Top

Substance Abuse Treatment, Prevention, and Policy

Published in:

Open Access 01-12-2014 | Short Report

Utilization of emergency and hospital services among individuals in substance abuse treatment

Authors: Julie A Cederbaum, Erick G Guerrero, Keyon R Mitchell, Tina Kim

Published in: Substance Abuse Treatment, Prevention, and Policy | Issue 1/2014

Abstract

Background

To examine risk factors for use of hospital services among racial and ethnic minority clients in publicly funded substance abuse treatment in Los Angeles County, California. We explored cross-sectional annual data (2006 to 2009) from the Los Angeles County Participant Reporting System for adult participants (n = 73,251) who received services from treatment programs (n = 231).

Methods

This retrospective analysis of county admission data relied on hierarchical linear negative binomial regression models to explore number of hospital visits, accounting for clients nested in programs. Client data were collected during personal interviews at admission.

Findings

Our findings support previous work that noted increased use of emergency rooms among individuals suffering from mental health- and substance use-related issues and extend the knowledge base by highlighting other important features such as treatment need, i.e., residential compared to outpatient treatment.

Conclusions

These findings have implications for health care policy in terms of the need to increase prevention services and reduce costly hospitalization for a population at significant risk of co-occurring mental and physical disorders.

Pitts SR, Niska RW, Xu J, Burt CW: National hospital ambulatory medical care survey: 2006 emergency department summary. Natl Health Stat Report. 2008, 7 (6): 1-38.PubMed

Committee on Crossing the Quality Chasm: Adaptation to Mental Health and Addictive Disorders: Improving the Quality of Health Care for Mental and Substance-Use Conditions. Washington, DC: National Academies Press,http://books.nap.edu/openbook.php?record_id=11470,

Owens PL, Mutter R, Stocks C: Mental Health and Substance Abuse-Related Emergency Department Visits Among Adults. 2007, Rockville, MD: Agency for Healthcare Research and Quality,http://www.hcup-us.ahrq.gov/reports/statbriefs/sb92.pdf,

Center for Behavioral Health Statistics and Quality: Highlights of the 2011 Drug Abuse Warning Network (DAWN): Findings on Drug-Related Emergency Department Visits. 2011, Rockville, MD: Substance Abuse and Mental Health Services Administration,http:www.samhsa.gov/data/2k13//DAWN127/sr127-DAWN-highlights.pdf, Drug Abuse Warning Network (DAWN): Findings on Drug-Related Emergency Department Visits,

French TF, Fang H, Balsa AI: Longitudinal analysis of changes in illicit drug use and health services utilization. Health Serv Res. 2011, 46 (3): 877-899. 10.1111/j.1475-6773.2010.01218.x.PubMedCentralCrossRefPubMed

Fuda KK, Immekus R: Frequent users of Massachusetts emergency departments: a statewide analysis. Ann Emerg Med. 2006, 48 (1): 16.e1-16.e8.CrossRef

Fortney JC, Tripathi SP, Walton MA, Cunningham RM, Booth BM: Patterns of substance abuse treatment seeking following cocaine-related emergency department visits. J Behav Health Serv Res. 2011, 38 (2): 221-233. 10.1007/s11414-010-9224-9.PubMedCentralCrossRefPubMed

Takahashi TA, Maciejewski ML, Bradley K: US hospitalizations and costs for illicit drug users with soft tissue infections. J Behav Health Serv Res. 2010, 37 (4): 508-518. 10.1007/s11414-009-9177-z.CrossRefPubMed

Wu LT, Swartz MS, Wu Z, Mannelli P, Yang C, Blazer DG: Alcohol and drug use disorders among adults in emergency department settings in the United States. Ann Emerg Med. 2012, 60 (2): 172-180.e5. 10.1016/j.annemergmed.2012.02.003.PubMedCentralCrossRefPubMed

10.

Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S, Wittchen HU, Kendler KS: Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: results from the National Comorbidity Survey. Arch Gen Psychiatry. 1994, 51 (1): 8-9. 10.1001/archpsyc.1994.03950010008002.CrossRefPubMed

11.

McLellan AT, Arndt IO, Metzger DS, Woody GE, O’Brien CP: The effects of psychosocial services in substance abuse treatment. JAMA. 1993, 269 (15): 1953-1959. 10.1001/jama.1993.03500150065028.CrossRefPubMed

12.

Simpson DD, Sells SB: Effectiveness of treatment for drug abuse: an overview of the DARP research program. Adv Alcohol Subst Abuse. 1982, 2 (1): 7-29. 10.1300/J251v02n01_02.CrossRef

13.

Weisner C, McLellan AT, Hunkeler EM: Addiction Severity Index data from general membership and treatment samples of HMO members: one case of norming the ASI. J Subst Abuse Treat. 2000, 19 (2): 103-109. 10.1016/S0740-5472(99)00103-8.CrossRefPubMed

14.

Longabaugh R: Monitoring treatment outcomes. Alcohol Health Res World. 1991, 15 (3): 189-200.

15.

STATA Press: Stata 12 help for nbreg.http://www.stata.com/help.cgi?nbreg,

16.

Cameron AC, Trivedi PK: Microeconometrics Using Stata. 2009, College Station, TX: Stata Press

17.

Xiang L, Lee AH, Yau KKW, McLachlan GJ: A score test for overdispersion in zero-inflated Poisson mixed regression model. Stat Med. 2007, 26 (7): 1608-1622. 10.1002/sim.2616.CrossRefPubMed

18.

Blakely TA, Woodward AJ: Ecological effects in multi-level studies. J Epidemiol Community Health. 2000, 54 (5): 367-374. 10.1136/jech.54.5.367.PubMedCentralCrossRefPubMed

19.

Guerrero EG, Cepeda A, Duan L, Kim T: Disparities in completion of substance abuse treatment among Latino subgroups in Los Angeles County. CA. Addict Behav. 2012, 37 (10): 1162-1166. 10.1016/j.addbeh.2012.05.006.CrossRefPubMed

20.

Allison PD: Missing Data. 2002, Thousand Oaks, CA: Sage

21.

O’Toole TP, Pollini RA, Ford DE, Bigelow G: The effect of integrated medical-substance abuse treatment during an acute illness on subsequent health services utilization. Med Care. 2007, 45 (11): 1110-1115. 10.1097/MLR.0b013e318127142b.CrossRefPubMed

22.

Worley MJ, Trim RS, Tate SR, Hall JE, Brown SA: Service utilization during and after outpatient treatment for comorbid substance use disorder and depression. J Subst Abuse Treat. 2010, 39 (2): 124-131. 10.1016/j.jsat.2010.05.009.CrossRefPubMed

23.

Olmstead TA, Cohen JP, Petry NM: Health-care service utilization in substance abusers receiving contingency management and standard care treatments. Addiction. 2012, 107 (8): 1462-1470. 10.1111/j.1360-0443.2012.03831.x.PubMedCentralCrossRefPubMed

Title: Utilization of emergency and hospital services among individuals in substance abuse treatment
Authors: Julie A Cederbaum
Erick G Guerrero
Keyon R Mitchell
Tina Kim
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: Substance Abuse Treatment, Prevention, and Policy / Issue 1/2014
Electronic ISSN: 1747-597X
DOI: https://doi.org/10.1186/1747-597X-9-16

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Utilization of emergency and hospital services among individuals in substance abuse treatment

Abstract

Background

Methods

Findings

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Findings

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2014

Integration of substance use disorder services with primary care: health center surveys and qualitative interviews

Illegal performance enhancing drugs and doping in sport: a picture-based brief implicit association test for measuring athletes’ attitudes

Nonmedical prescription drug users in private vs. public substance abuse treatment: a cross sectional comparison of demographic and HIV risk behavior profiles

It’s five o’clock somewhere: An examination of the association between happy hour drinking and negative consequences

Predictors and moderators of outcomes of HIV/STD sex risk reduction interventions in substance abuse treatment programs: a pooled analysis of two randomized controlled trials

Depressive symptoms and alcohol correlates among Brazilians aged 14 years and older: a cross-sectional study