Evidence map›Paper›PMID 34154870›Full record

ArticleJournal of substance abuse treatment2021

The effect of cannabis policies on treatment outcomes for cannabis use among U.S. adults.

Jessica L Bourdon, Meredith W Francis, Lena Jia, Chenxue Liang, Helen I Robinson, Richard A Grucza

Abstract read
In one paragraph

Article in Journal of substance abuse treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

6 authors.

Jessica L BourdonWellbridge Center for Addiction Treatment and Research. Electronic address: jbourdon@wellbridge.org.
Meredith W FrancisBrown School of Social Work, Washington University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA; Department of Psychiatry, Washington University in St. Louis, 4560 Clayton Avenue, Suite 1000, St. Louis, MO 63110, USA. Electronic address: meredith.francis@wustl.edu.
Lena JiaWashington University School of Medicine, 660 S Euclid Avenue, St. Louis, MO 63110, USA. Electronic address: lenajia@wustl.edu.
Chenxue LiangDepartment of Psychiatry, Washington University in St. Louis, 4560 Clayton Avenue, Suite 1000, St. Louis, MO 63110, USA; Yale University School of Medicine, 333 Cedar St, New Haven, CT 06510. Electronic address: chenxue.liang@yale.edu.
Helen I RobinsonBrown School of Social Work, Washington University in St. Louis, 1 Brookings Drive, St. Louis, MO 63130, USA. Electronic address: helenrobinson@wustl.edu.
Richard A GruczaDepartment of Psychiatry, St. Louis University, 660 S Euclid Avenue, St. Louis, MO 63110, USA. Electronic address: richard.grucza@health.slu.edu.

Funding

Transdisciplinary Training in Addictions ResearchT32DA015035 · NIDA · WASHINGTON UNIVERSITY · PI Leopoldo J Cabassa, Patricia A Cavazos-Rehg · 2002 to 2026
$5.3M
NIDA NIH HHS T32 DA015035
6 · The paper itself

Abstract

backgroundResearch has explored the impact of various medical cannabis policies on substance use treatment admission in recent years, but we know little about factors related to participants' treatment engagement and outcome. To fill this gap in the existing literature, this study used national data to examine the influence of cannabis policies (decriminalized, medical, and recreational) and referral sources (criminal justice vs. voluntary) on treatment completion and length of stay.

methodsData came from the Treatment Episode Data Set-Discharge (2006-2017) on adults 18+ whose primary drug at treatment admission was cannabis. Difference-in-difference analyses using logistic regression examined the effect of cannabis policies on outpatient treatment completion (yes/no; n = 2,192,807) and length of stay (more/fewer than 90 days; n = 1,863,585) in those with a criminal justice or voluntary referral source.

resultsCannabis policy was not associated with treatment completion in either those with a criminal justice or voluntary referral source. Compared to individuals in states where cannabis use was strictly illegal, those in states with a decriminalization policy were less likely to stay in treatment for 91+ days regardless of the referral source.

conclusionsCannabis policy appears to have a differential effect on treatment completion versus length of stay, with policy having no impact on successful treatment completion. Specifically, we found that decriminalization policies hinder treatment engagement past 90 days. In this sense, length of stay may be a more useful measure of treatment outcome for research than treatment completion moving forward. Furthermore, our study found that neither medical nor recreational policies affected length of stay or treatment completion, regardless of referral source.

Indexed as

CannabisMedical MarijuanaSubstance-Related DisordersAdultHumansPolicyTreatment OutcomeUnited StatesMedical MarijuanaCannabisMarijuanaPolicyTEDS-DTreatment

Identifiers

PMID34154870
PMCPMC8900664

What OpenQuestion holds

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Registered trials

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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.