Evidence map›Paper›PMID 39503913›Full record

ArticleHealth & justice2024

Changes in legal referrals to specialty substance use disorder treatment from 2015-2019.

Carrie E Fry, Jacob Harris, Marguerite E Burns

Abstract read
In one paragraph

Article in Health & justice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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.

Carrie E FryDepartment of Health Policy, Vanderbilt University School of Medicine, 2525 West End Avenue, Suite 1275-G, Nashville, TN, 37203, USA. carrie.e.fry@vanderbilt.edu.ORCID http://orcid.org/0000-0003-0661-847X
Jacob HarrisCollege of Arts and Letters, University of Notre Dame, Notre Dame, IN, USA.
Marguerite E BurnsDepartment of Population Health Sciences, UW-Madison School of Medicine and Public Health, Madison, WI, USA.

Funding

Opioid Use Disorder and Residential Treatment in MedicaidK01DA057391 · NIDA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Carrie Elizabeth Fry · 2023 to 2026
$712k
NIDA NIH HHS K01 DA057391
6 · The paper itself

Abstract

backgroundThe policy landscape around substance use has changed dramatically in the past decade, which may have affected the number and characteristics of treatment episodes for substance use disorder (SUD). In this study, we examine changes in the volume of SUD treatment referrals from the legal system and compare changes in the composition of substances used by referral source. We used publicly available discharge data on specialty SUD treatment episodes in the U.S. from 2015-2019 and included episodes involving adults that are discharged from specialty SUD treatment facilities during the study. We calculated descriptive statistics of specialty SUD treatment discharges in each year and aggregated across all years by referral source and substance(s) reported upon admission. To test differences by year and referral source, we conducted z-tests of proportions.

resultsThe proportion of referrals to specialty SUD treatment from the legal system declined between 2015 and 2019 (p < 0.001). However, referrals from probation/parole and diversionary programs grew over time (p < 0.001) in number and proportion over time. Legal referrals were most often associated with alcohol or cannabis use, though referrals for these substances declined from 2015-2019.

conclusionsThis research lays the groundwork for future investigations to evaluate the effect of important policy changes on referral sources to specialty SUD treatment and the quality and outcomes associated with referrals to treatment from the legal system.

Indexed as

Legal systemStructural determinants of healthSubstance use disorder

Identifiers

PMID39503913
PMCPMC11539304

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