Meeting the Treatment Needs of Veterans with Substance Use Disorders

Purpose: Substance use disorders (SUDs) are on the rise, particularly concerning opioids, and existing services are still not adequately meeting treatment needs. Most treatment dropouts occur within the first few weeks of treatment, indicating health improvement is likely not occurring. In this study, a clinical dashboard tool has shown promising utility with increasing retention in SUD treatment. Method: This pilot study was designed to measure the effects of implementing a performance-based practice clinical dashboard tool and having a process for monitoring patients’ recovery in a Midwestern SUD treatment center. Results: The results demonstrated the efficacy of a clinical dashboard tool that complements therapists’ monitoring and measuring of their patients’ performance. Discussion: Results support a building knowledge base about the impact of real-time, evidence-based tools on the retention and support of clients seeking SUD treatment.

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Substance use disorders and co-morbidities among Asian Americans and Native Hawaiians/Pacific Islanders

Psychological Medicine ◽

10.1017/s0033291714001330 ◽

2014 ◽

Vol 45 (3) ◽

pp. 481-494 ◽

Cited By ~ 15

Author(s):

L.-T. Wu ◽

D. G. Blazer

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Asian Americans ◽

Alcohol Problems ◽

Small Sample ◽

Pacific Islanders ◽

Native Hawaiians ◽

Health Statistics ◽

Treatment Needs ◽

Co Morbidity

BackgroundAsian Americans (AAs) and Native Hawaiians/Pacific Islanders (NHs/PIs) are the fastest growing segments of the US population. However, their population sizes are small, and thus AAs and NHs/PIs are often aggregated into a single racial/ethnic group or omitted from research and health statistics. The groups' substance use disorders (SUDs) and treatment needs have been under-recognized.MethodWe examined recent epidemiological data on the extent of alcohol and drug use disorders and the use of treatment services by AAs and NHs/PIs.ResultsNHs/PIs on average were less educated and had lower levels of household income than AAs. Considered as a single group, AAs and NHs/PIs showed a low prevalence of substance use and disorders. Analyses of survey data that compared AAs and NHs/PIs revealed higher prevalences of substance use (alcohol, drugs), depression and delinquency among NHs than among AAs. Among treatment-seeking patients in mental healthcare settings, NHs/PIs had higher prevalences of DSM-IV diagnoses than AAs (alcohol/drug, mood, adjustment, childhood-onset disruptive or impulse-control disorders), although co-morbidity was common in both groups. AAs and NHs/PIs with an SUD were unlikely to use treatment, especially treatment for alcohol problems, and treatment use tended to be related to involvement with the criminal justice system.ConclusionsAlthough available data are limited by small sample sizes of AAs and NHs/PIs, they demonstrate the need to separate AAs and NHs/PIs in health statistics and increase research into substance use and treatment needs for these fast-growing but understudied population groups.

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Prevalence, Treatment, And Unmet Treatment Needs Of US Adults With Mental Health And Substance Use Disorders

Health Affairs ◽

10.1377/hlthaff.2017.0584 ◽

2017 ◽

Vol 36 (10) ◽

pp. 1739-1747 ◽

Cited By ~ 31

Author(s):

Beth Han ◽

Wilson M. Compton ◽

Carlos Blanco ◽

Lisa J. Colpe

Keyword(s):

Mental Health ◽

Substance Use ◽

Substance Use Disorders ◽

Treatment Needs

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Perceived Treatment Needs Among Women With Co-occurring Substance Use Disorders and PTSD

Journal of Dual Diagnosis ◽

10.1080/15504263.2016.1248309 ◽

2016 ◽

Vol 12 (3-4) ◽

pp. 271-281 ◽

Cited By ~ 2

Author(s):

Stella M. Resko ◽

Suzanne Brown ◽

Natasha S. Mendoza ◽

Shantel Crosby ◽

Antonio González-Prendes

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Treatment Needs

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Gender and immigrant status differences in the treatment of substance use disorders among US Latinos

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.453 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S196-S196

Author(s):

K. Alvarez ◽

B. Cook ◽

F. Montero Bancalero ◽

Y. Wang ◽

T. Rodriguez ◽

...

Keyword(s):

Substance Use ◽

Healthcare System ◽

Substance Use Disorders ◽

Immigrant Status ◽

Treatment Needs ◽

Patient Gender ◽

Adequate Care ◽

Lower Treatment ◽

Female Immigrants ◽

Competing Interest

US Latinos have higher rates of substance use disorders (SUDs) than Latinas, but Latinas face substantial barriers to treatment and tend to enter care with higher SUD severity. Immigrant Latinas may face greater barriers to care than native-born despite lower overall SUD prevalence. This study aimed to identify how SUD treatment needs of Latinos are addressed depending on patient gender and immigrant status within an urban healthcare system serving a diverse population.MethodsData from electronic health records of adult Latino/a primary care patients (n = 29,887 person-years) were used to identify rates of SUD treatment in primary and specialty care. Treatment characteristics and receipt of adequate care were compared by gender and immigrant status.ResultsTobacco was the most frequently treated substance followed by alcohol and other drugs. Forty-six percent of SUD patients had a comorbid psychiatric condition. Treatment rates ranged from 2.52% (female non-immigrants) to 8.38% (male immigrants). Women had lower treatment rates than men, but male and female immigrants had significantly higher treatment rates than their non-immigrant counterparts. Receipt of minimally adequate outpatient care varied significantly by gender and immigrant status (female non-immigrants 12.5%, immigrants 28.57%; male non-immigrants 13.46%, immigrants 17.09%) in unadjusted and adjusted analyses.DiscussionResults indicate overall low prevalence of SUD treatment in the healthcare system. Low rates of minimally adequate care evidence the challenge of delivering integrated behavioral healthcare for Latinos with SUD. Results also demonstrate gender and immigrant status disparities in an unexpected direction, with immigrant women receiving the highest rates of adequate care.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Treatment needs of American Indians with substance use disorders

PsycEXTRA Dataset ◽

10.1037/e525212013-007 ◽

2013 ◽

Author(s):

T. Rieckmann ◽

D. McCarty ◽

A. Kovas ◽

A. Spicer ◽

J. Bray ◽

...

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

American Indians ◽

Treatment Needs

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