Substance use disorders (SUDs) have substantial negative consequences on Veterans' mental and physical health, work performance, housing status, and social functioning. The population of Veterans with SUDs, other than nicotine dependence, is increasing in both absolute terms and as a percentage of the overall VHA patient population - from 270,991 (6.1% of VHA patients) in FY02 to 461,927 (8.3% of VHA patients) in FY10. These figures do not include Veterans who use alcohol or other substances in ways that are risky in terms of acute or chronic effects. In addition, approximately 20% of VHA enrollees are current smokers. The rate is considerably higher among Veterans with other SUDs. For example, approximately two-thirds of the 15,320 Veterans in SUD residential programs in FY10 were nicotine-dependent.
The mission of the Substance Use Disorder (SUD) QUERI is to improve the detection and treatment of Veterans with hazardous substance use. SUD-QUERI works in partnership with the VA Office of Mental Health Services (OMHS), VA Office of Mental Health Operations (OMHO), VA Office of Public Health, National Center for Post-traumatic Stress Disorder (NCPTSD), HSR&D's Pain Research, Informatics, Medical Comorbidities, and Education Center (PRIME), and VA/HSR&D's Mental Health and Human Immunodeficiency Virus/Hepatitis C Virus (HIV/HCV) QUERI Centers.
Goal 1: Improve the Accessibility, Quality, Effectiveness, and Efficiency of SUD Specialty Treatment
Goal 2: Improve the Accessibility, Quality and Efficiency of Treatment of Hazardous Substance Use within VA Medical Settings, Particularly Primary Care
Goal 3: Improve the Integrated and/or Co-located Treatment of SUD and Common Co-morbidities (i.e., infectious diseases, PTSD, and pain)
View: Alex Sox-Harris, PhD, talks about his work focusing on quality improvement in treating substance use disorders.