PATTERNS OF BEHAVIORAL HEALTH SERVICES PROVIDED IN A 2012 NATIONAL SAMPLE OF U.S. OUTPATIENT SUBSTANCE USE DISORDER TREATMENT FACILITIES: IMPLICATIONS FOR THE TREATMENT OF CO-OCCURRING DISORDERS

Accessing substance use disorder (SUD) treatment after prison is a challenging process for released inmates. Pre-release behavioral health services appear to improve treatment access. However, a deeper understanding of pre-release services in facilitating treatment after release, as well as how pre-release services are affected by the introduction of post-release services, are needed to determine how to best facilitate SUD treatment access with this population. Using the Serious and Violent Offenders Reentry Initiative male dataset ( N = 1,697), the relationship between pre-release behavioral health services and SUD treatment at 3 and 9 months after release is examined. The results demonstrated that only a few pre-release services, along with individual motivation, maintained their influence on SUD treatment access over both follow-up time points; however, other services provided later into the post-release re-entry process also contributed to improved SUD treatment receipt. Implications for improving transition services for inmates with SUDs are discussed

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A missed opportunity: underutilization of inpatient behavioral health services to reduce injection drug use sequelae in Florida

Substance Abuse Treatment Prevention and Policy ◽

10.1186/s13011-021-00383-w ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Austin E. Coye ◽

Mackenzie T. Jones ◽

Kasha J. Bornstein ◽

Hansel E. Tookes ◽

Joan E. St. Onge

Keyword(s):

Substance Use ◽

Health Services ◽

Behavioral Health ◽

Substance Use Disorder ◽

Hospital Admissions ◽

Inpatient Setting ◽

High Morbidity ◽

Coding System ◽

Behavioral Health Services ◽

Icd 10

Abstract Background People who inject drugs (PWID) suffer high morbidity and mortality from injection related infections (IRI). The inpatient setting is an ideal opportunity to treat underlying substance use disorder (SUD), but it is unclear how often this occurs. Objectives To quantify the utilization of behavioral health services for PWID during inpatient admissions for IRI. Methods Data for all hospital admissions in Florida in FY2017 were obtained from the Agency for Healthcare Administration. Hospitalization for IRI were obtained using a validated ICD-10 algorithm and treatment for substance use disorder was quantified using ICD-10-Procedure Coding System (ICD-10-PCS) codes. Result Among the 20,001 IRI admissions, there were 230 patients who received behavioral health services as defined by ICD-10-PCS SAT codes for treatment for SUD. Conclusions In a state with a large number of IRI, only a very small portion of admissions received behavioral health services. Increased efforts should be directed to studying referral patterns among physicians and other providers caring for this population and increasing utilization of behavioral health services.

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Video Games as a Potential Modality for Behavioral Health Services for Young Adult Veterans: Exploratory Analysis (Preprint)

10.2196/preprints.9327 ◽

2017 ◽

Author(s):

Sean Grant ◽

Asya Spears ◽

Eric R Pedersen

Keyword(s):

Substance Use ◽

Young Adult ◽

Video Games ◽

Health Services ◽

Behavioral Health ◽

Substance Use Disorder ◽

The United States ◽

Behavioral Health Services ◽

Positive Screen ◽

Substance Use Services

BACKGROUND Improving the reach of behavioral health services to young adult veterans is a policy priority. OBJECTIVE The objective of our study was to explore differences in video game playing by behavioral health need for young adult veterans to identify potential conditions for which video games could be used as a modality for behavioral health services. METHODS We replicated analyses from two cross-sectional, community-based surveys of young adult veterans in the United States and examined the differences in time spent playing video games by whether participants screened positive for behavioral health issues and received the required behavioral health services. RESULTS Pooling data across studies, participants with a positive mental health screen for depression or posttraumatic stress disorder (PTSD) spent 4.74 more hours per week (95% CI 2.54-6.94) playing video games. Among participants with a positive screen for a substance use disorder, those who had received substance use services since discharge spent 0.75 more days per week (95% CI 0.28-1.21) playing video games than participants who had not received any substance use services since discharge. CONCLUSIONS We identified the strongest evidence that participants with a positive PTSD or depression screen and participants with a positive screen for a substance use disorder who also received substance use services since their discharge from active duty spent more time playing video games. Future development and evaluation of video games as modalities for enhancing and increasing access to behavioral health services should be explored for this population.

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