Veterans' Service Utilization Patterns After Alcohol and Opioid Detoxification in VHA Care.

Psychiatric Services : a Journal of the American Psychiatric Association
Christine TimkoAlex H S Harris

Abstract

This study aimed to examine detoxification-related service utilization in the Veterans Health Administration (VHA). VHA data for 266,908 patients were used to examine rates and predictors of receiving detoxification, attending post-detoxification appointments, and entering specialty treatment. Multilevel, mixed-effects logistic regressions were used to examine associations between patient and facility characteristics and service utilization. Nationally, 8.0% of VHA patients with alcohol or opiate dependence received detoxification in fiscal year 2013 (facility range=.1%-20.4%); 43.1% of detoxified patients received follow-up (11.1%-76.4%), and 49.9% entered specialty treatment (13.0%-77.2%). In adjusted analyses, detoxification was more likely among male, younger, white, and homeless patients with documented alcohol or opiate disorders and comorbid general medical conditions but without previous addiction treatment. Detoxification was also more likely in facilities with fewer vacant addiction therapist positions. Follow-up and specialty treatments were more likely among younger, healthier homeless patients with previous addiction treatment and a documented alcohol use disorder. Detoxification-related service utilization was hig...Continue Reading

Citations

Mar 11, 2017·Journal of Addiction Medicine·Eric M SchmidtAlex H S Harris
Jan 22, 2017·The Psychiatric Quarterly·Daniel M BlonigenTodd H Wagner
Apr 2, 2021·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Nicholas LivingstonChristine Timko
May 15, 2021·Drug and Alcohol Dependence·Matthew F McLaughlinAvik Chatterjee

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