Federally Qualified Health Centers Federally Qualified Health Centers (FQHCs):(FQHCs):

Addressing the Challenges of Health Care ReformAddressing the Challenges of Health Care Reform

Community Treatment Program (CTP) CaucusClinical Trials Network Meetings

Building Building IntegrationIntegration

CTPs – FQHCs - CTPs – FQHCs - FundersFunders

March 15, 2011 5:00 PM – 6:30 PM

Goal:Goal:Articulate Articulate

opportunities for opportunities for integration integration

between FQHCs between FQHCs & CTPS& CTPS

• • Understand Understand FQHCs FQHCs

• • Discuss how Discuss how CTPs can CTPs can

become one or become one or integrate with integrate with

oneone

• • Discuss the Discuss the OpportunitiesOpportunities

• • Discuss the Discuss the barriersbarriers

• • Next stepsNext steps

CTP Member PanelistsCTP Member Panelists

John Gardin, Ph.D.Director of Behavioral Health & ResearchADAPT, Oregon 

Nancy PaullChief Executive OfficerSSTAR, Inc., Massachusetts  

Guest Panelists

Alexander F. Ross, Alexander F. Ross, Sc.D.Sc.D.

Office of Special Office of Special Health AffairsHealth Affairs

Health Resources and Health Resources and Services Services

Administration Administration

Michael R. Lardiere, Michael R. Lardiere, LCSWLCSW

Director, Health Director, Health Information Technology Information Technology Sr. Advisor, Behavioral Sr. Advisor, Behavioral

Health National Health National Association of Community Association of Community

Health CentersHealth Centers

Background of NIDA CTN

• Studies of behavioral, pharmacological, & integrated behavioral & pharmacological treatment interventions in rigorous, multisite clinical trials to:

• determine effectiveness, practicality, & feasibility across a determine effectiveness, practicality, & feasibility across a broad range of treatment settings & diversified patient broad range of treatment settings & diversified patient populations; &populations; &

• Transfer of research results to physicians, clinicians, providers, & patients.

• 3 ways to use the CTN are: • to conduct ancillary studies in connection with CTN protocols; to conduct ancillary studies in connection with CTN protocols; • to utilize CTN Node facilities as a platform for investigations; &to utilize CTN Node facilities as a platform for investigations; &• Nodes to serve as home bases for NIH Training Centers & Nodes to serve as home bases for NIH Training Centers & individual researchers who have NIH fellowships or career individual researchers who have NIH fellowships or career development awards. development awards.

Scope of the CTPS

• # of states – 36• # of CTPs – 169• 34 states + Puerto Rico• Modalities – OP, Res, IOP• Patients - 10s X Thousands• Youth and Adults• Diverse populations•

Questions from Caucus membersQuestions from Caucus members

1) What are the advantages and disadvantages of becoming an FQHC or FQHC look-alike?

2) What does it take to become an FQHC or look-alike? (Development time, money, relationships, infrastructure). (Development time, money, relationships, infrastructure). 

3) What do you recommend for programs establishing partnerships with FQHCs? • What should they seek? What should they seek? • What pitfalls should they avoid? What pitfalls should they avoid? 

4) What are the distinctive issues for small, medium, large addiction treatment programs? 

5) Does there exist a mechanism for payment to mental health and substance abuse providers for services to FQHC patients?     

6) Can FQHC’s do onsite medical services at providers’ locations with or without establishing the site as a formal FQHC?

7) How might funding reductions at the federal & state level (including Block Grant effect the ability to provide services & (including Block Grant effect the ability to provide services & integrate servicesintegrate services