Evidence map›Paper›PMID 38190597›Full record

ArticleHealth affairs (Project Hope)2024

Adolescent Residential Addiction Treatment In The US: Uneven Access, Waitlists, And High Costs.

Caroline A King, Tamara Beetham, Natashia Smith, Honora Englander, Dana Button, Patrick C M Brown, Scott E Hadland, Sarah M Bagley, Olivia Rae Wright, P Todd Korthuis and 1 more

Open access · greenAbstract read
In one paragraph

Article in Health affairs (Project Hope), 2024. 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
10.2field-weighted citation impact, top 2% 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, 12 citations in OpenAlex.

  1. Article
  2. U.S. Pediatricians' Attitudes and Practices Around Screening for Substance Use in Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. The Changing Landscape of Adolescent and Young Adult Substance Use.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
    Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 2 countries.

Caroline A KingCaroline A. King (c.king@yale.edu), Oregon Health & Science University, Portland, Oregon.
Tamara BeethamTamara Beetham, Yale University, New Haven, Connecticut.
Natashia SmithNatashia Smith, Oregon Health & Science University.
Honora EnglanderHonora Englander, Oregon Health & Science University.
Dana ButtonDana Button, Oregon Health & Science University.
Patrick C M BrownPatrick C. M. Brown, Oregon Health & Science University.
Scott E HadlandScott E. Hadland, Boston University and Massachusetts General Hospital, Boston, Massachusetts.
Sarah M BagleySarah M. Bagley, Boston University and Boston Medical Center, Boston, Massachusetts.
Olivia Rae WrightOlivia Rae Wright, PeaceHealth, Vancouver, Washington.
P Todd KorthuisP. Todd Korthuis, Oregon Health & Science University.
Ryan CookRyan Cook, Oregon Health & Science University.
Oregon Health & Science University · USBoston Medical Center · USMassachusetts General Hospital · USSmith Family · AUSouthwest Washington Medical Center · USSt. Patrick Hospital · USYale University · US

Funding

Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
Western States Node of the National Drug Abuse Treatment Clinical Trials Network (TMS for CUD) UG1DA015815 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Keith N. Humphreys, Philip Todd Korthuis · 2015 to 2026
$24.6M
Yale Training Program in Health Services ResearchT32HS017589 · AHRQ · YALE UNIVERSITY · PI SCHLESINGER, MARK J · 2008 to 2024
$5.6M
The Cascade of Care for Medicaid-Enrolled Youth with Opioid Use DisorderR01DA057566 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI Scott Evan Hadland, Arthur R Williams · 2022 to 2026
$2.9M
Collaborative Care Office-Based Opioid Treatment for Adolescents and Young AdultsK23DA045085 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI HADLAND, SCOTT EVAN · 2018 to 2022
$1.1M
A Behavioral Intervention to Engage Emerging Adults in Addiction Treatment after a Non-fatal Opioid OverdoseK23DA044324 · NIDA · BOSTON MEDICAL CENTER · PI BAGLEY, SARAH M · 2017 to 2021
$938k
Transporting treatment effects from clinical trials to real-world populations with co-occurring opioid and stimulant use disordersK01DA055130 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI COOK, RYAN · 2022 to 2025
$714k
Substance Use and Firearm Injuries among Medicaid-enrolled YouthK18DA059913 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI HADLAND, SCOTT EVAN · 2023 to 2023
$564k
AHRQ HHS T32 HS017589NCATS NIH HHS UL1 TR002369NIDA NIH HHS K01 DA055130NIDA NIH HHS K18 DA059913NIDA NIH HHS K23 DA044324NIDA NIH HHS K23 DA045085NIDA NIH HHS R01 DA057566NIDA NIH HHS UG1 DA015815
6 · The paper itself

Abstract

Drug overdose deaths among adolescents are increasing in the United States. Residential treatment facilities are one treatment option for adolescents with substance use disorders, yet little is known about their accessibility or cost. Using the Substance Abuse and Mental Health Services Administration's treatment locator and search engine advertising data, we identified 160 residential addiction treatment facilities that treated adolescents with opioid use disorder as of December 2022. We called facilities while role-playing as the aunt or uncle of a sixteen-year-old child with a recent nonfatal overdose, to inquire about policies and costs. Eighty-seven facilities (54.4 percent) had a bed immediately available. Among sites with a waitlist, the mean wait time for a bed was 28.4 days. Of facilities providing cost information, the mean cost of treatment per day was $878. Daily costs among for-profit facilities were triple those of nonprofit facilities. Half of facilities required up-front payment by self-pay patients. The mean up-front cost was $28,731. We were unable to identify any facilities for adolescents in ten states or Washington, D.C. Access to adolescent residential addiction treatment centers in the United States is limited and costly.

Indexed as

Behavior, AddictiveDrug OverdoseAdolescentAdvertisingChildHumansResidential TreatmentWaiting Lists

Identifiers

PMID38190597
PMCPMC11082498
OpenAlexW4390659117

What OpenQuestion holds

Textmetadata
LicenceTDM
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.