786
Views
16
CrossRef citations to date
0
Altmetric
Original Articles

High inpatient utilization among Veterans Health Administration patients with substance-use disorders and co-occurring mental health conditions

, PhD, , MSW, , PhD, , PhD, , PhD, , PhD & , PhD show all
Pages 386-394 | Received 04 May 2017, Accepted 09 Sep 2017, Published online: 02 Nov 2017

References

  • Funk M, Drew N, Freeman M, Faydi E. Mental health and development: targeting people with mental health conditions as a vulnerable group. Geneva: World Health Organization; 2010.
  • Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE, Charlson FJ, Norman RE, Flaxman AD, Johns N, et al. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet. 2013 Nov 15;382(9904):1575–86. doi:10.1016/S0140-6736(13)61611-6.
  • Substance Abuse and Mental Health Services Administration. Treatment episode data set (TEDS) highlights: 2007 national admissions to substance abuse treatment services. Rockville, MD: SAMHSA; 2009.
  • Walley AY, Paasche-Orlow M, Lee EC, Forsythe S, Chetty VK, Mitchell S, Jack BW. Acute care hospital utilization among medical inpatients discharged with a substance use disorder diagnosis. J Addict Med. 2012 March;6(1):50–56. doi:10.1097/ADM.0b013e318231de51.
  • McKay JR. Is there a case for extended interventions for alcohol and drug use disorders? Addiction. 2005 Nov 1;100(11):1594–610. doi:10.1111/add.2005.100.issue-11.
  • McLellan AT, Lewis DC, O’Brien CP, Kleber HD. Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation. Jama. 2000 Oct 4;284(13):1689–95. doi:10.1001/jama.284.13.1689.
  • Compton WM, Thomas YF, Stinson FS, Grant BF. Prevalence, correlates, disability, and comorbidity of DSM-IV drug abuse and dependence in the United States: results from the national epidemiologic survey on alcohol and related conditions. Archives Gen Psy. 2007 May 1;64(5):566–76. doi:10.1001/archpsyc.64.5.566.
  • Dickey B, Normand SL, Weiss RD, Drake RE, Azeni H. Medical morbidity, mental illness, and substance use disorders. Psychiatr Serv. 2002 Jul;53(7):861–67. doi:10.1176/appi.ps.53.7.861.
  • Shelton KH, Taylor PJ, Bonner A, Van Den Bree M. Risk factors for homelessness: evidence from a population-based study. Psychiatr Serv. 2015 April;60(4):465–72. doi:10.1176/ps.2009.60.4.465.
  • Neighbors CJ, Sun Y, Yerneni R, Tesiny E, Burke C, Bardsley L, McDonald R, Morgenstern J. Medicaid care management: description of high-cost addictions treatment clients. J Subst Abuse Treat. 2013 Sep 30;45(3):280–86. doi:10.1016/j.jsat.2013.02.009.
  • Stanton MW, Rutherford MK. The high concentration of US health care expenditures. Rockville, MD: Agency for Healthcare Research and Quality; 2006 AHRQ Pub. No. 06-0060.
  • Orszag PR, Emanuel EJ. Health care reform and cost control. New England J Med. 2010 Aug 12;363(7):601–03. doi:10.1056/NEJMp1006571.
  • Williams BC. Limited effects of care management for high utilizers on total healthcare costs. Am J Manage Care. 2015 May;7(21):e244–6.
  • Gonzalez J. National Health Care Expenses in the U.S. Civilian Noninstitutionalized Population, 2011. Rockville, MD: Agency for Healthcare Research and Quality; 2013 Statistical Brief #425.
  • Jiang HJ, Weiss AJ, Barrett ML, Sheng M. Characteristics of hospital stays for super-utilizers by payer, 2012. Rockville, MD: Agency for Healthcare Research and Quality; 2015 Statistical Brief# 190.
  • Hines AL, Barrett ML, Jiang HJ, Steiner CA. Conditions with the largest number of adult hospital readmissions by payer, 2011. Rockville, MD: Agency for Healthcare Research and Quality; 2014 Statistical Brief# 172.
  • Hedden SL. Behavioral health trends in the United States: results from the 2014 National survey on drug use and health. 2015 HHS Publication No. SMA 15-4927, NSDUH Series H-50, HHS Publication; 2015
  • Lai HM, Cleary M, Sitharthan T, Hunt GE. Prevalence of comorbid substance use, anxiety and mood disorders in epidemiological surveys, 1990–2014: a systematic review and meta-analysis. Drug Alcohol Depend. 2015 Sep 1;154:1–3. doi:10.1016/j.drugalcdep.2015.05.031.
  • Yoon G, Petrakis IL, Rosenheck RA. Correlates of major depressive disorder with and without comorbid alcohol use disorder nationally in the veterans health administration. Am J Addict. 2015 Aug 1;24(5):419–26. doi:10.1111/ajad.v24.5.
  • Humphreys K, McLellan AT. A policy‐oriented review of strategies for improving the outcomes of services for substance use disorder patients. Addiction. 2011 Dec 1;106(12):2058–66. doi:10.1111/add.2011.106.issue-12.
  • Farley JF, Harley CR, Devine JW. A comparison of comorbidity measurements to predict healthcare expenditures. Am J Manag Care. 2006 Feb 1;12(2):110–18.
  • Fleishman JA, Cohen JW. Using Information on Clinical Conditions to Predict High‐Cost Patients. Health Serv Res. 2010 Apr 1;45(2):532–52. doi:10.1111/j.1475-6773.2009.01080.x.
  • McAlpine DD, Mechanic D. Utilization of specialty mental health care among persons with severe mental illness: the roles of demographics, need, insurance, and risk. Health Serv Res. 2000 Apr;35(1 Pt 2):277.
  • Mechanic D. Mental health and social policy: the emergence of managed care. Boston, MA: Allyn and Bacon; 1999.
  • Gelberg L, Andersen RM, Leake BD. The behavioral model for vulnerable populations: application to medical care use and outcomes for homeless people. Health Serv Res. 2000 Feb;34(6):1273.
  • Hawkins EJ, Malte CA, Baer JS, Kivlahan DR. Prevalence, predictors, and service utilization of patients with recurrent use of Veterans Affairs substance use disorder specialty care. J Subst Abuse Treat. 2012 Sep 30;43(2):221–30. doi:10.1016/j.jsat.2011.11.002.
  • Lorine K, Goenjian H, Kim S, Steinberg AM, Schmidt K, Goenjian AK. Risk factors associated with psychiatric readmission. J Nerv Ment Dis. 2015 Jun 1;203(6):425–30. doi:10.1097/NMD.0000000000000305.
  • Mark T, Tomic KS, Kowlessar N, Chu BC, Vandivort-Warren R, Smith S. Hospital readmission among medicaid patients with an index hospitalization for mental and/or substance use disorder. J Behav Health Serv Res. 2013 Apr 1;40(2):207–21. doi:10.1007/s11414-013-9323-5.
  • Smith MW, Stocks C, Santora PB. Hospital readmission rates and emergency department visits for mental health and substance abuse conditions. Community Ment Health J. 2015 Feb 1;51(2):190–97. doi:10.1007/s10597-014-9784-x.
  • Himelhoch S, McCarthy JF, Ganoczy D, Medoff D, Dixon LB, Blow FC. Understanding associations between serious mental illness and HIV among patients in the VA health system. Psychiatr Serv. 2007 Sep;58(9):1165–72. doi:10.1176/ps.2007.58.9.1165.
  • Department of Veterans Affairs. Use of patient record flags to identify patients at high risk for suicide. Washington, DC: Veterans Health Administration; 2008 VHA directive No.: 2008–036.
  • Quan H, Sundararajan V, Halfon P, Fong A, Burnand B, Luthi JC, Saunders LD, Beck CA, Feasby TE, Ghali WA. Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data. Med Care. 2005 Nov 1;43:1130–39. doi:10.1097/01.mlr.0000182534.19832.83.
  • Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987 Jan 1;40(5):373–83. doi:10.1016/0021-9681(87)90171-8.
  • Dobscha SK, Morasco BJ, Kovas AE, Peters DM, Hart K, McFarland BH. Short‐term variability in outpatient pain intensity scores in a national sample of older veterans with chronic pain. Pain Med. 2015 May 1;16(5):855–65. doi:10.1111/pme.12643.
  • Gardner W, Mulvey EP, Shaw EC. Regression analyses of counts and rates: poisson, overdispersed Poisson, and negative binomial models. Psychol Bull. 1995 Nov;118(3):392. doi:10.1037/0033-2909.118.3.392.
  • Hunter G, Yoon J, Blonigen DM, Asch SM, Zulman DM. Health care utilization patterns among high-cost VA patients with mental health conditions. Psychiatr Serv. 2015 May 1;66(9):952–58. doi:10.1176/appi.ps.201400286.
  • Saitz R, Cheng DM, Winter M, Kim TW, Meli SM, Allensworth-Davies D, Lloyd-Travaglini CA, Samet JH. Chronic care management for dependence on alcohol and other drugs: the AHEAD randomized trial. Jama. 2013 Sep 18;310(11):1156–67. doi:10.1001/jama.2013.277609.
  • Weisner C, Mertens J, Parthasarathy S, Moore C, Lu Y. Integrating primary medical care with addiction treatment: A randomized controlled trial. Jama. 2001 Oct 10;286(14):1715. doi:10.1001/jama.286.14.1715.
  • Willenbring ML, Olson DH. A randomized trial of integrated outpatient treatment for medically ill alcoholic men. Archives of Intern Med. 1999 Sept 13;159(16):1946–52. doi:10.1001/archinte.159.16.1946.
  • Department of Veterans Affairs. Patient aligned care team (PACT) handbook. Washington, DC: Veterans Health Administration; 2014 VHA Handbook No.: 1101.10.
  • Trivedi RB, Post EP, Sun H, Pomerantz A, Saxon AJ, Piette JD, Maynard C, Arnow B, Curtis I, Fihn SD, et al. Prevalence, comorbidity, and prognosis of mental health among US veterans. Am J Pub Health. 2015 Dec;105(12):2564–69. doi:10.2105/AJPH.2015.302836.
  • Beard C, Hearon BA, Lee J, Kopeski LM, Busch AB, Björgvinsson T. When Partial Hospitalization Fails: risk Factors for Inpatient Hospitalization. J Nerv Ment Dis. 2016 Jun 1;204(6):431–36. doi:10.1097/NMD.0000000000000515.
  • Chang G, Raffi E, Tang M, Fernando GI, Zucker J, Schein AZ. High utilization of inpatient detoxification: predictors among US veterans. Am J Drug Alcohol Abuse. 2016 May 3;42(3):279–86. doi:10.3109/00952990.2015.1089256.
  • Wang L, Porter B, Maynard C, Evans G, Bryson C, Sun H, Gupta I, Lowy E, McDonell M, Frisbee K, et al. Predicting risk of hospitalization or death among patients receiving primary care in the Veterans Health Administration. Med Care. 2013 Apr 1;51(4):368–73. doi:10.1097/MLR.0b013e31827da95a.
  • Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. Jama. 2002 Oct 9;288(14):1775–79. doi:10.1001/jama.288.14.1775.
  • Prendergast M, Podus D, Finney J, Greenwell L, Roll J. Contingency management for treatment of substance use disorders: A meta‐analysis. Addiction. 2006 Nov 1;101(11):1546–60. doi:10.1111/add.2006.101.issue-11.
  • Jones HE, Haug N, Silverman K, Stitzer M, Svikis D. The effectiveness of incentives in enhancing treatment attendance and drug abstinence in methadone-maintained pregnant women. Drug Alcohol Depend. 2001 Feb 1;61(3):297–306. doi:10.1016/S0376-8716(00)00152-6.
  • O’Malley KJ, Cook KF, Price MD, Wildes KR, Hurdle JF, Ashton CM. Measuring diagnoses: ICD code accuracy. Health Serv Res. 2005 Oct 1;40(5p2):1620–39. doi:10.1111/hesr.2005.40.issue-5p2.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.