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Admissions to detoxification after treatment: Does engagement make a difference?
Andrea Acevedo1, Deborah Garnick1, Grant Ritter1
1a Institute for Behavioral Health, The Heller School for Social Policy and Management, Brandeis University , Waltham , Massachusetts , USA.
Substance Abuse
|August 27, 2015
Summary
Engaging in outpatient substance use disorder treatment reduces the likelihood of needing subsequent detoxification services. This finding highlights treatment engagement as a key indicator for quality care and resource allocation.
Area of Science:
- Addiction Medicine
- Health Services Research
Background:
- Treatment engagement is a critical performance metric in substance use disorder (SUD) care.
- Understanding factors influencing service utilization is essential for effective SUD treatment.
Purpose of the Study:
- To investigate the association between outpatient treatment engagement and subsequent detoxification admissions.
- To evaluate if early engagement in SUD treatment predicts reduced need for intensive services.
Main Methods:
- Utilized administrative data from 11,591 adult clients in Massachusetts specialty treatment facilities starting outpatient care in 2006.
- Defined treatment engagement as receiving services within 14 days and 2 more within 30 days of episode start.
- Employed multilevel survival models to analyze time to detoxification admission within 365 days.
Main Results:
- Only 35% of clients met the defined outpatient engagement criteria.
- A subsequent detoxification admission occurred in 15% of clients within one year.
- Clients meeting engagement criteria showed a significantly lower hazard of detoxification admission (HR=0.87, P < .01), even after controlling for covariates.
Conclusions:
- Outpatient treatment engagement serves as a valuable indicator for monitoring the quality of SUD care.
- Findings suggest that fostering treatment engagement can potentially reduce the need for more intensive interventions like detoxification.
- Results can inform providers and policymakers in targeting care strategies to improve patient outcomes.
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