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Chronic Disease Model of Care

In line with our position that substance abuse is a chronic disease with the best outcomes realized through this model, we adhere to the following validated position below.

World Health Organization (WHO) Principles of Good Care for Chronic Disease:

  • Develop a treatment partnership with patient
  • Focus on patient concerns and priorities
  • Support patient’s self-management of disease
  • Five A’s (ASSESS, ADVISE, AGREE, ASSIST, ARRANGE)
  • Organize pro-active follow-up
  • Link patients to community resources/support
  • Work as a clinical team
  • Involve “expert patients”, peer educators, and support staff
  • Ensure continuity of care