Talk to the Veterans Crisis Line now
U.S. flag
An official website of the United States government

VA Health Systems Research

Go to the VA ORD website
Go to the QUERI website

HSR&D Citation Abstract

Search | Search by Center | Search by Source | Keywords in Title

Patient-treatment setting interaction effects on substance use disorder patients' outcomes

Tiet Q, Finney J, Byrnes H, Tregor G, Liu L, Kuang S, Strumolo A. Patient-treatment setting interaction effects on substance use disorder patients' outcomes. Paper presented at: VA HSR&D National Meeting; 2004 Mar 1; Washington, DC.




Abstract:

Objectives: This study tested the hypothesis that patients with more severe substance use disorder (SUD) problems respond better to more intensive treatment settings (e.g., inpatient), whereas patients with less severe SUD problems have similar outcomes regardless of treatment setting.Methods: Up to 50 new patients were randomly selected from each program of a random sample of 52 VA SUD treatment programs (low intensity: 17 outpatient and 15 intensive outpatient programs; high intensity: five domiciliary, 10 residential, and five inpatient programs). Patients completed a self-report version of the Addiction Severity Index (ASI) at baseline and at a 6-12-month follow-up (N = 1,290). Results:Mixed model regression found an interaction effect between treatment setting and baseline alcohol composite scores in relation to follow-up alcohol composite scores, while psychiatric and drug problems were controlled. Drug composite scores at follow-up were predicted by the interaction between treatment setting and baseline drug composite scores, while psychiatric and alcohol problems were controlled. Conclusions: Results support the hypothesis that treatment setting is unrelated to alcohol or drug use outcomes for patients with low levels of alcohol or drug problems; however, for patients who have higher levels of alcohol or drug problems prior to treatment, more intensive treatment settings are associated with better outcomes.Implication/Potential impact for future research and veterans health: These preliminary results suggest that intensive treatment settings are differentially beneficial for VA patients who have higher levels of substance use problems prior to treatment initiation and should continue to be part of the SUD continuum of care.





Questions about the HSR website? Email the Web Team

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.