Pub Date : 2022-01-13DOI: 10.1080/1533256X.2022.2028121
A. Hawa, D. Barr, Haleh Sheikholeslami
ABSTRACT Recommendations for the treatment of tobacco and alcohol use disorders are plentiful. The literature is mixed, however, on the extent to which treatments for these disorders apply to people experiencing homelessness. We identified 12 community health centers from distinct counties across California that provide tobacco and alcohol use disorder treatments to people experiencing homelessness and conducted semi-structured interviews with each. We qualitatively analyzed transcripts using the NVivo 12 software. The following themes emerged: (1) the role of street outreach as the first step of service delivery, (2) the importance of patient choice and volition in the treatment decision-making process, (3) the need for explicit provider-patient trust-building, (4) acknowledging variability in access to and availability of resources at treatment sites, and (5) redefining successful outcomes. Findings have implications for dissemination and implementation research in tobacco and alcohol use disorders among people experiencing homelessness, both in California and broader North American settings.
{"title":"Barriers to and supports for tobacco and alcohol use disorder treatment among California’s homeless","authors":"A. Hawa, D. Barr, Haleh Sheikholeslami","doi":"10.1080/1533256X.2022.2028121","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2028121","url":null,"abstract":"ABSTRACT Recommendations for the treatment of tobacco and alcohol use disorders are plentiful. The literature is mixed, however, on the extent to which treatments for these disorders apply to people experiencing homelessness. We identified 12 community health centers from distinct counties across California that provide tobacco and alcohol use disorder treatments to people experiencing homelessness and conducted semi-structured interviews with each. We qualitatively analyzed transcripts using the NVivo 12 software. The following themes emerged: (1) the role of street outreach as the first step of service delivery, (2) the importance of patient choice and volition in the treatment decision-making process, (3) the need for explicit provider-patient trust-building, (4) acknowledging variability in access to and availability of resources at treatment sites, and (5) redefining successful outcomes. Findings have implications for dissemination and implementation research in tobacco and alcohol use disorders among people experiencing homelessness, both in California and broader North American settings.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42671733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-03DOI: 10.1080/1533256X.2021.2001922
M. Fendrich, Thomas P. Lebel
ABSTRACT We compared emerging adults with older adults who were admitted to the Drug Treatment Court (DTC) in a large Midwestern county. Emerging adults were more likely to be lower risk and to be opioid/heroin users. Compared to older adults, emerging adults were more likely to have increased violations in the DTC program. Emerging adults compared to older adults were more likely to be terminated than to graduate with no recidivism (odds ratio 1.83), and more likely to recidivate after they graduated (odds ratio 2.16). Elevated risks for program termination and recidivism for emerging adults, despite a reduced risk profile at entry, underscore the need for program modifications (such as peer support) that specifically target this age group.
{"title":"Emerging adults in drug treatment court: program behavior, program completion, & recidivism","authors":"M. Fendrich, Thomas P. Lebel","doi":"10.1080/1533256X.2021.2001922","DOIUrl":"https://doi.org/10.1080/1533256X.2021.2001922","url":null,"abstract":"ABSTRACT We compared emerging adults with older adults who were admitted to the Drug Treatment Court (DTC) in a large Midwestern county. Emerging adults were more likely to be lower risk and to be opioid/heroin users. Compared to older adults, emerging adults were more likely to have increased violations in the DTC program. Emerging adults compared to older adults were more likely to be terminated than to graduate with no recidivism (odds ratio 1.83), and more likely to recidivate after they graduated (odds ratio 2.16). Elevated risks for program termination and recidivism for emerging adults, despite a reduced risk profile at entry, underscore the need for program modifications (such as peer support) that specifically target this age group.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43697958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-02DOI: 10.1080/1533256X.2022.2016338
S. Rose
The intersection of mental health and substance use disorder conditions is increasingly recognized in both the research and practice communities in this country, and is supported in the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) study, reporting that the association between substance use disorders and independent mood and anxiety disorders is significant and positive (Grant et al., 2006). What we do not know as clearly is the strength of this intersection and how it affects prevention, assessment, and treatment in other cultures and countries. It has been reported that Asian Americans (AA), a fast growing minority culture group in the U.S., do not use mental health services (including substance use treatment) to the level of majority culture Americans Le Meyer et al. (2009). Some researchers have challenged this ‘model minority’ stereotype of Asian-American Pacific Islanders, noting that methamphetamine dependence, alcohol use disorders, and other addictive disorders are significant but remain hidden due to treatment barriers (Fong & Tsuang, 2007). Others have reported associations among heavy drinking, depression, and suicide rates for Asian Americans, and note specifically poorer mental health among female AA drinkers (Cheng et al., 2012). In creating and implementing treatment systems for Asian Americans, efforts to address these barriers to treatment stress acculturation, language, gender, and psychoeducational interventions, aligning traditional concepts of mental health with current models (Lui & Zamboanga, 2018; Pham & Lui, 2020; Yamada et al., 2019). Today we speak with Mythily Subramaniam, Associate Professor at Saw Swee Hock School of Public Health, National University in Singapore. Dr. Subramaniam’s research has been at the intersection of substance use and mental health. In addition, she headed the Singapore Mental Health Study, a national epidemiological study of the mental health status of the local population.
心理健康和药物使用障碍状况的交叉点在该国的研究和实践界越来越得到认可，并得到了国家酒精及相关疾病流行病学调查（NESARC）研究的支持，报告称，物质使用障碍与独立情绪和焦虑障碍之间的关联是显著和积极的（Grant等人，2006）。我们不清楚的是，这种交叉的力量，以及它如何影响其他文化和国家的预防、评估和治疗。据报道，亚裔美国人（AA）是美国一个快速增长的少数族裔文化群体，其使用心理健康服务（包括药物使用治疗）的水平不如多数族裔文化美国人Le Meyer等人（2009）。一些研究人员对亚裔太平洋岛民的这种“模范少数群体”刻板印象提出了质疑，指出甲基苯丙胺依赖、酒精使用障碍和其他成瘾性障碍很严重，但由于治疗障碍，这些障碍仍然隐藏着（Fong&Tsuang，2007）。其他人报告了亚裔美国人酗酒、抑郁和自杀率之间的关联，并特别指出女性AA饮酒者的心理健康状况较差（Cheng et al.，2012）。在为亚裔美国人创建和实施治疗系统的过程中，解决这些治疗障碍的努力强调了文化适应、语言、性别和心理教育干预，使传统的心理健康概念与当前的模式保持一致（Lui&Zamboanga，2018；Pham&Lui，2020；Yamada等人，2019）。今天，我们采访新加坡国立大学Saw Swee Hock公共卫生学院副教授Mythily Subramaniam。Subramaniam博士的研究一直处于物质使用和心理健康的交叉点。此外，她还领导了新加坡心理健康研究，这是一项针对当地人口心理健康状况的全国流行病学研究。
{"title":"Mental health and substance use disorders in the multi-cultural Asian community in Singapore: an interview with Mythily Subramaniam, PhD","authors":"S. Rose","doi":"10.1080/1533256X.2022.2016338","DOIUrl":"https://doi.org/10.1080/1533256X.2022.2016338","url":null,"abstract":"The intersection of mental health and substance use disorder conditions is increasingly recognized in both the research and practice communities in this country, and is supported in the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) study, reporting that the association between substance use disorders and independent mood and anxiety disorders is significant and positive (Grant et al., 2006). What we do not know as clearly is the strength of this intersection and how it affects prevention, assessment, and treatment in other cultures and countries. It has been reported that Asian Americans (AA), a fast growing minority culture group in the U.S., do not use mental health services (including substance use treatment) to the level of majority culture Americans Le Meyer et al. (2009). Some researchers have challenged this ‘model minority’ stereotype of Asian-American Pacific Islanders, noting that methamphetamine dependence, alcohol use disorders, and other addictive disorders are significant but remain hidden due to treatment barriers (Fong & Tsuang, 2007). Others have reported associations among heavy drinking, depression, and suicide rates for Asian Americans, and note specifically poorer mental health among female AA drinkers (Cheng et al., 2012). In creating and implementing treatment systems for Asian Americans, efforts to address these barriers to treatment stress acculturation, language, gender, and psychoeducational interventions, aligning traditional concepts of mental health with current models (Lui & Zamboanga, 2018; Pham & Lui, 2020; Yamada et al., 2019). Today we speak with Mythily Subramaniam, Associate Professor at Saw Swee Hock School of Public Health, National University in Singapore. Dr. Subramaniam’s research has been at the intersection of substance use and mental health. In addition, she headed the Singapore Mental Health Study, a national epidemiological study of the mental health status of the local population.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43977427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01Epub Date: 2021-10-01DOI: 10.1080/1533256X.2021.1984660
Leonard A Jason, Ted Bobak, Mohammed Islam, Mayra Guerrero, John M Light, Nate Doogan
Recovery homes may facilitate individuals with substance use disorders re-integration back into community settings by providing friendship, resources, and advice. Participants of the current study were over 600 residents of 42 Oxford House recovery homes. Findings indicated that willingness to share resources in the form of loans was associated with higher levels of house involvement in recovery home chapters. Active involvement in house and community affairs may influence more recovery within homes or may be an indicator of houses with residents with more capacities and skills for positive long-term health outcomes. Such findings suggest that recovery is a dynamic process with multiple ecological layers embedding individuals, their immediate social networks, and the wider community.
{"title":"Willingness to Lend Resources is Associated with Increases in Recovery and Participation in Community Activities.","authors":"Leonard A Jason, Ted Bobak, Mohammed Islam, Mayra Guerrero, John M Light, Nate Doogan","doi":"10.1080/1533256X.2021.1984660","DOIUrl":"10.1080/1533256X.2021.1984660","url":null,"abstract":"<p><p>Recovery homes may facilitate individuals with substance use disorders re-integration back into community settings by providing friendship, resources, and advice. Participants of the current study were over 600 residents of 42 Oxford House recovery homes. Findings indicated that willingness to share resources in the form of loans was associated with higher levels of house involvement in recovery home chapters. Active involvement in house and community affairs may influence more recovery within homes or may be an indicator of houses with residents with more capacities and skills for positive long-term health outcomes. Such findings suggest that recovery is a dynamic process with multiple ecological layers embedding individuals, their immediate social networks, and the wider community.</p>","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9855280/pdf/nihms-1745248.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10618686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01Epub Date: 2022-03-07DOI: 10.1080/1533256x.2022.2049161
Ariel Richer, Ariel L Roddy
In this work, we outline the necessary components for culturally responsive treatment to opioid use disorders in Indigenous communities. First, we examine the context of historical trauma faced by Indigenous groups in the U.S. and how this context may affect successful implementation of treatment. We then outline the strategies of Penobscot Nation and Little Earth in developing holistic treatment regimens for Indigenous peoples, and list policy interventions suited to improve outcomes for Indigenous groups related to opioid use disorders. We conclude with suggestions for future directions in anticolonial strategies for addressing opioid use in Indigenous communities. The combination of culturally responsive treatment, tribal sovereignty in the treatment of opioid use disorders, and effective resource allocation is necessary to affect positive change in Indigenous substance use trajectories.
{"title":"Opioid use in indigenous populations: indigenous perspectives and directions in culturally responsive care.","authors":"Ariel Richer, Ariel L Roddy","doi":"10.1080/1533256x.2022.2049161","DOIUrl":"10.1080/1533256x.2022.2049161","url":null,"abstract":"<p><p>In this work, we outline the necessary components for culturally responsive treatment to opioid use disorders in Indigenous communities. First, we examine the context of historical trauma faced by Indigenous groups in the U.S. and how this context may affect successful implementation of treatment. We then outline the strategies of Penobscot Nation and Little Earth in developing holistic treatment regimens for Indigenous peoples, and list policy interventions suited to improve outcomes for Indigenous groups related to opioid use disorders. We conclude with suggestions for future directions in anticolonial strategies for addressing opioid use in Indigenous communities. The combination of culturally responsive treatment, tribal sovereignty in the treatment of opioid use disorders, and effective resource allocation is necessary to affect positive change in Indigenous substance use trajectories.</p>","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10249962/pdf/nihms-1903122.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10074158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-16DOI: 10.1080/1533256x.2022.2016337
K. Farkas
{"title":"Effective psychotherapists: clinical skills that improve client outcomes","authors":"K. Farkas","doi":"10.1080/1533256x.2022.2016337","DOIUrl":"https://doi.org/10.1080/1533256x.2022.2016337","url":null,"abstract":"","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46582104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-12DOI: 10.1080/1533256X.2021.2004354
Katie M. Edwards, Natira Mullet, Laura A. Siller
ABSTRACT The purpose of the study was to examine the correlates of perceptions of trauma-informed practices at a sober living home (SLH) among women with histories of addiction and victimization. Fifty-two women currently seeking or who had recently sought services at the SLH competed in a survey. Higher rates of financial worries and housing instability predicted lower perceptions that the SLH was trauma-informed in several domains. Being white compared to nonwhite increased perceptions that the SLH was culturally responsive and inclusive. Mental health symptoms and recent victimization were unrelated to perceptions of the extent to which the SLH was trauma informed. Efforts to enhance trauma-informed practices may be especially important for women higher in financial worries and housing instability as well as women who are racially/ethnically diverse.
{"title":"Trauma informed practices of a sober living home for women with addiction and victimization histories","authors":"Katie M. Edwards, Natira Mullet, Laura A. Siller","doi":"10.1080/1533256X.2021.2004354","DOIUrl":"https://doi.org/10.1080/1533256X.2021.2004354","url":null,"abstract":"ABSTRACT The purpose of the study was to examine the correlates of perceptions of trauma-informed practices at a sober living home (SLH) among women with histories of addiction and victimization. Fifty-two women currently seeking or who had recently sought services at the SLH competed in a survey. Higher rates of financial worries and housing instability predicted lower perceptions that the SLH was trauma-informed in several domains. Being white compared to nonwhite increased perceptions that the SLH was culturally responsive and inclusive. Mental health symptoms and recent victimization were unrelated to perceptions of the extent to which the SLH was trauma informed. Efforts to enhance trauma-informed practices may be especially important for women higher in financial worries and housing instability as well as women who are racially/ethnically diverse.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47281501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-12DOI: 10.1080/1533256x.2021.1993119
Anthony T Estreet, R. Gomez
ABSTRACT On July 15, 2020, The Council on Social Work Education (CSWE) announced the release of the Specialized Practice Curricular Guide for Substance Use Social Work Practice. The guide was formulated by a national taskforce, and is the result of a collaboration between CSWE, the American Academy of Addiction Psychiatry (AAAP) and the Opioid Response Network (ORN). The release of the guide followed a long and dedicated working process of a national taskforce of CSWE members who are national and international experts in substance use. This article discusses the process from development to dissemination and also discusses future steps of this much anticipated curriculum guide. This guide was developed with the hopes that more social work programs would begin to include or enhance educational content to address the substance use among the many clients we serve.
{"title":"The CSWE substance use curricular guide: inception, evolution, impact","authors":"Anthony T Estreet, R. Gomez","doi":"10.1080/1533256x.2021.1993119","DOIUrl":"https://doi.org/10.1080/1533256x.2021.1993119","url":null,"abstract":"ABSTRACT On July 15, 2020, The Council on Social Work Education (CSWE) announced the release of the Specialized Practice Curricular Guide for Substance Use Social Work Practice. The guide was formulated by a national taskforce, and is the result of a collaboration between CSWE, the American Academy of Addiction Psychiatry (AAAP) and the Opioid Response Network (ORN). The release of the guide followed a long and dedicated working process of a national taskforce of CSWE members who are national and international experts in substance use. This article discusses the process from development to dissemination and also discusses future steps of this much anticipated curriculum guide. This guide was developed with the hopes that more social work programs would begin to include or enhance educational content to address the substance use among the many clients we serve.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45056769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-08DOI: 10.1080/1533256X.2021.1988492
A. C. Carter, Cory B. Dennis
ABSTRACT Legally mandated substance use treatment is prevalent but controversial and further research aimed at understanding this relationship is important for developing and informing social policy, social work practice, and education. This study used clinical data mining to examine the relationship between a client’s legal involvement, treatment engagement, and treatment completion. By using structural equation modeling, this study found that legal involvement did not have an effect on clients’ engagement in treatment or on completing treatment, while engagement was shown to have an effect on whether the client completed treatment.
{"title":"Legal involvement and substance use treatment engagement and outcomes","authors":"A. C. Carter, Cory B. Dennis","doi":"10.1080/1533256X.2021.1988492","DOIUrl":"https://doi.org/10.1080/1533256X.2021.1988492","url":null,"abstract":"ABSTRACT Legally mandated substance use treatment is prevalent but controversial and further research aimed at understanding this relationship is important for developing and informing social policy, social work practice, and education. This study used clinical data mining to examine the relationship between a client’s legal involvement, treatment engagement, and treatment completion. By using structural equation modeling, this study found that legal involvement did not have an effect on clients’ engagement in treatment or on completing treatment, while engagement was shown to have an effect on whether the client completed treatment.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48783443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-08DOI: 10.1080/1533256X.2021.1996839
Benjamin H. Garland, Robert M. Mindrup, L. Zottarelli, Jill D. McCarley
ABSTRACT This study examined pre- and post-implementation of a same-day post-detoxification residential admission policy within a Veteran Health Administration (VHA) facility to determine improved outcomes consistent with the larger literature. A single facility sample of participants who received detoxification from alcohol pre- and post-policy change was identified utilizing administrative and health record data. Chi-square testing and independent samples T-testing evaluated changes between a 2018 pre-policy cohort and a 2019 post-policy cohort. Policy implementation of same-day admissions to residential treatment after detoxification resulted in statistically significant change in instances of waiting, wait times for participants who waited, no-show, and readmissions during the six months following inpatient discharge. Mortality, cancellation rates, and discharge type did not differ significantly. These findings further support previous research that outlines the relationship between efficient post-detoxification continuity of care and increased positive outcomes.
{"title":"Effects of a same-day post-detoxification residential alcohol use disorder treatment admission policy","authors":"Benjamin H. Garland, Robert M. Mindrup, L. Zottarelli, Jill D. McCarley","doi":"10.1080/1533256X.2021.1996839","DOIUrl":"https://doi.org/10.1080/1533256X.2021.1996839","url":null,"abstract":"ABSTRACT This study examined pre- and post-implementation of a same-day post-detoxification residential admission policy within a Veteran Health Administration (VHA) facility to determine improved outcomes consistent with the larger literature. A single facility sample of participants who received detoxification from alcohol pre- and post-policy change was identified utilizing administrative and health record data. Chi-square testing and independent samples T-testing evaluated changes between a 2018 pre-policy cohort and a 2019 post-policy cohort. Policy implementation of same-day admissions to residential treatment after detoxification resulted in statistically significant change in instances of waiting, wait times for participants who waited, no-show, and readmissions during the six months following inpatient discharge. Mortality, cancellation rates, and discharge type did not differ significantly. These findings further support previous research that outlines the relationship between efficient post-detoxification continuity of care and increased positive outcomes.","PeriodicalId":45598,"journal":{"name":"Journal of Social Work Practice in the Addictions","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2021-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45324437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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