Document Detail

Substance screening and referral for substance abuse treatment in an integrated mental health care program.
MedLine Citation:
PMID:  23280462     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This study examined rates of substance screening and referral for substance abuse treatment as part of an integrated care program providing mental health services to low-income patients in primary care.
METHODS: Adults (N=11,150) who were enrolled in the program between 2008 and 2010 were included. Primary outcomes included substance screening rates, treatment referral rates, and correlates of accessing recommended treatment.
RESULTS: A total of 7,513 (67%) participants were screened for substance abuse. Among the 2,856 (38%) participants with a positive screen, 1,344 (47%) were referred for treatment. After adjustment for covariates, accessing recommended treatment was associated with past substance abuse treatment history, alcohol use, heavy drug use, posttraumatic stress disorder, and number of follow-up contacts with a care manager.
CONCLUSION: This study of a vulnerable population highlights missed opportunities for identifying and referring patients in primary care to substance abuse treatment.
Ya-Fen Chan; Hsiang Huang; Nida Sieu; Jürgen Unützer
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Psychiatric services (Washington, D.C.)     Volume:  64     ISSN:  1557-9700     ISO Abbreviation:  Psychiatr Serv     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-02     Completed Date:  2013-06-13     Revised Date:  2014-01-09    
Medline Journal Info:
Nlm Unique ID:  9502838     Medline TA:  Psychiatr Serv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  88-90     Citation Subset:  IM    
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MeSH Terms
Aged, 80 and over
Confidence Intervals
Delivery of Health Care, Integrated*
Mass Screening / utilization*
Mental Health Services*
Middle Aged
Odds Ratio
Referral and Consultation / utilization*
Substance-Related Disorders / diagnosis*,  therapy*
Young Adult
Grant Support
T32 MH020021/MH/NIMH NIH HHS; T32 MH20021-14/MH/NIMH NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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