Predicting readmission to substance abuse treatment using state information systems: the impact of client and treatment characteristics

Luchansky, Bill; He, Lijian; Krupski, Antoinette; Stark, Kenneth

doi:10.1016/s0899-3289(00)00055-9

Cited by 50 publications

(45 citation statements)

References 12 publications

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“…Similar to others' reports, we also show that those who had arrests for driving under the influence or other arrests/ incarcerations were more likely to have arrests/incarcerations after treatment. Past research found clients arrested in the year prior to treatment were more likely to be readmitted (Luchansky, He, Krupski, & Stark, 2000) and more likely to have an additional arrest after treatment (Luchansky et al, 2007;Zarkin et al, 2002). We also found that black clients who start treatment in outpatient care are more likely to have arrests and incarcerations after treatment compared to white clients, even after controlling for employment status, education, prior arrests and other factors.…”

Section: Additional Influences On Criminal Justice Outcomessupporting

confidence: 54%

Are Washington Circle performance measures associated with decreased criminal activity following treatment?

Garnick

Horgan

Lee

et al. 2007

Journal of Substance Abuse Treatment

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This study examines the association between adherence to during-treatment process measures of quality (defined as initiation and engagement in treatment as developed by the Washington Circle) and outcome measures (defined as arrests and incarcerations) in the following year. The data come from the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) administrative data system linked to data from state agencies involved in criminal justice. Clients who initiated a new episode of outpatient treatment and who engaged in treatment were significantly less likely to be arrested or incarcerated during the following year. Initiation of substance abuse treatment alone, without engagement in treatment, was not significantly associated with arrests or incarcerations. These findings validate the clinical importance of the Washington Circle performance measures of initiation and engagement. These "process of care" measures can make a difference when used as a target for quality improvement at treatment facilities.

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Section: Additional Influences On Criminal Justice Outcomessupporting

confidence: 54%

Are Washington Circle performance measures associated with decreased criminal activity following treatment?

Garnick

Horgan

Lee

et al. 2007

Journal of Substance Abuse Treatment

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“…In contrast to studies of patients readmitted to detoxification units and substance abuse units, 14,15,18,22 we found level of education, specifically a high school education or less, to be associated with multiple admissions. In a study of alcoholics, Greenfield and colleagues found that lower education in alcoholics predicts shorter time to relapse.…”

Section: Discussioncontrasting

confidence: 99%

“…Psychiatric comorbidity, including additional substance abuse, is a well-established risk factor for readmission to detoxification centers. [12][13][14][15]17,22,23 Also, people with either an alcohol or non-alcohol drug addiction, are known to be 7 times more likely to have another addiction than the rest of the population. 24 This study suggests clinicians may underrecognize additional substance abuse disorders which are common in this patient population.…”

Section: Discussionmentioning

confidence: 99%

“…Specifically, patients are often admitted and readmitted with alcohol-related diagnoses or AWS to acute care hospitals, but relatively little quantitative data exist on readmission factors in this population. 11 Patients readmitted to detoxification units or alcohol and substance abuse units have been studied, and factors associated with readmission include psychiatric disorder, [12][13][14][15][16][17] female gender, 14,15 and delay in rehabilitation aftercare. 18 These results cannot be generalized to patients with AWS who are admitted and readmitted to acute-care hospitals.…”

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confidence: 99%

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Multiple admissions for alcohol withdrawal

Larson

Burton

Kashiwagi

et al. 2012

Journal of Hospital Medicine

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ObjectiveThe objective was to identify risk factors for multiple admissions for alcohol withdrawal syndrome (AWS) in patients admitted to a general medicine service.Methods:A retrospective study was performed examining records of patients admitted for AWS between January 1, 2006 and December 31, 2008 to an academic tertiary referral hospital. Patients with a single admission were compared to patients with multiple admissions with respect to demographic and clinical variables.Results:Three hundred and twenty‐two patients accounted for 788 admissions. Of the 322 patients, 142 (44%) had multiple admissions. Compared to patients with a single admission, patients with multiple admissions were more likely to have a high school education or less (p=0.0071), a higher Charlson comorbidity index score (p=0.0010), a positive urine drug screen for non‐alcohol drug (p=0.0002), psychiatric comorbidity (p=0.0303) and a higher CIWA‐Ar maximum total score (p<0.0001).Conclusion:In patients with AWS, we identified demographic and clinical variables associated with multiple admissions to a general medicine service. Our results indicate areas for a targeted multidisciplinary and multispecialty approach at initial intervention, which is especially important given the high rates of recidivism in this patient population. Journal of Hospital Medicine 2012. © 2012 Society of Hospital Medicine.

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“…Studies have reported that those completing treatment have significant low risks for readmissions. Females and those arrested in the year prior to treatment had increased risks of readmission, while males and those receiving a combination of inpatient and outpatient treatments had lower risks of readmission [86].…”

Section: Positive Outcomesmentioning

confidence: 96%

Review on Treatment of Substance Use Disorders

Njoroge¹

2017

J Addict Res Ther

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Services for mental and substance use disorders have typically been neglected, and in many countries segregated from mainstream health care with resources allocated not commensurate with the burden. The attention given to mental and substance use disorders cannot be compared to other diseases such as HIV/AIDS, Malaria, Cancer, and Diabetes among others. Mental and substance use disorders account to about 7.4% of disease burden worldwide. These disorders are responsible for more of the global burden than HIV/AIDS and tuberculosis, diabetes, or transport injuries.The increasing number of cases of SUDs globally presents a public health challenge that requires effective evidence based interventions. One of the major challenges is inadequate treatment for SUDs which mostly plague developing countries. It may be difficult to measure the efficacy of treatment as a result of unique patient characteristics that contribute to person's treatment experience. Care factors such as duration of treatment and length of stay have been studied as having influence on the outcome of treatment. Others include patient and environmental factors.Globally, poor treatment outcomes mostly reported include dropout rates as high as 90%; relapse rates as high as 91% and high after treatment mortality rates. Research findings have identified many evidence-based treatment strategies for managing substance use disorders, nevertheless there is a gap that continues to exist, that of a lack of success of effective interventions to be spread and implemented so as to improve the lives of those affected. Other studies have also reported these differences in the outcomes and effectiveness of treatment of substance use disorders.There is need for enhanced interventional research that aims at providing an overview of conceptual issues relating to factors that influence treatment outcomes and identifying gaps and directions for improving treatment and treatment outcomes. The fundamental objective of enhanced research in substance use treatment is to reduce the increasing prevalence rates of substance use disorders.

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Predicting readmission to substance abuse treatment using state information systems: the impact of client and treatment characteristics

Cited by 50 publications

References 12 publications

Are Washington Circle performance measures associated with decreased criminal activity following treatment?

Are Washington Circle performance measures associated with decreased criminal activity following treatment?

Multiple admissions for alcohol withdrawal

Review on Treatment of Substance Use Disorders

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