Evidence map›Paper›PMID 33647586›Full record

ArticleDrug and alcohol dependence2021

The association of engagement in substance use treatment with negative separation from the military among soldiers with post-deployment alcohol use disorder.

Joshua C Gray, Mary Jo Larson, Natalie Moresco, Grant A Ritter, Steven Dufour, Charles S Milliken, Rachel Sayko Adams

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Drug and alcohol dependence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 33% of its field
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

7 citing papers in PubMed, 6 citations in OpenAlex.

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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

7 authors at 4 institutions in 1 country.

Joshua C GrayDepartment of Medical and Clinical Psychology, Uniformed Services University, 4301 Jones Bridge Rd, Bethesda, MD, 20814, USA. Electronic address: joshua.gray@usuhs.edu.
Mary Jo LarsonHeller School, Institute for Behavioral Health, Brandeis University, 415 South Street MS 035, Waltham, MA, 02453, USA.
Natalie MorescoHeller School, Institute for Behavioral Health, Brandeis University, 415 South Street MS 035, Waltham, MA, 02453, USA.
Grant A RitterHeller School, Institute for Behavioral Health, Brandeis University, 415 South Street MS 035, Waltham, MA, 02453, USA.
Steven DufourDepartment of Medical and Clinical Psychology, Uniformed Services University, 4301 Jones Bridge Rd, Bethesda, MD, 20814, USA.
Charles S MillikenArmy's Substance Use Disorder Clinical Care, Office of the Army Surgeon General, Defense Health Headquarters, 7700 Arlington Blvd, Falls Church, VA, 22042, USA.
Rachel Sayko AdamsHeller School, Institute for Behavioral Health, Brandeis University, 415 South Street MS 035, Waltham, MA, 02453, USA; Rocky Mountain Mental Illness Research Education and Clinical Center, Veterans Health Administration, 1700 N. Wheeling Street, Aurora, CO, 80045, USA.
Brandeis University · USUniformed Services University of the Health Sciences · USUnited States Army Medical Command · USUnited States Department of Veterans Affairs · US

Funding

Trajectories of non-pharmacologic and opioid health services for pain management in association with military readiness and health status outcomes: SUPIC renewalR01AT008404 · NCCIH · BRANDEIS UNIVERSITY · PI ADAMS, RACHEL SAYKO, LARSON, MARY JO · 2014 to 2023
$7.2M
First Longitudinal Study of Missed Treatment Opportunities Using DOD and VA DataR01DA030150 · NIDA · BRANDEIS UNIVERSITY · PI LARSON, MARY JO · 2010 to 2013
$1.9M
NCCIH NIH HHS R01 AT008404NIDA NIH HHS R01 DA030150
6 · The paper itself

Abstract

backgroundAlcohol use disorder (AUD) reduces the health of soldiers and the readiness of the Armed Forces. It remains unknown if engagement in substance use treatment in the Military Health System improves retention in the military.

methodsThe sample consisted of active duty soldiers returning from an Afghanistan/Iraq deployment in fiscal years 2008-2010 who received an AUD diagnosis within 150 days of completing a post-deployment health re-assessment survey (n = 4,726). A Heckman probit procedure was used to examine predictors of substance use treatment initiation and engagement in accordance with Healthcare Effectiveness Data and Information Set (HEDIS) criteria. Cox proportional hazard modeling was used to examine the association between treatment engagement and retention, defined as a negative separation for a non-routine cause (e.g., separation due to misconduct, poor performance, disability) from the military in the two years following the index AUD diagnosis.

results40 % of soldiers meeting HEDIS AUD criteria initiated and 24 % engaged in substance use treatment. Among soldiers diagnosed with AUD, meeting criteria for treatment engagement was associated with a significantly higher hazard of having a negative separation compared to soldiers who did not engage in treatment.

conclusionsRates of initiation and engagement in substance use treatment for post-deployment AUD were relatively low. Soldiers with AUD who engaged in substance use treatment were more likely to have a negative separation from the military than soldiers with AUD who did not engage. Our findings imply that in the study cohort, treatment did not mitigate negative career consequences of AUD.

Indexed as

Afghan Campaign 2001-Iraq War, 2003-2011AdolescentAdultAlcoholismFemaleFollow-Up StudiesHumansMaleMilitary PersonnelPatient ParticipationSurveys and QuestionnairesTreatment OutcomeYoung AdultAlcohol use disorderEngagementMilitary health systemRetentionTreatment

Identifiers

PMID33647586
PMCPMC8136466
OpenAlexW3131992462

What OpenQuestion holds

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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.