Chronic Disease and Chemical Dependency Treatment in Primary Care Patients With Problem Drug Use.
This article examines whether chronic disease is associated with chemical dependency treatment in primary care patients with problem drug use. Chronic disease was common in 781 disadvantaged individuals who had problem drug use and were seen in primary care clinics affiliated with a public safety-net hospital. Individuals had, on average, 5.4 chronic medical conditions, and overall 57% had low severity chronic disease. In the year following enrollment, 14% had chemical dependency treatment. Severity of chronic disease was not associated with chemical dependency treatment (p = .26). In summary, chronic disease neither hindered chemical dependency treatment, nor did it facilitate such treatment.
a Department of Health Services , University of Washington , Seattle , Washington , USA.
Charles
C
Maynard
b Department of Psychiatry and Behavioral Sciences , University of Washington , Seattle , Washington , USA.
Meredith
M
Graves
b Department of Psychiatry and Behavioral Sciences , University of Washington , Seattle , Washington , USA.
Imara I
II
West
b Department of Psychiatry and Behavioral Sciences , University of Washington , Seattle , Washington , USA.
Kristin
K
Bumgardner
b Department of Psychiatry and Behavioral Sciences , University of Washington , Seattle , Washington , USA.
Antoinette
A
Krupski
b Department of Psychiatry and Behavioral Sciences , University of Washington , Seattle , Washington , USA.
Peter
P
Roy-Byrne
D000328:Adult; D002908:Chronic Disease / Q000453:epidemiology*; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011320:Primary Health Care / Q000706:statistics & numerical data; D064876:Safety-net Providers / Q000706:statistics & numerical data*; D012720:Severity of Illness Index; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000628:therapy
Substance use disorders; chemical dependency treatment; chronic diseases