Equity

This program disseminates information about strategies for leveraging digital health tools that have been shown to make pain cognitive behavioral therapy (CBT) more efficient than standard CBT delivered by a therapist. Some of these programs use artificial intelligence to personalize CBT, resulting in substantial reductions in human resource costs while potentially producing better pain outcomes than standard therapy. Currently housed in the Veterans Affairs (VA) Ann Arbor Healthcare System and led by University of Michigan faculty and staff (via the Center for Management of Chronic Diseases), this program works with the University, the National VA healthcare system, other clinicians and government health systems globally, to improve access to evidence-based digital/mobile CBT treatment. 

Additional information:

https://pubmed.ncbi.nlm.nih.gov/28384682/ 

https://pubmed.ncbi.nlm.nih.gov/27056770/ 

U-M Faculty Leads:  

John Piette, PhD

The Removing Barriers Program provides free online legal services to people in early recovery from opioid use disorder. Services are provided face-to-face directly to patients in treatment centers using a hybrid approach (in-person support with efficient, free online resolution without lawyers). The program can be used to resolve various legal issues in multiple Michigan districts, including bench warrants (selected per MCL), child support arrears and visitation requests, felony child support warrants, fines/fees, license suspensions, failure-to-appear warrants, traffic tickets, scheduling court dates, and more. The program is operated by teams within U-M, along with partners Dawn Farm, Home of New Vision, and the Community Mental Health Partnership of Southeast Michigan (CMHPSM). Additional partners of the program include drug court, sobriety court, district courts (several) in Michigan, Friend of the Court (Michigan Child Support Enforcement), Michigan Unemployment Insurance Agency.

Additional information:

https://www.asanet.org/news-events/footnotes/may-jun-2020/research-policy/what-happens-when-pandemic-intersects-epidemic-alcohol-drugs-and-tobacco   

http://www.wipsociology.org/2019/10/23/tackling-poverty-by-repairing-a-broken-american-institution-with-technology/ 

http://legalnews.com/detroit/1470670   

https://getmatterhorn.com/odr-and-recovery-video-court-community-and-tech-partners-remove-barriers-to-recovery-with-odr/   

U-M Faculty Leads:

Meghan M. O’Neil, PhD

The goal of the OPEN and the Michigan Emergency Department Improvement Collaborative (MEDIC) project is to reduce opioid related morbidity and mortality by: increasing Emergency Department naloxone distribution to patients treated for opioid overdose and those at high risk of future overdose; facilitating hospital and community inter-professional provider networks; and assisting in the development of best practices for Emergency Department-based opioid use disorder screening, naloxone distribution, and initiation of medication-assisted treatment. The program is operated by U-M staff and Michigan Medicine faculty, partnering with 26 hospitals statewide.

Additional information:

https://michigan-open.org/wp-content/uploads/2021/09/Michigan-OPEN_MEDIC-Site-Map_9.14.21-1.png

https://pubmed.ncbi.nlm.nih.gov/34962682/ 

https://pubmed.ncbi.nlm.nih.gov/35405078/

https://www.secondwavemedia.com/features/michiganopen02032021.aspx

https://www.freep.com/story/news/local/michigan/2022/02/09/how-to-use-narcan-harm-reduction/9303406002/ 

https://drive.google.com/file/d/1OsVgQ-_wbi_Kx2EOQYitGZlE3wR9UuSh/view?usp=sharing

https://michigan-open.org/medic/ 

https://medicqi.org/Collaborations/Opioid-Use-Disorder  

U-M Faculty Leads:

Chad Brummett, MD; Jennifer Waljee, MD, MPH; Mark Bicket, MD, PhD; and Michael Englesbe, MD

Painless: The Opioid Musical is a collaborative production designed to be performed for middle and high school students, and is operated by U-M students and staff. This strategy supplements the Michigan Model for HealthTM (MMH) curriculum on opioids, and is accompanied by complementary discussion and education materials to include a teacher’s guide, song lyrics and professionally produced cast album available free for download on spotify. The program partners with U-M’s Precision Health; the School of Music, Theatre & Dance; the School of Public Health; and the School of Nursing, along with the Michigan Department of Health and Human Services (MDHHS) and Blue Cross Blue Shield of Michigan (BCBSM).

Affiliation: OPEN at the University of Michigan

Additional information:

https://docs.google.com/document/d/1GFmCCH45wOREL8PtcmziIigOfQ17qBpA/edit 

https://michigan-open.org/news/article/painless-the-opioid-musical/  

https://drive.google.com/file/d/1Q0sk6LVujukUAoPJzwmNwG1sAFnzb17P/view?usp=sharing 

https://drive.google.com/file/d/1XHUF3AFEEr12MNHHDgeA_3QRrADhdJ3s/view?usp=sharing 

https://michigan-open.org/painless/

U-M Faculty Leads:

Chad Brummett, MD; Vincent Cardinal, PhD; Sarah Stoddard, PhD, RN

PPCCM is a program in which a clinical pharmacist (a pharmacist who provides direct patient care, rather than a community pharmacist who may work at a site like Walgreens) provides opioid medication management for patients prescribed long-term opioids for chronic pain in fee-for-service primary care settings. The program is operated by U-M faculty and staff and has been piloted in Ann Arbor.

Additional information:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203632/  

https://pubmed.ncbi.nlm.nih.gov/27550143/  

U-M Faculty Lead:

Pooja Lagisetty, MD, MSc

Between September 2020 – January 2021, a statewide, multidisciplinary expert panel convened to generate recommendations to address the limited access to care that patients experience when taking opioids for chronic pain. To support non-opioid pain care access, the panel encouraged increasing reimbursement for the time providers need to treat complex chronic pain, establishing coordinated care models that bundle payments treatment, improving provider training, and reducing racial inequities in pain treatment. U-M partnered with Blue Cross Blue Shield of Michigan (BCBSM), Community Foundation for Southeast Michigan, Detroit Recovery Project, Harm Reduction Michigan, Michigan Bureau of Professional Licensing, Michigan Department of Health and Human Services (MDHHS), Michigan Department of Licensing and Regulatory Affairs (LARA), Michigan Primary Care Association, and the Michigan State Medical Society in the creation of the panel, which was operated by U-M staff.

Additional information: 

https://deepblue.lib.umich.edu/handle/2027.42/168420 

https://ihpi.umich.edu/paincare

U-M Faculty Lead: 

Pooja Lagisetty, MD, MSc