Director: Keith Humphreys, Ph.D.
About the CREATE
Substance use disorders (SUDs) have substantial negative consequences on Veterans' mental and physical health, work performance, housing status, and social functioning. The population of Veterans with SUDs, other than nicotine dependence, increased from 270,991 (6% of VHA patients) in FY02 to 461,927 (8% of VHA patients) in FY10. Moreover, it is estimated that Veterans of Operation Enduring Freedom (OEF) and Operation Iraqi Freedom have a 27% higher rate of
substance use disorder diagnoses than Veterans of other conflicts who receive VA healthcare services.
The mission of this CREATE is to increase value and accessibility across the continuum of substance use disorder care, through the validation and refinement of access and process quality metrics; the evaluation and dissemination of low-cost, high-impact service innovations; and the promotion of patient and provider knowledge about evidence-based treatment for substance use disorders.
Each CREATE works closely with operational partners throughout the VA System. Operational partners associated with this CREATE include:
- The Office of Mental Health Services
"The CREATE proposal will facilitate implementation of the VHA Handbook on Uniform Mental Health Services at VA medical centers and clinics, which is the primary focus of Mental Health Services in VA Central Office. I am confident this collaborative effort will inform and motivate our efforts to improve the accessibility, quality, efficiency, and effectiveness of the service system for Veterans with substance use disorders and co-occurring conditions."
- Daniel Kivlahan, Ph.D., Deputy Director for Addictive Disorders, VA Office of Mental Health Services
- The Office of Public Health
"This CREATE's innovative study of alcohol use among Veterans with Hepatitis C could give us an inexpensive, easily scalable technology that we could make available VA-wide."
- Janet Durfee, R.N., M.S.N., A.P.R.N., Deputy Chief Consultant, Clinical Public Health, VA Office of Public Health
- Mental Health Operations
"The projects in the substance use disorder CREATE have great potential to make a positive contribution to my office's central mission, which is to implement the VA mental health handbook, reduce variability, and improve the accessibility, quality and effectiveness of the $6 billion per year national VA mental health service system."
- Mary Schohn, Ph.D., Director, Office of Mental Health Operations