The Impact of Substance Use Disorders on Treatment Engagement Among Justice-Involved Veterans With Posttraumatic Stress Disorder
Veterans involved with the criminal justice system represent a particularly vulnerable population who experience high rates of both posttraumatic stress disorder (PTSD) and substance use disorders (SUD). This study sought to investigate whether having co-occurring SUD is a barrier to PTSD treatment....
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| Veröffentlicht in: | Psychological services 2019-11, Vol.16 (4), p.564-571 |
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| container_title | Psychological services |
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| creator | Stimmel, Matthew A. Rosenthal, Joel Blue-Howells, Jessica Clark, Sean Harris, Alex H. S. Rubinsky, Anna D. Bowe, Thomas Finlay, Andrea K. |
| description | Veterans involved with the criminal justice system represent a particularly vulnerable population who experience high rates of both posttraumatic stress disorder (PTSD) and substance use disorders (SUD). This study sought to investigate whether having co-occurring SUD is a barrier to PTSD treatment. This is a retrospective observational study of a national sample of justice-involved veterans served by the Veterans Health Administration Veterans Justice Outreach program who had a diagnosis of PTSD (N = 27,857). Mixed effects logistic regression models with a random effect for facility (N = 141 medical centers) were utilized to estimate the odds of receiving each type of PTSD treatment as a function of having a SUD diagnosis. Results indicate that a majority of veterans with PTSD served by the Veterans Justice Outreach program have an SUD diagnosis (73%), and having a co-occurring SUD was associated with higher odds of receiving PTSD treatment, after adjusting for demographic differences. Although not without limitations, these results suggest that among justice-involved veterans enrolled in the Veterans Health Administration with PTSD, having an SUD comorbidity is not a barrier to PTSD treatment and may in fact facilitate access to PTSD treatment. |
| doi_str_mv | 10.1037/ser0000238 |
| format | Article |
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Mixed effects logistic regression models with a random effect for facility (N = 141 medical centers) were utilized to estimate the odds of receiving each type of PTSD treatment as a function of having a SUD diagnosis. Results indicate that a majority of veterans with PTSD served by the Veterans Justice Outreach program have an SUD diagnosis (73%), and having a co-occurring SUD was associated with higher odds of receiving PTSD treatment, after adjusting for demographic differences. 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S.</creatorcontrib><creatorcontrib>Rubinsky, Anna D.</creatorcontrib><creatorcontrib>Bowe, Thomas</creatorcontrib><creatorcontrib>Finlay, Andrea K.</creatorcontrib><title>The Impact of Substance Use Disorders on Treatment Engagement Among Justice-Involved Veterans With Posttraumatic Stress Disorder</title><title>Psychological services</title><addtitle>Psychol Serv</addtitle><description>Veterans involved with the criminal justice system represent a particularly vulnerable population who experience high rates of both posttraumatic stress disorder (PTSD) and substance use disorders (SUD). This study sought to investigate whether having co-occurring SUD is a barrier to PTSD treatment. This is a retrospective observational study of a national sample of justice-involved veterans served by the Veterans Health Administration Veterans Justice Outreach program who had a diagnosis of PTSD (N = 27,857). Mixed effects logistic regression models with a random effect for facility (N = 141 medical centers) were utilized to estimate the odds of receiving each type of PTSD treatment as a function of having a SUD diagnosis. Results indicate that a majority of veterans with PTSD served by the Veterans Justice Outreach program have an SUD diagnosis (73%), and having a co-occurring SUD was associated with higher odds of receiving PTSD treatment, after adjusting for demographic differences. Although not without limitations, these results suggest that among justice-involved veterans enrolled in the Veterans Health Administration with PTSD, having an SUD comorbidity is not a barrier to PTSD treatment and may in fact facilitate access to PTSD treatment.</description><subject>Adult</subject><subject>Comorbidity</subject><subject>Criminal Justice</subject><subject>Criminal justice system</subject><subject>Criminal Law - statistics & numerical data</subject><subject>Female</subject><subject>Human</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical treatment</subject><subject>Middle Aged</subject><subject>Military hospitals</subject><subject>Military Veterans</subject><subject>Outpatient</subject><subject>Outreach programs</subject><subject>Outreach services</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Post traumatic stress disorder</subject><subject>Posttraumatic Stress Disorder</subject><subject>Retrospective Studies</subject><subject>Stress Disorders, Post-Traumatic - epidemiology</subject><subject>Stress Disorders, Post-Traumatic - therapy</subject><subject>Substance Use Disorder</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Treatment Barriers</subject><subject>Treatment Compliance</subject><subject>United States - epidemiology</subject><subject>United States Department of Veterans Affairs - statistics & numerical data</subject><subject>Veterans</subject><subject>Veterans - statistics & numerical data</subject><subject>Young Adult</subject><issn>1541-1559</issn><issn>1939-148X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kU9vEzEQxVcIREvhwgdAlrhRLfWf9ca-IFVtgaBKIDUFbtbUO062ytqL7Y3UGx8dh5RQLszFI81Pb57nVdVLRt8yKmYnCSMtxYV6VB0yLXTNGvX9cellw2ompT6onqV0WxDdav60OuB6RpWYicPq52KFZD6MYDMJjlxNNymDt0iuE5LzPoXYYUwkeLKICHlAn8mFX8ISf7enQ_BL8mlKubdYz_0mrDfYka-YMYJP5FufV-RLSDlHmAYoFLnKEVPaaz-vnjhYJ3xx_x5V1-8vFmcf68vPH-Znp5c1SCpyrTqnKLdKIzgGXdOicoI1tEPVSoeadeicVG0joEyUoJpKZNw1yBBtK8RR9W6nO043A3a2uI-wNmPsB4h3JkBv_p34fmWWYWNaTmeN2gq8vheI4ceEKZvbMEVfPBte1gmmGNf_pajgJRAl20K92VE2hpQiur0PRs02U_M30wK_euh8j_4JsQDHOwBGMGO6sxDLodeY7BRj-c1WzLDWNEaW-_wCNXGu-w</recordid><startdate>20191101</startdate><enddate>20191101</enddate><creator>Stimmel, Matthew A.</creator><creator>Rosenthal, Joel</creator><creator>Blue-Howells, Jessica</creator><creator>Clark, Sean</creator><creator>Harris, Alex H. S.</creator><creator>Rubinsky, Anna D.</creator><creator>Bowe, Thomas</creator><creator>Finlay, Andrea K.</creator><general>Educational Publishing Foundation</general><general>American Psychological Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7QJ</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8977-4779</orcidid></search><sort><creationdate>20191101</creationdate><title>The Impact of Substance Use Disorders on Treatment Engagement Among Justice-Involved Veterans With Posttraumatic Stress Disorder</title><author>Stimmel, Matthew A. ; Rosenthal, Joel ; Blue-Howells, Jessica ; Clark, Sean ; Harris, Alex H. 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| source | APA PsycARTICLES; Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE |
| subjects | Adult Comorbidity Criminal Justice Criminal justice system Criminal Law - statistics & numerical data Female Human Humans Male Medical diagnosis Medical treatment Middle Aged Military hospitals Military Veterans Outpatient Outreach programs Outreach services Patient Acceptance of Health Care - statistics & numerical data Post traumatic stress disorder Posttraumatic Stress Disorder Retrospective Studies Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - therapy Substance Use Disorder Substance-Related Disorders - epidemiology Treatment Barriers Treatment Compliance United States - epidemiology United States Department of Veterans Affairs - statistics & numerical data Veterans Veterans - statistics & numerical data Young Adult |
| title | The Impact of Substance Use Disorders on Treatment Engagement Among Justice-Involved Veterans With Posttraumatic Stress Disorder |
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