Guest post on the CFHA blog: the chart said AUD. The room said something else entirely.
On substance use in primary care, functional use, and the relationship that's still there after a relapse.
https://www.integratedcarenews.com/2026/when-the-chart-says-substance-use-and-the-room-says-something-else/
#PCBH #AddictionPsychology #IntegratedCare
When the Chart Says Substance Use and the Room Says Something Else - Integrated Care News
That gap, between what the chart said, and what I read in the room, is where much of the work happens in primary care. Universal screening with validated tools, brief intervention, referral to treatment (e.g., SBIRT) has a robust evidence base, and at the population level, it works. A well-resourced implementation trial across 22 primary […]
Guest post on the CFHA blog: the chart said AUD. The room said something else entirely.
On substance use in primary care, functional use, and the relationship that's still there after a relapse.
https://www.integratedcarenews.com/2026/when-the-chart-says-substance-use-and-the-room-says-something-else/
#PCBH #AddictionPsychology #IntegratedCare
When the Chart Says Substance Use and the Room Says Something Else - Integrated Care News
That gap, between what the chart said, and what I read in the room, is where much of the work happens in primary care. Universal screening with validated tools, brief intervention, referral to treatment (e.g., SBIRT) has a robust evidence base, and at the population level, it works. A well-resourced implementation trial across 22 primary […]
Guest post on the CFHA blog: the chart said alcohol use disorder. The room said something else.
On substance use, primary care, and why the warm handoff opens a door—not closes a loop.
www.integratedcarenews.com/2026/when-th...
#PCBH #AddictionPsychology #IntegratedCareWhen the Chart Says Substance ...When the Chart Says Substance Use and the Room Says Something Else - Integrated Care News
That gap, between what the chart said, and what I read in the room, is where much of the work happens in primary care. Universal screening with validated tools, brief intervention, referral to treatment (e.g., SBIRT) has a robust evidence base, and at the population level, it works. A well-resourced implementation trial across 22 primary […]
"Maintaining a conceptual divide btw addictions and other psychiatric disorders reinforces diagnostic “tunnel vision,” constraining our understanding of neuropsychopathology and contributing to persistent gaps in care and treatment accessibility."
https://www.cambridge.org/core/journals/irish-journal-of-psychological-medicine/article/addiction-is-a-mental-disorder-within-the-mental-health-spectrum-and-it-matters/8EDA704DF6C14361147C87FB83EEABFD
#SubstanceUse
Researching #IntegratedCare, especially for people w #multimorbidity, shows that silos do not start at the psychological vs. physiological, but already within those categories.
#MentalIllness #HealthServices
Addiction is a mental disorder within the mental health spectrum, and it matters | Irish Journal of Psychological Medicine | Cambridge Core
Addiction is a mental disorder within the mental health spectrum, and it matters
President Lee Jae-myung announced that South Korea will become a super-aged society in 2025, emphasizing expanded senior welfare policies and nationwide integrated care, while highlighting seniors' contributions to the nation's development.
#YonhapInfomax #SuperAgedSociety #LeeJaeMyung #SeniorWelfare #IntegratedCare #KoreaSeniorCitizensAssociation #Economics #FinancialMarkets #Banking #Securities #Bonds #StockMarket https://en.infomaxai.com/news/articleView.html?idxno=96642
President Lee Says 'Entering Super-Aged Society—Senior Policies Now Policies for All'
President Lee Jae-myung announced that South Korea will become a super-aged society in 2025, emphasizing expanded senior welfare policies and nationwide integrated care, while highlighting seniors' contributions to the nation's development.
Improving the #care pathway for people living with #HIV aged 70 years and older: the impact of geriatric screening in an infectious diseases unit (AUTO-HIV 70)
#Frailty #Health #InfectiousDisease #IntegratedCare #Prevention
https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-025-06388-5
Improving the care pathway for people living with HIV aged 70 years and older: the impact of geriatric screening in an infectious diseases unit (AUTO-HIV 70) - BMC Geriatrics
Background With increased life expectancy of people living with HIV comes increased rates of multimorbidity and frailty, which services are not currently managing well. A geriatric day hospital (GDH) screening program was offered in our infectious disease department for all people living with HIV aged 70 years and older coming for follow-up, with the aim to provide more holistic ageing care. In order to evaluate our professional practice, we assessed the proportion of participants who had a planned change in their care pathway following this screening, and describe the population who benefited from this GDH. Methods From July 2021 up to January 2024, a cross-sectional study was performed. Demographic data was collected from participant’s medical records along with various validated geriatric screening scores. Changes in the care pathway included referrals to a health professional and/or a change in treatment. Changes were indicated by the results of the screening program, planned by the clinician if the changes were considered relevant and if the participant agreed, and finally implemented or not at the next consultation. The percentage of participants with a change in their care pathway following the geriatric screening test is presented with a 95% confidence interval. The factors associated with it were studied using the Chi-squared test or the Fisher’s exact test for categorical variables, and Student’s t test or Mann-Whitney test for continuous variables. Results A total of 63 people living with HIV, aged 75.2 ± 4.6 years, were included, 57.1% of whom had at least three comorbidities. According to the geriatric screening evaluations, a change in the care pathway was indicated in 56/63 (88.9%; 95%CI: 78.4 to 95.4%) people living with HIV, and planned by the doctor with the participant’s agreement in 34/63 (54.0%; 95%CI: 40.9 to 66.6%) participants. Factors associated with a planned change in the care pathway were Dat’AIDS mortality score (p=0.02), EPICES score (p=0.03), Fried frailty phenotype (p=0.007) and GFST (p=0.04). At least one planned change in the care pathway was implemented before the next consultation six months later in 30/63 (47.6%) people living with HIV. Conclusions This study demonstrates the feasibility of organising geriatric screening in an infectious diseases unit. The proportion of changes that were implemented highlights the relevance of using these screening tests. It is, however, important to improve some of the screening tests used and raise awareness amongst people living with HIV and their doctors. Trial registration This study was registered in the institution’s data processing register under number M23JC0704 and approved by the ethics committee (IRB00013412, “CHU de Clermont Ferrand IRB #1”, number IRB 2023CF089).
Just seen another paper published on oral #frailty . I am wondering when we will get to a "feet frailty", a "digestive frailty", or a "friendship frailty"... 😆
This is nonsense to me.
Geriatric medicine should avoid constructs that, rather than providing a person-centred approach, promote a partial/fragmented evaluation of the individual.
#CGA #Geriatrics #FragmentationOfCare #IntegratedCare #MedMastodon #Research #Medicine
Suggested reading👇
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=27676177
The Chimeric Nihilism of Geriatrics - PubMed
The Chimeric Nihilism of Geriatrics
Post-Acute Care Solutions, Engineered for Your Ecosystem
https://www.cabotsolutions.com/post-acute-care-software-solutions
Comprehensive post-acute care solutions designed to seamlessly integrate with your ecosystem, improving care coordination, efficiency, and patient outcomes.
#PostAcuteCare #HealthcareSolutions #CareCoordination #HealthTech #PatientOutcomes #HealthcareInnovation #CareEcosystem #IntegratedCare #DigitalHealth #HealthIT
Post Acute Care Software Solutions | PAC Solutions
Reduce readmissions and simplify post-acute care with Cabot’s custom AI, RPM, and integration solutions. Schedule a free strategy call today.
Building a Centralized Patient Record: From Fragmented Data to Clear Care Plans
Learn how centralized patient records can transform healthcare delivery, reduce inefficiencies, and improve patient care. Discover how Cabot Technology Solutions can help create a unified care plan for your facility.
Robert Allred
Robert P. Allred, PhD, ABPP
Robert P. Allred, PhD, ABPP | he/him
Jan R. Boehnke
Yonhap Infomax News
Matteo Cesari
cabot