The NESARC results show that substantial comorbidity between substance use disorders and independent mood and anxiety disorders is pervasive in the general population of the United States.

An estimated 17.6 million American adults (8.5 percent) meet the standard diagnostic criteria for an alcohol use disorder and approximately 4.2 million (2 percent) meet the criteria for a drug use disorder (Grant & Dawson, 2006).

“This study does not resolve questions about causal mechanisms that may underlie relationships between DSM-IV substance use and mood and anxiety disorders,” opines Bridget F. Grant, Ph.D., Chief of the Laboratory of Epidemiology and Biometry, Division of Intramural Clinical and Biological Research. Analyses of data from NESARC’s “second wave” in 2004–2005 will help form the foundation for future etiologic research (Grant & Dawson, 2006).

Using the South University Online Library or the Internet, research further on information by NESARC on alcohol and related conditions. Based on your research and the above information, create a 4- to 5-page Microsoft Word document that includes the answers to the following questions:

According to the NESARC, how prevalent are mood, anxiety, and personality disorders among alcohol- and drug-dependent persons?
Compared to nondependent persons, how likely is it for nicotine-alcohol-dependent persons to havea mental disorder?
What other disorders might you see coexisting together? Why? How are these disorders related?
Why is it that people with dual disorders are at high risk for chronic relapse, emergency hospitalizations, vocational problems, family problems, homelessness, suicide, violence, sexual and physical victimization, incarceration, and early death?
Do you agree with National Institutes of Health’s (NIH’s) observation that the adults with nicotine dependence or psychiatric disorders consume 70% of all cigarettes smoked in the United States? Why or why not?

Support your responses with examples.

Cite any sources in APA format.

Reference:

Grant, B. F., & Dawson, D. A. (2006). Introduction to the national epidemiologic

survey on alcohol and related conditions. Alcohol Research & Health,

29 (2), 74–78.
Assignment 2 Grading Criteria
Maximum Points
Explained the prevalence of mood, anxiety, and personality disorders among alcohol- and drug-dependent persons.
10
Described how likely is it for nicotine-alcohol-dependent persons to have a mental disorder as compared to nondependent persons.
10
Explained the other disorders that might coexist together. Described how these disorders are related.
10
Described why people with dual disorders are at high risk for chronic relapse, emergency hospitalizations, vocational problems, family problems, homelessness, suicide, violence, sexual and physical victimization, incarceration, and early death.
10
Analyzed and justified whether the adults with nicotine dependence or psychiatric disorders consume 70% of all cigarettes smoked in the United States.
5
Used correct spelling, grammar, professional vocabulary, and APA format.
5
Total:
50

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