The importance of identification when measuring performance in addiction treatment

Figures & data

Figure 1. Conceptual framework of nested identification, initiation, and engagement measures.

Table 1. Substance use disorder abuse and dependence prevalence, identification, initiation, and engagement rates by state, Medicaid beneficiaries aged 12 and older.

State	Statewide SUD abuse and dependence prevalence^a (95% confidence intervals)	Identification^b (Denominator, person years)	Initiation^b (Denominator, new episode of AOD, January 1–November 15)	Engagement^b (Denominator, new episode of AOD, January 1–November 15)
Average	10.0	2.9%	46.3%	17.5%
State A	10.8 (3.5–28.5)	3.7% (482,199)	44.0%	17.8%
State B	7.9 (4.8–12.6)	1.8% (653,667)	39.8%	11.9%
State C	10.1 (7.5–13.5)	4.0% (1,140,367)	40.6%	24.6%
State D	12.1 (7.0–20.0)	4.8% (454,274)	56.9%	31.1%
State E	12.1 (8.8–16.4)	1.1% (1,313,688)	48.8%	12.8%
State F	6.6 (4.8–8.9)	1.5% (1,725,940)	57.1%	11.8%
State G	10.4 (5.1–20.4)	3.5% (593,412)	36.9%	12.2%

^a Source: SAMHSA National Survey on Drug Use and Health (NSDUH), Medicaid enrollees, aged 12+, 2008–2009 specifically for each state.

^b Source: Centers for Medicare & Medicaid Services, Medicaid Analytic eXtract (MAX) data set, 2009.