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Decreases in Employer Referrals to First-Time Substance Use Treatment for Adults From 2004 to 2020
Orrin D Ware1, Andrea Hussong, Jodi J Frey
1From the School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (O.D.W.); Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (A.H., S.D.); School of Social Work, University of Maryland, Baltimore, Maryland (J.J.F.); School of Medicine, University of Maryland, Baltimore, Maryland (M.C.); Friends Research Institute, Baltimore, Maryland (J.G.); School of Social Work, Rutgers University; New Brunswick, New Jersey (J.L.); and School of Medicine, University of North Carolina at Chapel Hill; Chapel Hill, North Carolina (R.J.).
Objective:
The aim of the study is to examine trends of employer/employee assistance program referred admissions to outpatient substance use disorder (SUD) treatment in the United States.
Methods:
The publicly available Treatment Episode Data Set was used. Full-time employed adults with no history of SUD treatment referred to outpatient treatment by an employer/employee assistance program from 2004 to 2020 were included ( N = 36,142). Joinpoint regression examined admission trends.
Results:
Employer/employee assistance program referred admissions to outpatient treatment decreased annually by 6.4% from 2004 to 2020 ( P < 0.001). Joinpoint analyses identified 2 linear segments from 2004 to 2008 (increased but not significant) and from 2008 to 2020. From 2008 to 2020, an average annual percent decrease of 8.7% ( P < 0.001) was identified.
Conclusions:
Findings from this repeated cross-sectional study suggest a missed opportunity for workplaces to serve as a potential SUD treatment access point.
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