Referrals and Treatment Completion for Prescription Opioid Admissions: Five Years of National Data

Barbara St Marie; Ethan Sahker; Stephan Arndt

doi:10.1016/j.jsat.2015.07.010

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Referrals and Treatment Completion for Prescription Opioid Admissions: Five Years of National Data

Journal article

Peer reviewed

Referrals and Treatment Completion for Prescription Opioid Admissions: Five Years of National Data

Barbara St Marie, Ethan Sahker and Stephan Arndt

Journal of substance abuse treatment, Vol.59, pp.109-114

12/2015

DOI: 10.1016/j.jsat.2015.07.010

PMCID: PMC4704687

PMID: 26362002

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http://doi.org/10.1016/j.jsat.2015.07.010View

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Abstract

This study examines sources of referral for prescription opioid admission to substance use disorder treatment facilities and their relative completion success rates using secondary analysis of an existing data set (treatment episode datasets-discharge). Five years of data from public and private treatment facilities were extracted for client discharges with no prior treatment (N=2,909,884). Healthcare professionals account for very few referrals to treatment (<10%). Prescription opioid clients referred into treatment had lower treatment success compared to other substance clients and when referred by healthcare providers had lower success rates (OR=0.72, 95% CI 0.70-0.75) than clients from other referral sources. Fewer treatment referrals for prescription opioid misuse by healthcare providers and lower success rates are significant and timely findings due to the prevalence of prescription opioid misuse. Healthcare providers are well positioned to refer early for prescription opioid misuse and continue support of their patients during treatment.

Humans

Middle Aged

European Continental Ancestry Group - statistics & numerical data

Male

Referral and Consultation - statistics & numerical data

Health Personnel - statistics & numerical data

Opioid-Related Disorders - therapy

Young Adult

Outcome Assessment (Health Care) - statistics & numerical data

Prescription Drug Misuse - statistics & numerical data

Adolescent

Sex Factors

Adult

Female

Child

Details

Title: Subtitle: Referrals and Treatment Completion for Prescription Opioid Admissions: Five Years of National Data
Creators: Barbara St Marie - College of Nursing, The University of Iowa, 101 College of Nursing Building, 50 Newton Road, Iowa City, IA 52242
Ethan Sahker - Department of Psychological and Quantitative Foundations, Counseling Psychology Program College of Education, University of Iowa, 361 Lindquist Center Iowa City, IA 52242; Iowa Consortium for Substance Abuse Research and Evaluation, 100 MTP4, University of Iowa, Iowa City, IA 52245-5000, USA
Stephan Arndt - Iowa Consortium for Substance Abuse Research and Evaluation, 100 MTP4, University of Iowa, Iowa City, IA 52245-5000, USA; Department of Psychiatry, Carver College of Medicine, University of Iowa, 451 Newton Road 200 Medicine Administration Building, Iowa City, IA 52242; Department of Biostatistics, College of Public Health, University of Iowa, 145N. Riverside Drive 100 CPHB, Iowa City, IA 52242. Electronic address: stephan-arndt@uiowa.edu
Resource Type: Journal article
Publication Details: Journal of substance abuse treatment, Vol.59, pp.109-114
DOI: 10.1016/j.jsat.2015.07.010
PMID: 26362002
PMCID: PMC4704687
NLM abbreviation: J Subst Abuse Treat
ISSN: 0740-5472
eISSN: 1873-6483
Publisher: United States
Grant note: T32 NR011147 / NINR NIH HHS
Language: English
Date published: 12/2015
Academic Unit: Psychiatry; Biostatistics; Addiction Medicine; Nursing; Injury Prevention Research Center
Record Identifier: 9984064137302771

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