Effectiveness of residential treatment services for veterans with substance use disorders: A propensity score matching evaluation.
Drug Alcohol Depend
; 255: 111081, 2024 Feb 01.
Article
en En
| MEDLINE
| ID: mdl-38211367
ABSTRACT
BACKGROUND:
Prior reviews of substance use disorder (SUD) treatment have found mixed support for residential level of care but are limited by methodology problems and the ethical concerns of randomizing patients with severe SUD to lower levels of care.METHODS:
The present study is the first to use a large archival SUD residential sample with a matched comparison group and one-year follow-up period to examine the benefits of residential treatment provided to adults clinically assessed as warranting SUD residential care. We used propensity score matching in our sample (N = 6177) of veterans with a SUD who were screened and accepted for Veterans Affairs (VA) SUD residential treatment between January 1st, 2019 and June 30th, 2019.RESULTS:
We found evidence that VA SUD residential treatment saves veteran lives with an average 66% all-cause mortality risk reduction during the study period (b = -1.09, exp(b) = 0.34, p <0.001). Medium-to-large residential pre- to post-treatment self-reported mental health and SUD symptom improvements (|SMDrobust| = 0.54-0.93) were sustained by one-year post-screening. These residential treatment improvements were significantly larger than estimated counterfactual outcomes across self-reported SUD and stress disorder symptoms at one-year post-screening (ps <0.001). We found mixed behavioral, service utilization, and other self-reported mental health outcomes.CONCLUSIONS:
We conclude that VA SUD residential treatment is an effective level of care for veterans warranting residential care particularly for SUD symptom improvements and reductions in mortality risk.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Veteranos
/
Trastornos Relacionados con Sustancias
Tipo de estudio:
Clinical_trials
/
Evaluation_studies
Límite:
Adult
/
Humans
País como asunto:
America do norte
Idioma:
En
Año:
2024
Tipo del documento:
Article