Factors related to substance use treatment attendance after peer recovery coach intervention in the emergency department
Introduction: Brief intervention with peer recovery coach support has been used to generate referrals to substance use disorder treatment from the emergency department (ED). This retrospective study evaluated factors associated with successful linkage to treatment following brief intervention in the...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Drug and Alcohol Dependence Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772724622000683 |
| _version_ | 1811199589972180992 |
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| author | Orrin D. Ware Megan E. Buresh Nathan A. Irvin Maxine L. Stitzer Mary M. Sweeney |
| author_facet | Orrin D. Ware Megan E. Buresh Nathan A. Irvin Maxine L. Stitzer Mary M. Sweeney |
| author_sort | Orrin D. Ware |
| collection | DOAJ |
| description | Introduction: Brief intervention with peer recovery coach support has been used to generate referrals to substance use disorder treatment from the emergency department (ED). This retrospective study evaluated factors associated with successful linkage to treatment following brief intervention in the ED. Methods: Data were extracted from the electronic health record for patients who were referred to substance use treatment from the ED and for whom follow-up data regarding treatment attendance was available (n=666). We examined associations between demographic and insurance variables, substance use, mental health diagnosis, prior abstinence, and stage of change with successful linkage to substance use treatment after ED referral. Results: The sample was majority male (68%), White (62%), and had a mean age of 43 years (SD=12). Medicaid was the most common insurance (49%) followed by employer/private (34%). Multivariable logistic regression determined patients with Medicaid (OR=2.94, 95% CI:2.09-4.13, p=<.001), those who had a documented alcohol use disorder diagnosis (OR=1.59, 95% CI:1.074-2.342, p=.02), and those in the “Action” stage of change (OR=2.33, 95% CI:1.47-3.69, p=<.001) had greater odds of being successfully linked to treatment. Conclusions: These results identify characteristics of patients available in the health record to determine who is more likely or less likely to attend substance use treatment following ED referral. Given appropriate screening, this information could be used to direct standard care resources to those with high likelihood of treatment attendance and strengthen follow-up interventions with peer recovery coaches for those with lower likelihood of treatment attendance. |
| first_indexed | 2024-04-12T01:50:09Z |
| format | Article |
| id | doaj.art-16344e90d1824c35975cecad4a0a220b |
| institution | Directory Open Access Journal |
| issn | 2772-7246 |
| language | English |
| last_indexed | 2024-04-12T01:50:09Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Drug and Alcohol Dependence Reports |
| spelling | doaj.art-16344e90d1824c35975cecad4a0a220b2022-12-22T03:52:57ZengElsevierDrug and Alcohol Dependence Reports2772-72462022-12-015100093Factors related to substance use treatment attendance after peer recovery coach intervention in the emergency departmentOrrin D. Ware0Megan E. Buresh1Nathan A. Irvin2Maxine L. Stitzer3Mary M. Sweeney4School of Social Work, The University of North Carolina at Chapel Hill, 325 Pittsboro Street, Chapel Hill, NC 27599, USA; Corresponding author.Johns Hopkins University School of Medicine; Department of Medicine, Division of Addiction Medicine, 5200 Mason F. Lord Drive, Baltimore, MD 21224, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USAJohns Hopkins University School of Medicine; Department of Emergency Medicine, 4940 Eastern Avenue, Baltimore, MD 21224, USAJohns Hopkins University School of Medicine; Department of Psychiatry and Behavioral Sciences, Behavioral Pharmacology Research Unit, 5510 Nathan Shock Drive, Baltimore, MD 21224, USA; Friends Research Institute, 1040 Park Avenue, Baltimore, MD 21201, USAJohns Hopkins University School of Medicine; Department of Psychiatry and Behavioral Sciences, Behavioral Pharmacology Research Unit, 5510 Nathan Shock Drive, Baltimore, MD 21224, USAIntroduction: Brief intervention with peer recovery coach support has been used to generate referrals to substance use disorder treatment from the emergency department (ED). This retrospective study evaluated factors associated with successful linkage to treatment following brief intervention in the ED. Methods: Data were extracted from the electronic health record for patients who were referred to substance use treatment from the ED and for whom follow-up data regarding treatment attendance was available (n=666). We examined associations between demographic and insurance variables, substance use, mental health diagnosis, prior abstinence, and stage of change with successful linkage to substance use treatment after ED referral. Results: The sample was majority male (68%), White (62%), and had a mean age of 43 years (SD=12). Medicaid was the most common insurance (49%) followed by employer/private (34%). Multivariable logistic regression determined patients with Medicaid (OR=2.94, 95% CI:2.09-4.13, p=<.001), those who had a documented alcohol use disorder diagnosis (OR=1.59, 95% CI:1.074-2.342, p=.02), and those in the “Action” stage of change (OR=2.33, 95% CI:1.47-3.69, p=<.001) had greater odds of being successfully linked to treatment. Conclusions: These results identify characteristics of patients available in the health record to determine who is more likely or less likely to attend substance use treatment following ED referral. Given appropriate screening, this information could be used to direct standard care resources to those with high likelihood of treatment attendance and strengthen follow-up interventions with peer recovery coaches for those with lower likelihood of treatment attendance.http://www.sciencedirect.com/science/article/pii/S2772724622000683Emergency departments, Screening and brief interventionReferral and consultationPeer recovery coachSubstance use disorderInsurance |
| spellingShingle | Orrin D. Ware Megan E. Buresh Nathan A. Irvin Maxine L. Stitzer Mary M. Sweeney Factors related to substance use treatment attendance after peer recovery coach intervention in the emergency department Drug and Alcohol Dependence Reports Emergency departments, Screening and brief intervention Referral and consultation Peer recovery coach Substance use disorder Insurance |
| title | Factors related to substance use treatment attendance after peer recovery coach intervention in the emergency department |
| title_full | Factors related to substance use treatment attendance after peer recovery coach intervention in the emergency department |
| title_fullStr | Factors related to substance use treatment attendance after peer recovery coach intervention in the emergency department |
| title_full_unstemmed | Factors related to substance use treatment attendance after peer recovery coach intervention in the emergency department |
| title_short | Factors related to substance use treatment attendance after peer recovery coach intervention in the emergency department |
| title_sort | factors related to substance use treatment attendance after peer recovery coach intervention in the emergency department |
| topic | Emergency departments, Screening and brief intervention Referral and consultation Peer recovery coach Substance use disorder Insurance |
| url | http://www.sciencedirect.com/science/article/pii/S2772724622000683 |
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