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UCSF INSTITUTE FOR HEALTH & AGING ◊ UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
is to provide substance abuse policy and program development to the state and local governments through research, evaluation, policy analysis, education, and public service.
is one of California's most serious problems, causing the deaths of
more than 50,000 people each year.
The Center addresses a
vital need for effective and enlightened prevention and
treatment programs through policy research, education, and public
service . . . ”
Carroll L. Estes, Ph. D., CCCSAPR Co-Chair
CCCSAPR was founded in 1997 to provide the State of California with timely, appropriate, scholarly, and objective information to support informed decision making on issues of substance abuse policy. The center is based at the University of California, San Francisco (UCSF), Institute for Health & Aging (IHA), and includes researchers from all UC campuses, including the University of California, Los Angeles (UCLA) and the University of California, San Diego (UCSD).
Philip R. Lee, M.D., Chancellor Emeritus of UCSF and former assistant secretary of health, is center co-chair with Carroll Estes, Ph.D., Founder and Former Director of IHA. David E. Smith, M.D., Founding Director of Haight Ashbury Free Clinics, Inc., serves as medical director. Richard Seymour, Editor of the Journal of Substance Abuse, is center coordinator.
The Center works with public and private agencies dealing with a range of issues including therapy outcome research, the socioeconomic cost of addiction, evaluation of addiction therapy within a managed care environment, the impact of addiction on a range of populations including the elderly and adolescents, epidemiological field work, survey research, and a variety of other policy and therapy outcome issues.
CCCSAPR provides education and training in drug abuse and drug abuse treatment to a broad audience of professionals. Activities include addiction medicine training for primary care physicians and field methods training in epidemiology. In addition, the Center cosponsors with Haight Ashbury Free Clinics and the State of California Alcohol and Drug Programs, an annual conference that focuses on a cutting-edge research topic. One conference was titled, "Therapeutic Jurisprudence: Integration of Prevention, Treatment, and Research."
CCCSAPR's public service activities focus on providing public education and technical assistance to employers, the California Health and Human Services Agency and its constituent departments, the California legislature, and policy makers and program managers at the county and municipal levels.|
Philip R. Lee, M.D., is a senior scholar at the Institute for Health Policy Studies (IHPS) and professor emeritus of social medicine in the Department of Medicine at the University of California, San Francisco (UCSF). He currently serves as co-chair of CCCSAPR. He retired in 1993 and resumed active emeritus status in 1997. From July 1993 through January 1997, he served as assistant secretary for health, U.S. Department of Health and Human Services.Previously, Dr. Lee served as director of IHPS, which he founded with Lewis Butler, J.D. at UCSF in 1972. He served as chancellor of UCSF from 1969 to 1972. Since 1997, Dr. Lee has been a consulting professor of human biology at Stanford University.
Carroll Estes, Ph.D., is professor of sociology at UCSF. She is the founding director of the Institute for Health & Aging (IHA ), and former chair of the Department of Social and Behavioral Sciences, School of Nursing, UCSF. She is past president of the Gerontological Society of America, and currently serves as co-chair of CCCSAPR. Her current research focuses on the health and long-term care of the elderly with attention to state innovations in long-term care and access to home- and community-based services; managed care and mental health care for the elderly; the health and economic security of older women and other vulnerable populations; and the impact of government policy on elders at risk.
David E. Smith, M.D., Adjunct Professor, is serving as state medical specialist for a substance abuse services grant at the Institute for Health & Aging at UCSF. He currently serves as medical director of CCCSAPR. In 1967, Dr. Smith founded the Haight Ashbury Free Clinics in San Francisco where he continues to serve as medical director. He is a fellow and past president of the American Society of Addiction Medicine. He is also medical director at the California State Department of Alcohol and Drug Programs, and is associate clinical professor, clinical toxicology and occupational health, at UCSF.
Joseph R. Guydish, Ph.D., is associate adjunct professor at the Institute for Health Policy Studies (IHPS) at UCSF. He is currently principal investigator for a NIDA-funded evaluation to determine the implementation process and impact of the San Francisco Treatment on Demand Initiative, and for the CCCSAPR-sponsored Drug Court Evaluation Project, and is evaluator for the CSAT-funded San Mateo County MATRIX Project. Previously, Dr. Guydish directed a NIDA-funded demonstration project that evaluated the effectiveness of a drug abuse day treatment intervention.
Friedner D. Wittman, Ph.D. , M. Arch., is currently a research specialist at the Institute for Study of Social Change, University of California, Berkeley, and is principal investigator of the TA-POM project. At ISSC he directs the Community Prevention Planning Program, which utilizes environmental planning to prevent problems related to the retail, public, and social availability of alcoholic beverages, tobacco, and other drugs. He is also the president of CLEW Associates, a consulting firm.
Richard A. Rawson, Ph.D., is a member of the UCLA Department of Psychiatry and is currently the associate director of the UCLA Integrated Substance Abuse Programs, deputy director of the UCLA Alcoholism and Addiction Medicine Service, and co-director of the UCLA Drug Abuse Research Center. In these roles, Dr. Rawson oversees a portfolio of addiction research projects including brain imaging studies, clinical trials of pharmacological and psychosocial addiction treatments, and a study of how new treatments enter the treatment system.
Patricia A. Areán, Ph.D., is an assistant professor in the Department of Psychiatry at UCSF. Her research focuses on behavioral interventions for treating mental disorders in older adults and methods for improving the quality of mental health services for older adults. She is currently PI on an NIMH-funded project to determine the effectiveness of behavioral interventions in treating depression in disadvantaged elderly, and co-PI on a SAMHSA project that compares behavioral medicine models to specialty psychiatry care in treating depression, anxiety, and substance abuse.
Joel L. Phillips is the founder and president of EMT Associates, Inc. He has more than 28 years of experience in planning, conducting, and managing research projects and program evaluations related to the abuse of alcohol and other drugs, and has co-authored a best-selling book on facts and myths surrounding cocaine.
Drug Court Evaluation Project
Joseph R. Guydish, Ph.D., Principal Investigator
Under contract to ADP, this project is building a database of California drug court programs supplemented by an extensive literature review of nationwide and California drug program evaluations to support ADP in drug court evaluation activities, which will be reported to the California state legislature on March 1, 2002. Specific research tasks include: (1) providing to ADP technical expertise in the areas of substance abuse, substance abuse treatment, and intervention; (2) collecting current drug court literature and creating a database that ADP-OARA will use as a reference tool; (3) collecting local California-based reports and evaluations of county drug court programs; (4) providing technical assistance and; and (5) providing technical assistance to local jurisdictions through the use of site visits.
County Risk and Need Indicator Research Reports
Joel Phillips, Principal Investigator,
David E. Smith, M.D., Co-Principal Investigator
Funded by the California Department of Alcohol and Other Drug Programs (ADP), this project is designed to assess and monitor changes in community substance abuse risk and problem status among California's 58 counties. The project utilizes secondary data sources maintained at the state and county level.
TA-POM (Technical Assistance for Prevention Outcomes and Measurements) 2001.
Friedner Wittman, Principal Investigator
David Smith, M.D., Co-Principal Investigator
Under new CSAP and CDE/SFDSC requirements, each of California's 58 counties and 470 cities are required to provide data-based, outcome-oriented substance abuse prevention programs. The purpose of TA-POM services is to introduce to all county alcohol and drug programs (ADPs) and to community-based organizations the concepts, strategies, and resources needed to meet the new requirements. TA-POM services include generalized training, information services, and specialized training. TA-POM services also include helping counties and providers to: (1) understand how to use the prevention activities data system (PAD) and locally collected data to assess AOD prevention needs; (2) select and deliver practical, proven prevention actions; and (3) measure outcomes and use the results to refine AOD prevention.
Substance Abuse Prevention and Treatment (SAPT)
David E. Smith, M.D., Principal Investigator
California state law requires the state Department of Alcohol and Drug Programs to secure the services of a medical specialist on substance abuse services. This contract ensures compliance with state law by securing the consultation services of a licensed physician to work with the ADP department executive staff to provide review of and recommendations on procedures for implementing and complying with: (1) perinatal set-aside allocation requirements; (2) tuberculosis requirements; (3) human immunodeficiency virus requirements; (4) treatment for pregnant women; (5) independent peer review of services system; and (6) other consultation services.
Evaluation of Effectiveness of SA/MH Services to the Elderly 1999-2004
Carroll L. Estes, Principal Investigator
Patricia A. Areán, Ph.D., co-Principal Investigator
This project evaluates in two study sites the clinical outcomes of two models of mental health and substance abuse care among elderly, primarily low-income, African Americans. One site, a community-based health clinic, uses a staff integrated approach, in which a social worker and psychiatrist work side by side with the primary care physician. The comparison site, a geriatric internal medicine clinic in a large county hospital, uses a referral approach, in which a social worker helps the patient find outside mental health services. The goal of the project is to examine the individual, organizational, and environmental factors that predict better clinical outcomes for the target population for depression, anxiety, and alcohol misuse.
UCSF INSTITUTE FOR HEALTH & AGING ◊ SCHOOL OF NURSING
◊ University of California, San Francisco
3333 California St., #LHts-340, San Francisco, CA 94143-0646
More information, contact: email@example.com
This page is: http://sbs.ucsf.edu/iha/Programs/cccsapr.htm
Last revised (formatting only): Apr. 2008
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