Evidence map›Paper›PMID 23580018›Full record

ReviewAlcohol research & health : the journal of the National Institute on Alcohol Abuse and Alcoholism2011

Integrating care for people with co-occurring alcohol and other drug, medical, and mental health conditions.

Stacy Sterling, Felicia Chi, Agatha Hinman

Abstract readReview
In one paragraph

Review in Alcohol research & health : the journal of the National Institute on Alcohol Abuse and Alcoholism, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Stacy SterlingDivision of Research, Kaiser Permanente Medical Care Program, Oakland, California.
Felicia Chi
Agatha Hinman

Funding

LONG-TERM IMPACT OF DRUG TREATMENT ON OUTCOME &COSTR01DA008728 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WEISNER, CONSTANCE M. · 1993 to 2008
$3.5M
OUTCOME AND COST OF DAY HOSPITAL VS OUTPATIENT CARER01AA010359 · NIAAA · WESTERN CONSORTIUM FOR PUBLIC HEALTH · PI MERTENS, JENNIFER RENE · 1994 to 2011
$2.9M
Course of Problems in Adolescent Drug Treatment IntakesR01DA015803 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WEISNER, CONSTANCE M. · 2003 to 2008
$2.3M
OUTCOME AND COST OF DAY HOSPITAL VS OUTPATIENT CARER37AA010359 · NIAAA · WESTERN CONSORTIUM FOR PUBLIC HEALTH · PI WEISNER, CONSTANCE M. · 1994 to 2003
$1.5M
NIAAA NIH HHS R01 AA010359NIAAA NIH HHS R01AA10359NIAAA NIH HHS R37 AA010359NIAAA NIH HHS R37AA10359NIDA NIH HHS R01 DA008728NIDA NIH HHS R01 DA015803NIDA NIH HHS R01DA15803
6 · The paper itself

Abstract

Most people with alcohol and other drug (AOD) use disorders suffer from co-occurring disorders (CODs), including mental health and medical problems, which complicate treatment and may contribute to poorer outcomes. However, care for the patients' AOD, mental health, and medical problems primarily is provided in separate treatment systems, and integrated care addressing all of a patient's CODs in a coordinated fashion is the exception in most settings. A variety of barriers impede further integration of care for patients with CODs. These include differences in education and training of providers in the different fields, organizational factors, existing financing mechanisms, and the stigma still often associated with AOD use disorders and CODs. However, many programs are recognizing the disadvantages of separate treatment systems and are attempting to increase integrative approaches. Although few studies have been done in this field, findings suggest that patients receiving integrated treatment may have improved outcomes. However, the optimal degree of integration to ensure that patients with all types and degrees of severity of CODs receive appropriate care still remains to be determined, and barriers to the implementation of integrative models, such as one proposed by the Institute of Medicine, remain.

Indexed as

AlcoholismComorbidityDelivery of Health Care, IntegratedHumansMental DisordersMental HealthPatient CareSubstance-Related Disorders

Identifiers

PMID23580018
PMCPMC3625993

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.