title: Factors associated with frequent utilization of crisis substance use detoxification services.
abstract: Previous research suggests that some substance users have multiple crisis detoxification visits and never access rehabilitation care. This care-seeking pattern leads to poorer outcomes and higher costs. The authors aimed to identify predictors of repeat detoxification visits by analyzing state-level data routinely collected at the time of substances use services admission. Repeat detoxification clients were more likely to be homeless, city-dwelling fee-for-service Medicaid recipients. Repeat detoxification clients were less likely than those with one admission to enter rehabilitation within 3 days. Treatment providers should aim for rapid transfer to rehabilitation and consider expanding detoxification intake data to improve risk stratification.
authors.affiliation: New York University, School of Medicine, Bellevue Hospital Center, New York University, New York, NY, USA. ecarrier@hschange.org
authors.forename: Emily
authors.initials: E
authors.lastname: Carrier
authors.forename: Jennifer
authors.initials: J
authors.lastname: McNeely
authors.forename: Iryna
authors.initials: I
authors.lastname: Lobach
authors.forename: Shane
authors.initials: S
authors.lastname: Tay
authors.forename: Marc N
authors.initials: MN
authors.lastname: Gourevitch
authors.forename: Maria C
authors.initials: MC
authors.lastname: Raven
mesh_terms: D000328:Adult; D000553:Ambulatory Care / Q000191:economics / Q000706:statistics & numerical data*; D018588:Fee-for-Service Plans / Q000191:economics; D005260:Female; D006300:Health Services Misuse / Q000706:statistics & numerical data; D006703:Ill-Housed Persons / Q000523:psychology; D006801:Humans; D008658:Inactivation, Metabolic; D008297:Male; D008484:Medicaid / Q000191:economics; D010359:Patient Readmission / Q000706:statistics & numerical data; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000628:therapy*; D016896:Treatment Outcome; D014481:United States; D055815:Young Adult