Trajectories in Use of Substance Abuse and Mental Health Services Among Stimulant Users in Rural Areas

Curran, Geoffrey M.; Ounpraseuth, Songthip; Allee, Elise; Small, Jeon; Booth, Brenda M.

doi:10.1176/ps.62.10.pss6210_1230

Cited by 10 publications

(13 citation statements)

References 12 publications

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“…Among women with COD diagnosed prior to SUD treatment, between 6.8% and 29.6% did not receive any mental health services over the subsequent eight years. These findings align with prior research that has shown that few individuals with COD receive adequate treatment for either or both disorders (Curran et al, 2011; Weaver et al, 2008; Koegel et al, 1999; Urbanoski et al, 2008; Compton, Thomas, Stinson, & Grant, 2007; Harris & Edlund, 2005; Wu, Ringwalt, & Williams, 2003; McGovern et al, 2010; Drake & Bond, 2010; McGovern et al, 2014; SAMHSA, 2014), and that women have high levels unmet need for mental health services (U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, 2013).…”

Section: Discussionsupporting

confidence: 90%

Heterogeneity of Mental Health Service Utilization and High Mental Health Service Use Among Women Eight Years After Initiating Substance Use Disorder Treatment

Evans¹,

Padwa²,

Li³

et al. 2015

Journal of Substance Abuse Treatment

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Objective To determine mental health service utilization patterns among women treated for substance use disorders (SUD) and identify factors associated with patterns of high mental health service use. Methods Data were provided by 4,447 women treated for SUD in California during 2000–2002 for whom mental health services utilization records were acquired. A latent class model was fitted to women’s high use of services (≥6 services/year over 8 years). Multinomial logistic regression was used to identify predisposing, enabling, and need factors associated with utilization patterns. Results In 8 years after initiating SUD treatment, 50% of women utilized mental health services. High use probability was consistently low for most women (76.9%); for others, however, it decreased immediately following SUD treatment and then increased over time (9.3%), increased immediately following SUD treatment and then decreased (8.7%), or remained consistently high (5.1%). Consistently high services use was negatively associated with marriage (OR 0.60, p<0.05) and employment (OR 0.53, p<0.05) and positively associated with older age (OR 1.04, p<0.001), homelessness (OR 1.68, p<0.05), public assistance (OR 1.76, p<0.01), outpatient SUD treatment (OR 3.69, p<0.01), longer SUD treatment retention (OR 1.00, p<0.01), treatment desire (ORs 1.46, p<0.001), and co-occurring disorder diagnosis (ORs 2.89–44.93, p<0.001). Up to 29% of women with co-occurring mental health disorders at SUD treatment entry did not receive any mental health treatment in the subsequent 8 years. Conclusions Mental health services utilization patterns among women treated for SUD are hetereogeneous and dynamic. Understanding factors related to women’s utilization patterns may aid efforts to optimize care and ensure appropriate use of mental health services.

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Section: Discussionsupporting

confidence: 90%

Heterogeneity of Mental Health Service Utilization and High Mental Health Service Use Among Women Eight Years After Initiating Substance Use Disorder Treatment

Evans¹,

Padwa²,

Li³

et al. 2015

Journal of Substance Abuse Treatment

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“…Maternal mental health and drug use history, paternal alcohol and drug use history, and active relationship conflict with both mothers and fathers predicted the severity of adult drug use over a 3-year period. Overall, drug and alcohol use declined over time, which is normative and expected, despite the fact that most in the sample received no substance use or mental health services (Curran, Ounpraseuth, Allee, Small, & Booth, 2011). Observed in other studies, these declines have been attributed to both assessment effects and remission over the lifespan (Calabria et al, 2010;Lopez-Quintero et al, 2011).…”

Section: Discussionsupporting

confidence: 56%

“…Overall, drug and alcohol use declined over time, which is normative and expected, despite the fact that most in the sample received no substance use or mental health services (Curran, Ounpraseuth, Allee, Small, & Booth, 2011). Overall, drug and alcohol use declined over time, which is normative and expected, despite the fact that most in the sample received no substance use or mental health services (Curran, Ounpraseuth, Allee, Small, & Booth, 2011).…”

Section: Discussionmentioning

confidence: 82%

Predicting Substance Use Patterns Among Rural Adults: The Roles of Mothers, Fathers, and Parenthood

et al. 2018

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This study examined the role of parenthood and parental influences on substance use patterns for 710 stimulant users age 18-61 living in the rural Midwest and Mid-south U.S. Longitudinal growth analyses showed that a maternal history of drug use was associated with increased baseline drug use severity, lesser declines in severity, and greater plateau of drug use severity over time. Parental conflict was associated with lesser declines in drug use severity, and drug use severity declined more steeply for participants who were themselves parents. Participants with two parents having a history of alcohol use had a greater baseline severity of alcohol use, with paternal history of drug use associated with lower baseline alcohol use severity. These findings demonstrate the importance of identifying parental influences in evaluating adult substance use, and point to the inclusion of parents in efforts to prevent and treat substance use disorders.

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“…The service utilization trajectories identified from this county-and state-based sample of rural adults should not be presumed to apply to all adults on parole or probation, or to all rural adults. Although the small sample size is a considerable threat to study generalizability, our identification of growth classes of adults with relatively consistent, increasing, and tapering probabilities of service use does comport with prior findings from other longitudinal studies concerning the substance use and mental health services trajectories among rural individuals ( Curran, Ounpraseuth, Allee, Smail, & Booth, 2011). In addition, the study did not allow for examination of the causes of service utilization trajectories among the sample.…”

Section: Discussionmentioning

confidence: 72%

Trajectories of Health and Behavioral Health Services Use among Community Corrections–Involved Rural Adults

Mowbray

McBeath

Bank

et al. 2016

Social Work Research

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This article seeks to establish time-based trajectories of health and behavioral health services utilization for community corrections-involved (CCI) adults and to examine demographic and clinical correlates associated with these trajectories. To accomplish this aim, the authors applied a latent class growth analysis (LCGA) to services use data from a sample of rural CCI adults who reported their medical, mental health, and substance use treatment utilization behavior every 60 days for 1.5 years. LCGA established 1.5-year trajectories and demographic correlates of health services among rural CCI adults. For medical services, three classes emerged (stable-low users, 13%; stable-intermediate users, 40%; and stable-high users, 47%). For mental health and substance use services, three classes emerged (stable-low, 69% and 61%, respectively; low-baseline-increase, 10% and 12%, respectively; high-baseline decline, 21% and 28%, respectively). Employment, gender, medication usage, and depression severity predicted membership across all services. Results underscore the importance of social workers and other community services providers aligning health services access with the needs of the CCI population, and highlight CCI adults as being at risk of underservice in critical prevention and intervention domains.

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Trajectories in Use of Substance Abuse and Mental Health Services Among Stimulant Users in Rural Areas

Cited by 10 publications

References 12 publications

Heterogeneity of Mental Health Service Utilization and High Mental Health Service Use Among Women Eight Years After Initiating Substance Use Disorder Treatment

Heterogeneity of Mental Health Service Utilization and High Mental Health Service Use Among Women Eight Years After Initiating Substance Use Disorder Treatment

Predicting Substance Use Patterns Among Rural Adults: The Roles of Mothers, Fathers, and Parenthood

Trajectories of Health and Behavioral Health Services Use among Community Corrections–Involved Rural Adults

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