Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
The Journal of Behavioral Health Services & Research
Published in: The Journal of Behavioral Health Services & Research 1/2017

01-01-2017

Reasons for Not Seeking Substance Use Disorder Treatment: Variations by Health Insurance Coverage

Authors: Mir M. Ali, PhD, Judith L. Teich, MSW, Ryan Mutter, PhD

Published in: The Journal of Behavioral Health Services & Research | Issue 1/2017

Login to get access

Abstract

A large number of adults with substance use disorder (SUD) do not receive treatment for their condition. Using data from the 2008–2013 National Survey of Drug Use and Health (NSDUH), this study analyzes why individuals with SUD report not receiving treatment even when they perceived a need for it. It further examines the variations in reported reasons for not receiving treatment by health insurance status and type. The results suggest that barriers such as stigma, lack of readiness to stop using substances, and not making treatment a priority are more common among the insured population, especially among those with private insurance. Financial barriers, such as not being able to afford the cost of treatment, are more prominent among the uninsured population. Efforts to improve utilization of treatment services will need to address financial as well as barriers related to stigma.
Appendix
Available only for authorised users
Literature
1.
Substance Abuse and Mental Health Services Administration. Use of behavioral health services is expected to increase under the Affordable Care Act. Rockville: Center for Behavioral Health Statistics & Quality, 2014.
2.
Ali MM, Teich J, Woodward A, et al. The implications of the Affordable Care Act for behavioral health services utilization. Administration and Policy in Mental Health and Mental Health Services Research. 2016;43(1):11-22.CrossRefPubMed
3.
Wu LT, Kouzis AC, Schlenger WE. Substance use, dependence, and service utilization among the U.S. uninsured nonelderly population. American Journal of Public Health. 2003;93(12):2079-2085.CrossRefPubMedPubMedCentral
4.
Mojtabai R. Use of specialty substance abuse and mental health services in adults with substance use disorders in the community. Drug and Alcohol Dependence.2005; 78:345-354.CrossRefPubMed
5.
Edlund MJ, Booth BM, Han X. Who seeks care where? Utilization of mental health and substance use disorder treatment in two national samples of individuals with alcohol use disorders. Journal of Studies on Alcohol and Drugs.2012;73:635-646.CrossRefPubMedPubMedCentral
6.
Buck JA.The looming expansion and transformation of public substance abuse treatment under the Affordable Care Act. Health Affairs. 2011;30(8):1402-1410.CrossRefPubMed
7.
Han B, Gfroerer J, Kuramoto J, et al. Medicaid expansion under the Affordable Care Act: potential changes in the receipt of mental health treatment among low income nonelderly adults with serious mental illness. American Journal of Public Health. 2015;105(10):1982 -1989.CrossRefPubMed
8.
Capoccia VA, Grazier KL, Toal C, et al. Massachusetts’s experience suggests coverage alone in insufficient to increase addiction disorders treatment. Health Affairs.2012; 31(5):1000-1008.CrossRefPubMed
9.
Ali MM, Teich J, Mutter R. The role of perceived need and health insurance in substance abuse treatment: implications for the Affordable Care Act. Journal of Substance Abuse Treatment.2015; 54:14-20.CrossRefPubMed
10.
Mojtabai R, Chen LY, Kaufmann CN, et al. Comparing barriers to mental health treatment and substance use disorder treatment among individuals with comorbid major depression and substance use disorder. Journal of Substance Abuse Treatment.2014;46:268-273.CrossRefPubMed
11.
Edlund MJ, Unutzer J, Curran GM. Perceived need for alcohol, drug, and mental health treatment. Social Psychiatry and Psychiatric Epidemiology. 2006;41:480-487.CrossRefPubMed
12.
Walker ER, Cummings JR, Hockenberry JM, et al. Insurance status, use of mental health services and, unmet need for mental health care in the United States. Psychiatric Services. 2015; 66(6):578-584.CrossRefPubMedPubMedCentral
13.
Substance Abuse and Mental Health Services Administration. Results from the 2013 National Survey on Drug Use and Health: mental health findings. Rockville, MD: Center for Behavioral Health Statistics & Quality, 2014.
14.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-IV) (4th ed.). Washington DC 1994
15.
Kessler RC, Andrews G, Cope LJ, et al. Short screening scales to monitor population prevalence and trends in non-specific psychological distress. Psychological Medicine.2002;32:184-189.
16.
Mutter R, Ali MM, Smith K, et al. Factors associated with substance use treatment completion in residential facilities. Drug & Alcohol Dependence. 2015;154:291-295.CrossRef
17.
National Academies of Sciences, Engineering, and Medicine. Ending discrimination against people with mental and substance abuse disorders: the evidence for stigma change. Washington (DC): National Academies Press (US); 2016 Aug
18.
Bush DM, Lipari RN. Workplace policies and programs concerning alcohol and drug use. The CBHSQ Report. Rockville: Substance Abuse and Mental Health Services Administration (US); 2013-. 2014 Aug 7.
Metadata
Title
Reasons for Not Seeking Substance Use Disorder Treatment: Variations by Health Insurance Coverage
Authors
Mir M. Ali, PhD
Judith L. Teich, MSW
Ryan Mutter, PhD
Publication date
01-01-2017
Publisher
Springer US
Published in
The Journal of Behavioral Health Services & Research / Issue 1/2017
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-016-9538-3

Other articles of this Issue 1/2017

The Journal of Behavioral Health Services & Research 1/2017 Go to the issue

OriginalPaper

Youth with Behavioral Health Disorders Aging Out of Foster Care: a Systematic Review and Implications for Policy, Research, and Practice

Report

Private Health Plans’ Contracts with Managed Behavioral Healthcare Organizations

OriginalPaper

Pre-Implementation Review of Contracts, Prompts, and Reinforcement in SUD Continuing Care

OriginalPaper

Implementing Substance Abuse Intervention Services in New York City Sexually Transmitted Disease Clinics: Factors Promoting Interagency Collaboration

OriginalPaper

Risk of Early Rehospitalization for Non-Behavioral Health Conditions Among Adult Medicaid Beneficiaries with Severe Mental Illness or Substance Use Disorders

OriginalPaper

A Qualitative Study Investigating the Continued Adoption of Breaking Free Online Across a National Substance Misuse Organisation: Theoretical Conceptualisation of Staff Perceptions