Victor Capoccia on health reform and the Accelerating Reform Collaborative

With the announcement of the NIATx Accelerating Reform Collaborative, we asked NIATx Senior Scientist Victor Capoccia to share his views on health reform and how NIATx will position itself within that new environment.

1. What is your view on the current state of affairs in behavioral health?

Without question, this is the most exciting period I have experienced in my 40-year career in social welfare and behavioral health. Here is why:

• There is greater knowledge about mental and substance based disorders and successful treatments. We have medications as well as counseling protocols that are tested and efficacious.
• Despite a slow economy, there are more resources to prevent and treat mental and addiction disorders than ever before; and there are more to come with the provisions of the Accountable and Affordable Care Act.
• There is greater understanding and awareness of addiction as a treatable health condition than at any previous period. Stigma still exists, but it exists in tandem with a better public understanding of mental health and alcohol and drug misuse.

Take these three forces, and they shout: OPPORTUNITY! Shame on us if we fail to make the changes needed to reach those who continue to suffer with untreated addiction and mental health conditions.

2.What kind of opportunities do you see health reform presenting to behavioral health organizations?

I feel that health care reform presents the following opportunities:

• Coverage of 32 million uninsured Americans that largely include a mental health and addiction benefit; this coverage includes dependents up to 26 years of age and low-income adults up to 100% of the federal poverty level.
• Insurance coverage if these conditions existed prior to coverage.
• Parity with general medical care for addiction and mental health treatments.
• Medical homes for chronic and acute patients.
• Prevention screening and intervention for Mental Health and Addiction disorders.
• Workforce development and training for behavioral health professionals.
• And many others...

3. What is the NIATx Accelerating Reform Collaborative?

The Accelerating Reform Collaborative comes from a simple premise: in a period of great opportunity where the "stars have aligned", we need to transform our treatment systems to reach more of the 20 million untreated people with addiction disorders and the 1/3 untreated of those with mental illness. Our current system is designed to reach 10% of 23 million people with addiction disorders, and 66% of people with mental illness. "Every system is perfectly designed to produce the results that it produces".

Only transformation of the system will reach beyond current performance.

The Accelerating Reform Collaborative is a collection of innovators from provider, academic, consumer and policy groups who are willing to share their ideas and experience to redesign the system to reach the untreated.

4. What's special about this collaborative? Why should organizations join?

It's the PEOPLE. The colleagues, the experience, the ideas. This is where the leading edge is being cut.

5. What is NIATx's future role with health care reform?

NIATx has and will continue to focus on the customer, understand the patient experience, and design systems that will help meet those patient needs.

That is our core, our soul.