ArticleThe American journal of drug and alcohol abuse2018
High inpatient utilization among Veterans Health Administration patients with substance-use disorders and co-occurring mental health conditions.
Article in The American journal of drug and alcohol abuse, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05845164 (Impulsivity Mediation Using Transcranial Direct Current Stimulation Paired With Acceptance Commitment Therapy as an Adjunctive Therapy for Substance Use Disorder), which is not on this map. Cited by 16 papers.
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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.
Impulsivity Mediation Using Transcranial Direct Current Stimulation Paired With Acceptance Commitment Therapy as an Adjunctive Therapy for Substance Use Disorder
Who cites it
16 citing papers in PubMed.
- A qualitative study of veteran and provider perspectives on a novel acute care transitions intervention for co-occurring mood and substance use disorders.Psychological services · 2026Article
- Who's getting care? Acute treatment utilization following an emergency department visit among adults with major psychiatric disorders and suicidal thoughts and behaviors.Journal of psychiatric research · 2026Article
- Glucagon-like peptide-1 receptor agonists and risk of substance use disorders among US veterans with type 2 diabetes: cohort study.BMJ (Clinical research ed.) · 2026Article
- You Can Build It, but What if some Still Won't Come? Developing and Evaluating a Prevention-Focused Pilot Program Fostering Engagement in Mental Health Care.Community mental health journal · 2026Article
- Decoding substance use disorder severity from clinical notes using a large language model.Npj mental health research · 2025Article
- Emergency care utilization in persons with substance related diagnoses.Addictive behaviors reports · 2024Article
- Budget Impact Tool for Implementing Contingency Management for Co-occurring Alcohol Use Disorders and Serious Mental Illness.Psychiatric services (Washington, D.C.) · 2024Article
- U.S. Military veterans and the opioid overdose crisis: a review of risk factors and prevention efforts.Annals of medicine · 2022Review
- Association Between Mental Health Conditions and Outpatient Care Fragmentation: a National Study of Older High-Risk Veterans.Journal of general internal medicine · 2022Article
- Substance Use, PTSD Symptoms, and Suicidal Ideation Among Veteran Psychiatry Inpatients: A Latent Class Trajectory Analysis.Journal of studies on alcohol and drugs · 2021Article
- Depression, Alcoholics Anonymous Involvement, and Daily Drinking Among Patients with co-occurring Conditions: A Longitudinal Parallel Growth Mixture Model.Alcoholism, clinical and experimental research · 2020Article
- Healthcare utilization of individuals with substance use disorders following Affordable Care Act implementation in a California healthcare system.Journal of substance abuse treatment · 2020Article
- Motivational and cognitive correlates of community integration in homeless veterans entering a permanent supported housing program.The American journal of orthopsychiatry · 2020Article
- Feasibility of a care management approach for complex substance use disorders and high acute services utilization.Journal of substance abuse treatment · 2018Article
- Changes in healthcare utilization and costs following enrollment in an interprofessional primary care clinic designed to address clinical and social vulnerabilities.Journal of interprofessional careArticle
- Patients' perspectives on care management services for complex substance use disorders.Journal of addictive diseasesArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundSubstance-use disorders (SUDs) are common and costly conditions. Understanding high inpatient utilization (HIU) among patients with SUD can inform the development of treatment approaches designed to reduce healthcare expenditures and improve service quality.
objectivesTo examine the prevalence, type, and predictors of HIU among patients with SUD and co-occurring mental health conditions.
methodsService utilization and demographic and clinical variables were extracted from a national sample of Veterans Health Administration (VA) patients with SUD-only [n = 148,960 (98.3% male)], SUD plus serious mental illness ([i.e. schizophrenia- and/or bipolar-spectrum disorders; SUD/SMI; n = 75,913 (91.6% male)], and SUD plus other mental illness [SUD/MI; n = 245,675 (94.6% male)]. Regression models were used to examine HIU during a follow-up year.
resultsPrevalence of HIU among the SUD-only group was 6.2% (95% confidence interval (CI): 6.1%-6.3%) compared with 22.7% (95% CI: 22.4%-23.0%) and 9.7% (95% CI: 9.6%-9.8%) among the SUD/SMI and SUD/MI groups, respectively. Patients with SUD/MI represented nearly half of the HIU sample. Primary type of inpatient service use varied by comorbidity: SUD-only = medicine; SUD/SMI = psychiatric; SUD/MI similar use of psychiatric, SUD-related, and medicine. Predictors of HIU were generally similar across groups: older age, unmarried, homelessness, suicide risk, pain diagnosis, alcohol/opioid/sedative-use disorders, and prior-year emergency department/inpatient utilization.
conclusionsSubstantial reductions in HIU among an SUD population will likely require treatment approaches that target patients with less-severe mental health conditions in addition to SMI. Cross-service collaborations (e.g., integration of medical providers in SUD care) and interventions designed to target issues and/or conditions that lead to HIU (e.g., homeless care services) may be critical to reducing HIU in this population.
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