Integrative Management of Substance Use Disorders and Co-Occurring Mental Health Disorders

Owens, Rebecca A.; Smalling, Maxine M.

doi:10.1891/9780826185341.0019

Cited by 4 publications

(6 citation statements)

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“…This study’s primary contribution is the estimated total annual SUD-associated medical cost in hospitals overall and by substance type using nationally representative US hospital data. This study also provides novel prevalence and associated cost estimates of principal and secondary SUD diagnoses during hospital encounters, offering a more complete picture of how hospital costs are associated with SUD compared with previous analyses . Polysubstance use was addressed in this study’s modeling approach by estimating the discrete associated cost of secondary SUD diagnoses by substance type; results suggest that for most substances, each additional substance identified in a secondary SUD diagnosis on the hospital discharge record was associated with an increase in hundreds of dollars in total encounter cost.…”

Section: Discussionmentioning

confidence: 98%

“…This study also provides novel prevalence and associated cost estimates of principal and secondary SUD diagnoses during hospital encounters, offering a more complete picture of how hospital costs are associated with SUD compared with previous analyses. 2,3,5,15 Polysubstance use was addressed in this study's modeling approach by estimating the discrete associated cost of secondary SUD diagnoses by substance type; results suggest that for most substances, each additional substance identified in a secondary SUD diagnosis on the hospital discharge record was associated with an increase in hundreds of dollars in total encounter cost. This study's adjusted mean medical cost of encounters with principal SUD diagnosis is reasonably consistent with previous estimates after accounting for the professional fees and ambulance costs that were included here.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of Annual Cost of Substance Use Disorder in US Hospitals

Peterson

et al. 2021

JAMA Netw Open

102

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IMPORTANCE A persistently high US drug overdose death toll and increasing health care use associated with substance use disorder (SUD) create urgency for comprehensive estimates of attributable direct costs, which can assist in identifying cost-effective ways to prevent SUD and help people to receive effective treatment. OBJECTIVE To estimate the annual attributable medical cost of SUD in US hospitals from the health care payer perspective. DESIGN, SETTING, AND PARTICIPANTS This economic evaluation of observational data used multivariable regression analysis and mathematical modeling of hospital encounter costs, controlling for patient demographic, clinical, and insurance characteristics, and compared encounters with and without secondary SUD diagnosis to statistically identify the total attributable cost of SUD. Nationally representative hospital emergency department (ED) and inpatient encounters from the 2017 Healthcare Cost and Utilization Project Nationwide Emergency Department Sample and National Inpatient Sample were studied. Statistical analysis was performed from March to June 2020.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Assessment of Annual Cost of Substance Use Disorder in US Hospitals

Peterson

et al. 2021

JAMA Netw Open

102

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“…Patients with a primary or secondary mental health diagnosis made up a higher proportion of our sample (35.6%) than the proportion reported among all 2016 inpatient stays in the United States (27.8%). 40 Unlike prior studies, patients identifying as Black/African American made up a greater proportion of our sample (41.1%) than prior clinical effectiveness studies of inpatient integrative therapies 11,26 where Black/African American patients represented ,10% of the sample. These racial demographic trends reflect the population of the region where more than 30% of Cuyahoga County residents and 48% of Cleveland residents self-identify as Black/African American.…”

Section: Discussionmentioning

confidence: 86%

Effectiveness of music therapy within community hospitals: an EMMPIRE retrospective study

Rodgers-Melnick

Rivard

Block

et al. 2023

PR9

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“…We included all admissions at Hennepin County Medical Center (HCMC), a large Midwestern tertiary care center and safety-net hospital, from January 1, 2008 to December 31, 2020. Admissions were defined as SUD-related using 9th and 10th revisions of International Classification of Diseases codes identified in previous work 5,6 . Specific substance categories included opioids, cannabis, alcohol, cocaine, psychostimulants, and sedatives.…”

Section: Methodsmentioning

confidence: 99%

Trends in Substance Use Disorder-related Admissions at a Safety-net Hospital, 2008 – 2020

et al. 2022

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ObjectivesSafety-net hospitals disproportionately care for people with substance use disorders (SUDs), yet little is known about trends in hospital admissions related to specific substances. This study uses electronic health record data to describe trends in substance-specific admissions at a Midwest urban safety-net hospital.MethodsWe included all admissions from 2008 through 2020 and defined them as non-SUD (N = 154,477) or SUD-related (N = 63,667). We described patient characteristics and trends in substance-specific admissions. We estimated the association of SUD diagnoses with discharge against medical advice and length of stay using logistic regression and generalized linear models.ResultsBetween 2008 and 2020, SUD-related admissions increased from 23.1% to 32.9% of total admissions. Admissions related to SUD had significantly more comorbidities than non-SUD-related admissions (4.7 vs 3.5, P < 0.001). Among illicit substances, cocaine-related admissions were the most common in 2008 (3.9% of total admissions, 17.2% of SUD admissions) whereas psychostimulants (eg, methamphetamines) were the most common in 2020 (7.8% of total admissions, 23.8% of SUD admissions). SUD-related hospitalizations had higher rates of against medical advice discharge (3.8%; 95% CI 3.6–3.9 vs 1.4%; 95% CI 1.3–1.4) and longer length of stay (6.3 days; 95% CI: 6.2–6.3 vs 5.3 days; 95% CI: 5.3–5.4) than non-SUD-related admissions.ConclusionsOver the study period, the proportion of admissions related to substance use rose to approximately one third of all admissions, driven by a rapidly increasing share of psychostimulant-related admissions. Identifying substance use patterns quickly using electronic health record data can help safety-net hospitals meet the needs of their patients and improve outcomes.

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Integrative Management of Substance Use Disorders and Co-Occurring Mental Health Disorders

Cited by 4 publications

References 0 publications

Assessment of Annual Cost of Substance Use Disorder in US Hospitals

Assessment of Annual Cost of Substance Use Disorder in US Hospitals

Effectiveness of music therapy within community hospitals: an EMMPIRE retrospective study

Trends in Substance Use Disorder-related Admissions at a Safety-net Hospital, 2008 – 2020

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