Mental health and substance use disorder impact all aspects of healthcare outcomes, however equity and parity in payment has failed in our current Evaluation & Management. This system failure has disproportionately impacted African American patients and providers thru: (1) structural racism including historical provider under representation, (2) social determinants of health (homelessness, lack of insurance, etc.), (3) criminal disposition of minority populations in lieu of treatment, and (4) payer and regulator algorithms that ignore all of the above.
Assess the need for the realignment of treatment models that integrate mental health and substance use disorder treatment as key components to health outcomes.
Explain how those key components (1) decrease both medical, physical, and mental health morbidity and mortality, and (2) improve patient and provider satisfaction.
Describe the impact the key components have on the reduction of medical, criminal, and overall social costs.
Edwin C. Chapman, MD, DABIM, FASAM
Dr. Edwin C. Chapman has practiced in Washington, DC for over 49 years specializing in Internal Medicine and Addiction Medicine. Over the past 24 years, he has investigated the complex mix of addiction, undertreated mental illness, infectious diseases (AIDS & Hepatitis C), criminal behavior, and chronic diseases in which patients have 20-25 year shorter life expectancies. Dr. Chapman received his B.S. in 1969 and M.D. in 1973 from Howard University College of Medicine. He maintains active memberships in the National Medical Association (NMA), Medico Chirurgical Society of Washington, DC (MED CHI of DC), the American Medical Association (AMA), the Medical Society of the District of Columbia (MSDC) as well as associate membership in the Black Psychiatrists of America. Dr. Chapman is a founding member and secretary of the board of directors of the Leadership Council for Healthy Communities (an inter-faith 501(c)3 organization with 30+ Metro DC institutions) where he is bringing integrated medical care into underserved communities and faith institutions (ACA’s “Accountable Health Community”) using both onsite care and virtual care thru tele-video consultation for social work, nutritional consulting, pharmaceutical reconciliation, as well as psychiatry and primary care.
