Journal article
Admitted to treatment without diagnosis: The status of known diagnoses in US addictions treatment centres
The International journal of drug policy, Vol.63, pp.97-100
01/2019
DOI: 10.1016/j.drugpo.2018.11.015
PMID: 30530253
Abstract
•59.68% of clients in US addiction treatment have unknown diagnoses.•14 US states choose not to report SUD diagnostic data.•Of reporting states, 16.05% of those in treatment have unknown diagnoses.•Uninsured clients are more likely to have unknown diagnoses.•Policymakers should mandate uniform SUD diagnostic reporting in all treatment centres.
Diagnostic and treatment gaps exist for those with substance use disorders (SUD). SUD diagnostics in treatment have been critically under-investigated. We investigated known diagnoses in US addiction treatment centres receiving state or federal funding.
Cross-sectional risk factor analysis of variables associated with known diagnoses in US inpatient and outpatient treatment facilities receiving public funding from 2000 to 2014 (N = 8,692,362).
Of all clients, 59.68% had unknown diagnoses. However, 14 states reported zero diagnostic data, representing the majority of unknown diagnoses. Of the reporting states (n = 4,161,021), 16.05% had unknown diagnoses. Those with known diagnoses were represented by four subcategories of SUD (73.22%), No Diagnosis (0.81%), Alcohol Intoxication (1.36%), and Mental Health (8.57%). Uninsured status was one meaningful association and was less likely to have a known diagnosis. Insurance status, referral source, service setting, and wait to admission significantly predicted known diagnosis (p < 0.0001).
A large proportion of admissions are missing diagnoses. Many states do not report any diagnostics. Variables predictive of a known diagnosis highlight administrative inconsistencies. Policies requiring SUD diagnosis documentation can improve assessment of treatment appropriateness and level of care, programme evaluation, and inform the funding allocation for relevant treatment efforts.
Details
- Title: Subtitle
- Admitted to treatment without diagnosis: The status of known diagnoses in US addictions treatment centres
- Creators
- Ethan Sahker - University of IowaYunkyoung Loh Garrison - Department of Psychological and Quantitative Foundations, Counseling Psychology Program, College of Education, University of Iowa, 361 Lindquist Center, Iowa City, IA, 52242, USASoeun Park - University of IowaChi W Yeung - University of IowaStephan Arndt - University of Iowa
- Resource Type
- Journal article
- Publication Details
- The International journal of drug policy, Vol.63, pp.97-100
- DOI
- 10.1016/j.drugpo.2018.11.015
- PMID
- 30530253
- NLM abbreviation
- Int J Drug Policy
- ISSN
- 0955-3959
- eISSN
- 1873-4758
- Publisher
- Elsevier B.V
- Number of pages
- 4
- Language
- English
- Date published
- 01/2019
- Academic Unit
- Psychiatry; Biostatistics; Nursing; Injury Prevention Research Center
- Record Identifier
- 9985132189702771
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