Prevalence and correlates of specialty substance use disorder treatment for Department of Veterans Affairs Healthcare System patients with high alcohol consumption

被引:49
作者
Glass, Joseph E. [1 ,2 ]
Perron, Brian E. [2 ,3 ]
Ilgen, Mark A. [2 ,4 ]
Chermack, Stephen T. [2 ,4 ]
Ratliff, Scott [2 ]
Zivin, Kara [2 ,4 ]
机构
[1] Washington Univ, George Warren Brown Sch Social Work, St Louis, MO 63130 USA
[2] VA Natl Serious Mental Illness Treatment Res & Ev, Ann Arbor, MI 48105 USA
[3] Univ Michigan, Sch Social Work, Ann Arbor, MI 48109 USA
[4] Univ Michigan, Dept Psychiat, Ann Arbor, MI 48109 USA
基金
美国国家卫生研究院;
关键词
Alcohol treatment; Service utilization; Veterans; Alcohol misuse; Epidemiology; SERVICES; RISK; DRINKERS; DRINKING; ADVICE; IMPACT;
D O I
10.1016/j.drugalcdep.2010.06.003
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Objective: Current substance use disorder (SUD) treatment guidelines suggest that SUD treatment may be indicated for individuals with elevated levels of alcohol consumption. The Department of Veterans Affairs (VA) considers patients with AUDIT-C scores of >= 8 as candidates for specialty care, however rates of SUD treatment based on AUDIT-C cutoffs remain understudied. We sought to identify SUD treatment rates and to identify patient characteristics that were associated with SUD treatment for VA patients with elevated AUDIT-C scores. Methods: The study sample included 10,384 ambulatory care VA patients with AUDIT-C scores of >= 8, who had not received SUD treatment in the past 60 days. Data were ascertained from the 2005 Survey of Health Experiences of Patients, a confidential mailed patient satisfaction survey (results were not available to providers). The outcome variable was the receipt of VA specialty SUD treatment in the year after the survey completion, as ascertained by VA administrative data. We identified rates of SUD treatment, and conducted unadjusted F tests and adjusted logistic regression analyses to identify patient characteristics that were associated with treatment entry. Results: Approximately 3.9% of veterans with AUDIT-C scores of >= 8 received SUD treatment in the year after being surveyed. Adjusted analyses revealed that treatment was more likely among persons with a mental health diagnosis (OR = 3.31, CI = 2.30-4.76) and among racial/ethnic minority groups. Conclusions: Very few veterans who reported elevated alcohol consumption on SHEP received specialty SUD treatment in the year after being surveyed. Increased efforts should be made to intervene with patients who have elevated levels of alcohol consumption. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:150 / 155
页数:6
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