Alcohol-related and mental health care for patients with unhealthy alcohol use and posttraumatic stress disorder in a National Veterans Affairs cohort

Journal of Substance Abuse Treatment
Jessica A ChenEmily C Williams

Abstract

Unhealthy alcohol use and posttraumatic stress disorder (PTSD) frequently co-occur. Patients with both conditions have poorer functioning and worse treatment adherence compared to those with either condition alone. Therefore, it is possible that PTSD, when co-occurring with unhealthy alcohol use, may influence receipt of evidence-based alcohol-related care and mental health care. We evaluated receipt of interventions for unhealthy alcohol use and receipt of mental health follow-up care among patients screening positive for unhealthy alcohol use with and without PTSD in a national sample from the Veterans Health Administration (VA). National clinical and administrative data from VA's electronic medical record were used to identify all patients who screened positive for unhealthy alcohol use (AUDIT-C score≥5) between 10/1/09-5/30/13. Unadjusted and adjusted Poisson regression models were fit to estimate the relative rate and prevalence of receipt of: brief interventions (advice to reduce or abstain from drinking≤14days after positive screening), specialty addictions treatment for alcohol use disorder (AUD; documented visit≤365days after positive screening), pharmacotherapy for AUD (filled prescription≤365days after positive scree...Continue Reading

Citations

Jun 16, 2018·The Journal of Nervous and Mental Disease·Juliana L PereiraUNKNOWN Trauma Anxiety Disorders Study Group- Universidade Federal da Bahia
Dec 28, 2018·International Journal of Geriatric Psychiatry·Bada KangEleanor S McConnell
Feb 12, 2019·Alcoholism, Clinical and Experimental Research·Sean Esteban McCabeCarol J Boyd
Jun 5, 2019·International Journal of Molecular Sciences·Ling-Zu KongTaeho Kwon
Oct 1, 2019·Alcoholism, Clinical and Experimental Research·Brian D KilukMolly Magill
Aug 27, 2019·Addiction Science & Clinical Practice·Hannah K KnudsenTodd Molfenter
Jan 24, 2020·Clinical Gerontologist·Michele J KarelMarsden H McGuire
Aug 22, 2020·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Amy T EdmondsEmily C Williams

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