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

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.

Download Full-text

A Missed Opportunity: Underutilization of Inpatient Behavioral Health Services to Reduce Injection Drug Use Sequelae in Florida

10.21203/rs.3.rs-201907/v1 ◽

2021 ◽

Author(s):

Austin 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.Design: Data for all hospital admissions in Florida in FY2017 were obtained from the Agency for Healthcare Administration.Subjects: 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.Main Measure: Behavior health services associated with IRI admissionsKey Results: 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.

Download Full-text

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

Drug and Alcohol Dependence ◽

10.1016/j.drugalcdep.2015.07.391 ◽

2015 ◽

Vol 156 ◽

pp. e143

Author(s):

Pia M. Mauro ◽

C. Debra M. Furr-Holden ◽

Ramin Mojtabai

Keyword(s):

Substance Use ◽

Health Services ◽

Behavioral Health ◽

Substance Use Disorder ◽

National Sample ◽

Behavioral Health Services ◽

Substance Use Disorder Treatment ◽

Treatment Facilities ◽

Disorder Treatment

Download Full-text

Substance Use Disorder Treatment in the Reentry Environment: Service Receipt and Prisoner Community Reintegration

Criminal Justice and Behavior ◽

10.1177/0093854819846528 ◽

2019 ◽

Vol 46 (9) ◽

pp. 1295-1318 ◽

Cited By ~ 2

Author(s):

Leah Hamilton ◽

Steven Belenko

Keyword(s):

Substance Use ◽

Health Services ◽

Behavioral Health ◽

Substance Use Disorder ◽

Transition Services ◽

Behavioral Health Services ◽

Treatment Access ◽

Individual Motivation ◽

Environment Service

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

Download Full-text

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.

Download Full-text

Behavioral Health Services Influence Medical Treatment Utilization Among Primary Care Patients with Comorbid Substance Use and Depression

Journal of Clinical Psychology in Medical Settings ◽

10.1007/s10880-013-9367-y ◽

2013 ◽

Vol 20 (4) ◽

pp. 415-426 ◽

Cited By ~ 4

Author(s):

Benjamin I. Felleman ◽

Dylan R. Athenour ◽

Minhdan T. Ta ◽

David G. Stewart

Keyword(s):

Primary Care ◽

Substance Use ◽

Health Services ◽

Medical Treatment ◽

Behavioral Health ◽

Treatment Utilization ◽

Behavioral Health Services ◽

Primary Care Patients

Download Full-text

Establishing the Effectiveness of Enhanced Implementation Methods in Preventative Behavioral Health

10.1101/2020.09.25.20200444 ◽

2020 ◽

Author(s):

Sarah A. Stoddard ◽

Barrett Wallace Montgomery ◽

Leah D. Maschino ◽

Kristen Senters Young ◽

Julia W. Felton ◽

...

Keyword(s):

Substance Use ◽

Health Services ◽

Behavioral Health ◽

Implementation Strategies ◽

Great Promise ◽

Evidence Based ◽

Behavioral Health Services ◽

Strengthening Families Program ◽

Strengthening Families ◽

Organizational Needs

Background: More than 20 million Americans ages 12 and older have a past-year substance use disorder. Majority-minority cities, including Flint, MI, suffer disproportionately from higher rates of substance use and are less likely to have access to evidence-based prevention and treatment interventions relative to predominately White and wealthier cities. Thus, identifying approaches that can improve implementation of evidence-based substance use practices is a critical public health goal. In the current report, we provide a detailed protocol for the implementation and evaluation of the Strengthening Flint Families initiative, a community-based implementation study of a multi-level behavioral health intervention that includes peer recovery coaching, the Strengthening Families Program, and a multimedia campaign. Our goal is to improve family resilience and reduce behavioral health disparities in the Flint community, as an example of how this could be done in other communities. Our overall strategy includes community-informed implementation enhancements to increase adoption and sustainment of evidence-based behavioral health services. Methods: This project has 4 phases that align with study aims- 1) a systematic assessment of behavioral health organizations in the Flint Area to understand organizational needs and strengths in Flint; 2) tailoring implementation strategies for one individual-level evidence-based practice, peer recovery coaching, and one family-level evidence-based program, the Strengthening Families Program; 3) building capacity and promoting sustainability; and 4) evaluating primary (implementation) and secondary (effectiveness) outcomes. Implementation outcomes are derived from the RE-AIM framework and effectiveness outcomes will be assessed at the individual, family, and community levels. Discussion: Understanding and addressing the behavioral health organizational needs, strengths, and barriers to program adoption and referral in Flint offers great promise to strengthen the behavioral health network of providers serving Flint residents. Moreover, understanding barriers to accessing and implementing behavioral health services in low-resource communities may prove to be a valuable tool for discovering the most effective implementation methods tailored to specific organizations. These evidence informed approaches may prove useful for cities outside of Flint.

Download Full-text