ArticleThe journal of behavioral health services & research2026
Association Between Integrated Treatment Services and Access to Detoxification and MOUD Across US Treatment Facilities.
Article in The journal of behavioral health services & research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
Integrated treatment services for co-occurring mental health and substance use disorders are recommended best practice, yet their relationship with facility-level provision of detoxification and medications for opioid use disorder (MOUDs) is not well understood. The researchers analyzed 2021-2023 National Substance Use and Mental Health Services Survey (N-SUMHSS) data from 49,623 facilities offering any substance use services. Multivariable logistic regression models examined associations between integrated services and availability of detoxification and MOUD, adjusting for facility characteristics and Chronic Care Model elements. Primary treatment focus (substance use, mental health, mixed) was evaluated as an effect modifier. Overall, 61.2% of facilities offered integrated services, 21.2% provided detoxification, and 56.0% provided MOUD. Among substance use-focused facilities, integrated services were associated with higher odds of offering detox (adjusted odds ratio [aOR] = 1.27, 95% CI 1.17-1.37) and MOUD (aOR = 1.44, 95% CI 1.34-1.56). Among mixed-focus facilities, integrated services were associated with higher odds of MOUD (aOR = 1.39, 95% CI 1.28-1.51) but not detoxification. Among mental health-focused facilities, integrated services were associated with lower odds of detoxification (aOR = 0.34, 95% CI 0.22-0.53) and did not predict MOUD availability. Facility type, ownership, and Chronic Care Model elements, including delivery system redesign, self-management support, and clinical information systems, were strong independent predictors of both outcomes. Integrated services may be associated with greater access to detoxification and MOUD in substance use-focused settings but appear insufficient within mental health-focused facilities; efforts to strengthen integrated care should account for facility focus and infrastructure capacity.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.