title: Healthcare utilization of individuals with opiate use disorders: an analysis of integrated medicaid and state mental health/substance abuse agency data.
abstract: Data from the Substance Abuse and Mental Health Services Administration's Integrated Database (IDB) were used to examine the service use patterns of individuals with possible opiate use disorders in Washington State. Results indicate that regardless of Medicaid enrollment status, individuals who received mental health (MH) or substance abuse (SA) services only through state agencies received no inpatient substance abuse service. Furthermore, when compared with individuals who received at least one MH/SA service through Medicaid, those who received services only through the state agencies were less likely to have received any MH services and were more likely to have received residential SA services. This analysis highlights the importance of using integrated client data in providing a more comprehensive understanding of services to inform policy and raises significant questions about how regulatory requirements affecting different funding mechanisms might drive settings of care in ways not related to the care needed.
authors.affiliation: Behavioral Health Economics Program, RTI International, 3040 Cornwallis Road, Research Triangle Park, NC 27709, USA. bray@rti.org
authors.forename: Jeremy
authors.initials: J
authors.lastname: Bray
authors.forename: Rita
authors.initials: R
authors.lastname: Vandivort
authors.forename: Joan
authors.initials: J
authors.lastname: Dilonardo
authors.forename: Laura
authors.initials: L
authors.lastname: Dunlap
authors.forename: Don
authors.initials: D
authors.lastname: Schroeder
authors.forename: Carol
authors.initials: C
authors.lastname: Forhan
authors.forename: Kay
authors.initials: K
authors.lastname: Miller
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008484:Medicaid; D008499:Medical Records; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D009293:Opioid-Related Disorders / Q000453:epidemiology / Q000628:therapy; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D014481:United States; D014861:Washington / Q000453:epidemiology