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The Journal of Behavioral Health Services & Research

Published in:

01-04-2011

Patterns of Substance Abuse Treatment Seeking Following Cocaine-Related Emergency Department Visits

Authors: John C. Fortney, PhD, Shanti Prakash Tripathi, MS, Maureen A. Walton, MPH, PhD, Rebecca M. Cunningham, MD, Brenda M. Booth, PhD

Published in: The Journal of Behavioral Health Services & Research | Issue 2/2011

Abstract

Chest pain is the most common medical complaint among cocaine-using emergency department (ED) patients. Correlates of substance abuse treatment seeking were examined using 3-month post-discharge surveys from 170 ED patients admitted with cocaine-related chest pain. Four treatment categories were specified as the dependent variable in an ordered logistic regression: no treatment (74.7%), informal treatment only (7.1%), formal treatment only (5.9%), and both formal and informal treatment (12.4%). The following variables were found to be positively associated with a higher treatment category: frequency of cocaine use (OR = 1.07, CI₉₅ = 1.01–1.15, p = 0.03), global severity index (OR = 2.26, CI₉₅ = 1.04–4.90, p = 0.04), number of endorsed stigma barriers (OR = 4.40, CI₉₅ = 1.41–13.78, p = 0.01), interpersonal consequences (OR = 1.41, CI₉₅ = 1.01–1.88, p = 0.02), and pre-baseline informal treatment (OR = 6.69, CI₉₅ = 1.58–28.36, p = 0.01). Physical consequences were found to be negatively associated with a higher treatment category (OR = 0.63, CI₉₅ = 0.47–0.85, p < 0.01). ED visits for cocaine-related chest pain represent missed opportunities to link patients to substance abuse treatment, and interventions are needed to motivate patients to seek care.

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Title: Patterns of Substance Abuse Treatment Seeking Following Cocaine-Related Emergency Department Visits
Authors: John C. Fortney, PhD
Shanti Prakash Tripathi, MS
Maureen A. Walton, MPH, PhD
Rebecca M. Cunningham, MD
Brenda M. Booth, PhD
Publication date: 01-04-2011
Publisher: Springer US
Published in: The Journal of Behavioral Health Services & Research / Issue 2/2011
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI: https://doi.org/10.1007/s11414-010-9224-9

At a glance: The STEP trials

Springer Medicine

Patterns of Substance Abuse Treatment Seeking Following Cocaine-Related Emergency Department Visits

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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