BARRIER TO TREATMENT ACCESS SURVEY

California Society of Addiction Medicine (CSAM) members have expressed concern and frustration regarding access to treatment for their patients diagnosed with substance use disorders. Please answer the following questions and make comments in order to identify specific problem areas.

1. Are you having difficulties obtaining authorization for detox?

Are you having difficulties obtaining authorization for detox? No

Yes. Please specify below.

2. Are you having difficulty obtaining authorization for rehab or residential level of care?

Are you having difficulty obtaining authorization for rehab or residential level of care? No

Yes. Please specify below

3. Are you having difficulty obtaining authorization for medication?

Are you having difficulty obtaining authorization for medication? No

Yes. Please specify below.

4. Are you having difficulty obtaining authorization and/or payment for psychosocial care?

Are you having difficulty obtaining authorization and/or payment for psychosocial care? No

Yes. Please specify below.

5. Are you experiencing low reimbursement for office visits?

Are you experiencing low reimbursement for office visits? No

Yes. Please specify below.

6. Are you experiencing addiction treatment carved out of mental health providers who have insufficient training and/or experience treating addiction?

Are you experiencing addiction treatment carved out of mental health providers who have insufficient training and/or experience treating addiction? No

Yes. Please specify below.

7. Are you having difficulty obtaining authorization for your publicly funded (e.g. MediCal, other public funding) patient?

Are you having difficulty obtaining authorization for your publicly funded (e.g. MediCal, other public funding) patient? No

Yes. Please specify below.

8. Are you having difficulty obtaining authorization for your adolescent patient?

Are you having difficulty obtaining authorization for your adolescent patient? No

Yes. Please specify below.

9. Are you experiencing other difficulties related to access to treatment for your patients diagnosed with substance use disorders?

Are you experiencing other difficulties related to access to treatment for your patients diagnosed with substance use disorders? No

Yes. Please specify below.

10. The CSAM Winter 2009 Newsletter (Vol.36/No.3) article "CSAM Begins New 'Barrier to Treatment Access' Project" described a 'Barrier to Treatment Access Report' for members to complete and submit to CSAM in order to assess the magnitude of the problem.

Check all that apply:

The CSAM Winter 2009 Newsletter (Vol.36/No.3) article "CSAM Begins New 'Barrier to Treatment Access' Project" described a 'Barrier to Treatment Access Report' for members to complete and submit to CSAM in order to assess the magnitude of the problem. Check all that apply: a. I am AWARE of the 'Barrier to Treatment Access Report Form' but DO NOT HAVE ANY CONCERNS regarding one or more patients at this time.

b. I am AWARE of the 'Barrier to Treatment Access Report Form' and HAVE SUBMITTED MY CONCERNS regarding one or more patients.

c. I am AWARE of the 'Barrier to Treatment Access Report Form' and INTEND TO SUBMIT MY CONCERNS regarding one or more patient.

d. I am NOT AWARE of the 'Barrier to Treatment Access Report Form'.

e. Comments

BARRIER TO TREATMENT ACCESS SURVEY

1. Are you having difficulties obtaining authorization for detox?

2. Are you having difficulty obtaining authorization for rehab or residential level of care?

3. Are you having difficulty obtaining authorization for medication?

4. Are you having difficulty obtaining authorization and/or payment for psychosocial care?

5. Are you experiencing low reimbursement for office visits?

6. Are you experiencing addiction treatment carved out of mental health providers who have insufficient training and/or experience treating addiction?

7. Are you having difficulty obtaining authorization for your publicly funded (e.g. MediCal, other public funding) patient?

8. Are you having difficulty obtaining authorization for your adolescent patient?

9. Are you experiencing other difficulties related to access to treatment for your patients diagnosed with substance use disorders?

10. The CSAM Winter 2009 Newsletter (Vol.36/No.3) article "CSAM Begins New 'Barrier to Treatment Access' Project" described a 'Barrier to Treatment Access Report' for members to complete and submit to CSAM in order to assess the magnitude of the problem. Check all that apply:

10. The CSAM Winter 2009 Newsletter (Vol.36/No.3) article "CSAM Begins New 'Barrier to Treatment Access' Project" described a 'Barrier to Treatment Access Report' for members to complete and submit to CSAM in order to assess the magnitude of the problem.

Check all that apply: