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Sobering centers explained: an innovative solution for care of acute intoxication
Sobering centers explained: an innovative solution for care of acute intoxication
Sobering centers present an intriguing, cost-effective alternative for providing care to persons with acute intoxication whose public alcohol or drug use puts themselves or others at risk. New interest in the decades old approach has been sparked by California Advancing and Innovating Medi-Cal (CalAIM), which is a multiyear process led by the California Department of Health Care Services to improve the health outcomes and quality of life experienced by Medi-Cal patients. CalAIM will designate sobering centers as one of 14 reimbursable, nontraditional services available to augment or supplant medical care. The reforms are designed to foster greater integration between physical health, mental health, and social services for all Medi-Cal enrollees. Recent legislation aimed at easing emergency department (ED) overcrowding in California (California Assembly Bill 1544--Community Paramedicine or Triage to Alternate Destination Act, Chapter 138, Statutes of 2020) also has focused new attention on sobering programs. AB 1544 authorizes local emergency management services (EMS) agencies to develop triage programs that allow for the transport of nonemergent patients with mental health conditions and substance use disorders to alternative care destinations.
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