Evaluation of the Washington State Screening, Brief Intervention, and Referral to Treatment Project
Cost Outcomes for Medicaid Patients Screened in Hospital Emergency Departments
Bibliographic Data
| ID | 9099807 |
|---|---|
| Authors | Sharon Estee (United States Department of State, corresponding author), Thomas M Wickizer (The Ohio State University), Thomas Wickizer, Lijian He (Washington Department of Social and Health Services, corresponding author), Melissa Ford Shah (United States Department of State, corresponding author), David Mancuso (Washington Department of Social and Health Services, corresponding author) |
| Year | 2010 |
| Volume | 48 |
| Issue | 1 |
| Pages | 18-24 |
| Publication date | 2010-01-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0b013e3181bd498f |
| PMID | 19927016 |
| OpenAlex | W2012111243 |
| Language | EN |
| Citations received | 10 |
| References cited | 35 |
BACKGROUND: Substance abuse is a major determinant of morbidity, mortality, and health care resource consumption. We evaluated a screening, brief intervention, and referral to treatment (SBIRT) program, implemented in 9 hospital emergency departments (ED) in Washington State. METHODS: Working-age, disabled Medicaid patients who were screened and received a brief intervention (BI) from April 12, 2004 through September 30, 2006 were included in the study's intervention group (N = 1557). The comparison group (N = 1557), constructed using (one-to-one) propensity score matching, consisted of Medicaid patients who received care in one of the counties in which an intervention hospital ED was located but who did not receive a BI. We estimated difference-in-difference (DiD) regression models to assess the effects of the SBIRT program for different patient groups. RESULTS: The SBIRT program was associated with an estimated reduction in Medicaid costs per member per month of $366 (P = 0.05) for all patients, including patients who received a referral for chemical dependency (CD) treatment. For patients who received a BI only and had no CD treatment in the year before or the year after the ED visit, the estimated reduction in Medicaid per member per month costs was $542 (P = 0.06). The SBIRT program was also associated with decreased inpatient utilization (P = 0.04). CONCLUSION: SBIRT programs have potential to limit resource consumption among working-age, disabled Medicaid patients. The hospital ED seems especially well suited for SBIRT programs given the large number of injured patients treated in the ED and the fact that many conditions treated are related to substance abuse
Brief intervention · Emergency department · Family medicine · Health care · Intervention (counseling) · Medicaid · Propensity score matching · Referral · Emergency Medicine · Internal Medicine · Medicine · Nursing · Opioid Use Disorder Treatment · Smoking Behavior and Cessation · Substance Abuse Treatment and Outcomes
Effects of screening and brief intervention for drug use in the emergency department on utilization
Integrating Substance Use Disorder Services with Primary Care
Searching For Answers
Integrating Screening, Brief Intervention, and Referral to Treatment (SBIRT) into Clinical Practice Settings
Interventions to Reduce Hospital and Emergency Department Utilization Among People With Alcohol and Substance Use Disorders
Inference With Difference-in-Differences With a Small Number of Groups
Health Care Utilization After Paraprofessional-administered Substance Use Screening, Brief Intervention, and Referral to Treatment
Screening, Brief Intervention, and Referral to Treatment in the Emergency Department
Screening and Brief Intervention for Alcohol Misuse in Older Adults
Feasibility and Preliminary Responses to a Screening and Brief Intervention Program for Maternal Mental Disorders Within the Context of Primary Care
A Review of Research on the Alcohol Use Disorders Identification Test (Audit)
Motivational Interviewing
Actual Causes of Death in the United States
A comprehensive review of the psychometric properties of the Drug Abuse Screening Test
Estimating Causal Effects from Large Data Sets Using Propensity Scores
Screening, Brief Intervention, and Referral to Treatment (SBIRT)
Brief interventions for alcohol problems
Screening for alcohol problems in emergency department patients with minor injury
Benefit-Cost Analysis of Brief Physician Advice With Problem Drinkers in Primary Care Settings
The Effect of Screening and Brief Intervention for Risky Drinking on Health Care Utilization in Managed Care Organizations
The Medicaid Rx Model
Development of the Alcohol Use Disorders Identification Test (Audit)
| Unique citing works | 10 |
|---|---|
| Citations per year | 0,71 |
| Citation span | 2012 - 2026 (15) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 10 |