The role of perceived need and health insurance in substance use treatment: implications for the Affordable Care Act

Journal of Substance Abuse Treatment
Mir M AliRyan Mutter

Abstract

The expansions in insurance coverage under the Patient Protection & Affordable Care Act (ACA) that took full effect in 2014 have been projected to increase the number of users of behavioral health services. By analyzing data from the 2008-2012 National Survey on Drug Use and Health, this paper examines whether health insurance expansion may result in an increase in substance use disorder (SUD) treatment utilization. The study sample includes 18,600 adults with SUD but no diagnosable mental health condition. The analysis finds that over 80% of that population receives no treatment and 97% do not perceive a need for treatment. When they do receive treatment, they are more likely to receive mental health treatment. Using multinomial logistic regression, the study finds that having Medicaid or private insurance is associated with higher likelihood of receiving SUD treatment, but only when individuals perceive a need for it, compared to being uninsured and not perceiving a need for treatment (the reference category). These results indicate that increased service utilization is associated with perceiving a need for substance abuse treatment, implying that outreach initiatives to raise awareness about SUD and the effective role of sub...Continue Reading

References

Jun 20, 1998·Journal of Substance Abuse Treatment·Y I HserM D Anglin
Dec 4, 2003·American Journal of Public Health·Li-Tzy WuWilliam E Schlenger
Aug 4, 2009·Psychiatric Services : a Journal of the American Psychiatric Association·Christine E GrellaNoosha Niv
Feb 3, 2011·The American Journal of Psychiatry·Rachel L GarfieldJulie M Donohue
Mar 2, 2013·Psychiatric Services : a Journal of the American Psychiatric Association·Susan H BuschColleen L Barry

❮ Previous
Next ❯

Citations

Jul 27, 2015·Drug and Alcohol Dependence·Ryan MutterAlex Strashny
Jun 12, 2016·Journal of Immigrant and Minority Health·Lynn WallischGuilherme Borges
Sep 23, 2016·Preventing Chronic Disease·Brandn GreenPatrick M High
Oct 16, 2016·Journal of Dual Diagnosis·Stella M ReskoAntonio González-Prendes
Nov 5, 2016·The Journal of Behavioral Health Services & Research·Mir M AliRyan Mutter
Mar 16, 2017·Journal of Psychoactive Drugs·Hannah K Knudsen, Jamie L Studts
Mar 30, 2017·Journal of Psychoactive Drugs·Sharon ReifDeborah W Garnick
Oct 28, 2017·The Journal of Behavioral Health Services & Research·Jenna M JonesTami Mark
Mar 6, 2019·Addiction·Meredith G HarrisUNKNOWN World Health Organization's World Mental Health Surveys collaborators
Jul 12, 2019·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Hannah K KnudsenMichelle R Lofwall
Jul 3, 2020·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Mir M AliKristina West
Aug 2, 2020·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Taylor BeachlerAlain H Litwin
Mar 4, 2017·The Journal of Behavioral Health Services & Research·Mir M AliRyan Mutter
Sep 26, 2020·The International Journal on Drug Policy·Erick G GuerreroThomas D'Aunno

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.