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COAP Care Outcomes Assessment Program
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Behavioral Health

Addiction and Dependence

Read our Reports and Recommendations

(Adopted January 2015)

Many of us struggle with alcohol and/or drug use. This workgroup met through 2014 to increase screening, brief intervention, brief treatment, and site-to-site referrals for evidence-informed treatment.

Implementation Tools

Addiction and Dependence Treatment Webinar

Motivational Interviewing in the SBIRT Model Webinar

Workgroup Members

Member	Title	Organization
Charissa Fotinos, MD	Deputy Chief Medical Officer	Health Care Authority
Tom Fritz (Chair)	Chief Executive Officer	Inland Northwest Health Services
Linda Grant	Chief Executive Officer	Evergreen Manor
Tim Holmes	Vice President of Outreach Services and Behavioral Health Administration	MultiCare Health System
Ray Hsiao, MD	Co-Director, Adolescent Substance Abuse Program	Seattle Children’s Hospital
Scott Munson	Executive Director	Sundown M Ranch
Rick Ries, MD	Associate Director	Addiction Psychiatry Residency Program, University of Washington
Terry Rogers, MD	Chief Executive Officer	Foundation for Health Care Quality
Ken Stark	Director	Snohomish County Human Services Department
Jim Walsh, MD	Physician	Swedish Medical Center

Integration into Primary Care

Read our Guidelines

(Adopted March 2017)

Many of us experience depression, anxiety, or substance abuse; but few of us are screened and even fewer are able to access treatment. Integrating behavioral health services into primary care is centered on the patient, helps people get the treatment they need, and makes us all healthier. Our workgroup met from April 2016 to March 2017 to define integrated behavioral health care, create a common vocabulary, and developed eight common elements that outline a minimum standard of care.

Implementation Tools

Behavioral Health Integration Webinar

Supporting Materials

Letter from Health Care Authority Accepting Behavioral Health Integration Recommendations
Behavioral Healt h Charter and Roster
Behavioral Health Integration Core Process Measures
Behavioral Health Integration Guideline Checklist

Workgroup Members

Member	Title	Organization
Brad Berry	Executive Director	Consumer Voices Are Born
Regina Bonnevie, MD	Medical Director	Peninsula Community Health Services
Michelle Guerra, MD	Senior Clinician	Premera
Larry Marx, MD	Medical Director, Behavioral Health Support Services	Kaiser Permanente
Rose Ness, MA, LMHC, CDP	Behavioral Health Expert	Sound Integration for Behavioral Healthcare
Kim McDermott, MD	Physician	NeighborCare
Mary Kay O’Neill MD, MBA	Partner	Mercer
Joe Roszak	CEO	Kitsap Mental Health Services
Anna Ratzliff, MD, PhD/ Anne Shields, MHA, RN	Director of the UW Integrated Care Training Program, Associate Director for Education/Associate Director	AIMS Center, University of Washington
Jeff Reiter, PhD	Lead Psychologist	Swedish Medical Services
Julie Rickard, PhD	Program Director of Integrated Behavioral Services	Confluence Health
Brian Sandoval, PsyD	Behavioral Health Manager, Oregon and Washington Services	Yakima Valley Farmworkers Clinics
Lani Spencer, RN, MHA	Vice President	Health Care Management Services, Amerigroup –Washington
Emily Transue, MD, MHA	Senior Medical Director	Coordinated Care
Melet Whinston, MD	Medical Director	United Health Care

Opioid Use Disorder

Read our Guidelines

(Adopted November 2017)

Opioid overdose is a leading cause of accidental health in the United States. The majority of people with identified substance use disorders do not receive appropriate care or treatment. Barriers to care lie in lack of access, variation in treatment, and because substance use is highly stigmatized. This workgroup met from December 2016 to November 2017, built on the work of the 2016 Washington State Interagency Opioid Working Plan.

Implementation Tools

Opioid Use Disorder

Workgroup Members

Member	Title	Organization
Charissa Fotinos, MD (Co-Chair)	Deputy Medical Officer	Health Care Authority
Andrew Saxon, MD (Co-Chair)	Director, Center of Excellence in Substance Abuse Treatment and Education (CESATE)	VA Puget Sound Health Care System
Jane Ballantyne, MD, FRCA	Professor, Department of Anesthesiology and Pain Medicine	University of Washington School of Medicine
Caleb Banta-Green, PhD, MPH, MSW	Senior Scientist	Alcohol and Drug Abuse Institute, University of Washington
David Beck, MD	Immediate Past President	Washington Society of Addiction Medicine
Ryan Caldeiro, MD	Chief Chemical Dependency Services and Consultative Psychiatry	Kaiser Permanente
Mary Catlin, BSN, MPH	Institutional Nurse Consultant	Department of Health
Nancy Lawton, MN, ARNP, FNP	President	ARNPs United of Washington State
Darin Neven, MD, MS	President and Founder	Consistent Care
Richard Ries, MD	Director, Addiction Psychiatry Residency Program	University of Washington
John Robinson, MD, SM	Chief Medical Officer	First Choice Health
John Roll, PhD	Professor & Vice Dean for Research, Elson S. Floyd College of Medicine	Washington State University
Terry Rogers, MD	Medical Director	Lakeside Milam Recovery
Vania Rudolf, MD, MPH	Addiction Recovery Services	Swedish Medical Center
Mark Stephens	President	Change Management Consulting
Milena Stott, LICSW, CDP	Chief Of Inpatient Services	Valley Cities Counseling

Pediatric Psychotropic Prescribing

Read Our Guidelines

(Adopted November 2016)

Among psychotropic medications prescribed to children and adolescents, antipsychotics have great potential for overuse. These drugs are often prescribed for aggressive or impulsive behaviors rather than psychosis and are associated with patient harms in a developing brain. The workgroup met from January to November 2016 to recommends strategies to improve the appropriateness of antipsychotic drug prescribing to pediatric patients

Supporting Materials

Workgroup Members

Member	Title	Organization
Shelley Dooley	Parent Advocate
Nalini Gupta, MD	Pediatrician	Developmental and Behavioral Pediatrics Providence Health and Services
Robert Hilt, MD	Director, Community Leadership; Director of Partnership Access Line	Seattle Children’s
Paula Lozano, MD, MPH (Chair)	Medical Director, Research and Translation	Group Health Cooperative
Liz Pechous, PhD	Clinical Director	ICARD, PLLC
Robert Penfold, PhD	Co-investigator, Mental Health Research Network	Group Health Research Institute
James Polo, MD, MBA	Chief Medical Officer	Western State Hospital
David Testerman, PharmD	Pharmacy Director	Amerigroup
Mark Stein, PhD, ABPP	Director of ADHD and Related Disorders	Seattle Children’s
Donna Sullivan, PharmD, MS	Chief Pharmacy Officer	Washington Health Care Authority

Risk of Violence to Others

Read our Guidelines

(Adopted January 2020)

The 2016 Washington State Supreme Court decision Volk v. DeMeerleer expanded the health care provider’s duty to warn potential victims of a patient’s violence. This workgroup recommended clinical best practices for providers caring for patients who may exhibit homicidal ideation. The workgroup met from January 2019 to January 2020.

Previous Meeting Materials

Date	Materials
January 6	Agenda January 6 2020 Minutes October 10 Minutes January 6 2020 Recommendations Risk of Violence to Others
October 10	Agenda October 10 Minutes September 12 Draft Recommendations Risk of Violence
September 12	Agenda September 12 Minutes July 11 Minutes August 1
August 1	Agenda August 1 Minutes July 11 Draft Recommendations Risk of Violence to Others
July 11	Agenda July 11 Minutes June 13 Draft Recommendations
June 13	Agenda June 13 Minutes May 23 Draft Recommendations Risk of Violence
May 23	Agenda May 23 Minutes April 25 Draft Recommendations Risk of Violence to Others
April 25	Agenda April 25 Minutes March 14 Risk of Violence Literature Review 2019 Involuntary Treatment Act Investigations Suicide Care Recommendations Summary
March 14	Agenda March 14 Minutes February 21 Ohio Duty to Protect Summary Suicide Care Recommendations
February 21	Agenda February 21 Minutes January 17 Draft Charter and Roster Presentation Duty to Protect Ohio Duty to Protect
January 17	Agenda January 17 Bree Presentation Slides Charter and Roster Conflict of Interest Form OPMA Training Roster

Workgroup Members

Member	Title	Organization
Kim Moore, MD (chair)	Associate Chief Medical Director	CHI Franciscan
G. Andrew Benjamin, JD, PhD, ABPP	Clinical Psychologist, Affiliate Professor of Law	University of Washington
Kate Comtois, PhD, MPH	Professor	Department of Psychiatry and Behavioral Sciences Harborview Medical Center
Jaclyn Greenberg, JD, LLM	Policy Director, Legal Affairs	Washington State Hospital Association
Laura Groshong, LICSW	Private Practitioner	Washington State Society for Clinical Social Work
Ian Harrel, MSW	Chief Operating Officer	Behavioral Health Resources
Marianne Marlow, MA, LMHC	Member	Washington Mental Health Counseling Association
Neetha Mony	State Suicide Prevention Plan Program Manager, Injury & Violence Prevention, Prevention and Community Health	Washington State Department of Health
Kelli Nomura, MBA	Behavioral Health Administrator	King County
Mary Ellen O’Keefe, ARNP, MN, MBA	Clinical Nurse Specialist – Adult Psychiatric/Mental Health Nursing; President Elect	Association of Advanced Psychiatric Nurse Practitioners
Jennifer Piel, MD, JD	Psychiatrist	Department of Psychiatry, University of Washington
Jeffrey Sung, MD	Member	Washington State Psychiatric Association
Samantha Slaughter, PsyD	Member	WA State Psychological Association
Adrian Tillery		Harborview Mental Health and Addiction Services
Amanda Ibaraki Stine, LMFTA	Member	Washington Association for Marriage and Family Therapists

Suicide Care

Read our Guidelines

(Adopted September 2018)

Suicide is a leading cause of death in our state. Rates vary by race, ethnicity, age, whether someone is a veteran, and by a person’s sexual and gender minority status. This workgroup met from February to September 2018 to develop recommendations organized to increase identification, assessment, management, and treatment.

Implementation Tools

Suicide Care Webinar

Watch our Partnering with Schools in Youth Suicide Prevention Webinar

Supporting Materials

Letter from the HCA Accepting Suicide Care Recommendations
Suicide Care Charter and Roster

Previous Meeting Materials

Date	Materials
February 8	Minutes February 8 Suicide Prevention Charter Draft Bree Collaborative Process
March 8	Agenda March 8 Minutes February 8 Draft Suicide Prevention Charter Draft Suicide Prevention Recommendations
April 12	Agenda April 12 Minutes March 8 Draft Suicide Prevention Report
May 10	Agenda May 10 Minutes April 12 National Action Alliance for Suicide Prevention Recommendations Draft Suicide Prevention Recommendations
June 14	Agenda June 14 Meeting Minutes May 10 Draft Recommendations Suicide Care
September 13	Agenda September 13 Meeting Minutes June 14 Draft Suicide Care Recommendations Public Comments

Workgroup Members

Member	Title	Organization
Kate Comtois, PhD, MSW	Psychologist	Harborview Medical Center
Karen Hye, PsyD	Clinical Psychologist	CHI Franciscan Health
Matthew Layton, MD, PhD, FACP, DFAPA	Clinical Professor, Department of Medical Education and Clinical Sciences	Elson S. Floyd College of Medicine, Washington State University
Neetha Mony, MSW	Statewide Suicide Prevention Plan Program Manager	Washington State Department of Health
Julie Rickard, PhD	Physician & Healthcare Consultant	Confluence Health
Julie Richards, MPH	Research Associate	Kaiser Permanente Washington Health Research Institute
Hugh Straley, MD (chair)	Chair	Bree Collaborative
Jennifer Stuber, PhD	Associate Professor	University of Washington School of Social Work
Jeffrey Sung, MD	Member	Washington State Psychiatric Association