Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET)

Assesses adults and adolescents 13 years of age and older with a new episode of alcohol or other drug (AOD) dependence who received the following:

  • Initiation of AOD Treatment: Adolescents and adults who initiated treatment through an inpatient AOD admission, outpatient visit, intensive outpatient encounter or partial hospitalization, telehealth or medication-assisted treatment (MAT) within 14 days of diagnosis.
  • Engagement of AOD Treatment: Adolescents and adults who initiated treatment and had two or more additional AOD services or MAT within 34 days of the initiation visit.

Why It Matters

In 2016, 20.1 million Americans over 12 years of age (about 7.5% of the population) were classified as having a substance use disorder involving AOD.1 Treatment, including MAT, in conjunction with counseling or other behavioral therapies, has been shown to reduce AOD-associated morbidity and mortality, improve health, productivity and social outcomes and reduce health care spending.2,3,4. Despite strong evidence, less than 20% of individuals with substance use disorders receive treatment.1

Results

Initiation of AOD Treatment - Alcohol Abuse or Dependence

YearCommercial HMOCommercial PPOMedicaid HMOMedicare HMOMedicare PPO
201836.637.541.637.939.7
201736.637.44138.642.8

Initiation of AOD Treatment - Opioid Abuse or Dependence

YearCommercial HMOCommercial PPOMedicaid HMOMedicare HMOMedicare PPO
201840.14152.531.432
20174241.650.231.332.9

Initiation of AOD Treatment - Other Drug Abuse or Dependence

YearCommercial HMOCommercial PPOMedicaid HMOMedicare HMOMedicare PPO
201836.63842.33229
201737.138.442.432.632.3

Initiation of AOD Treatment (Total)

YearCommercial HMOCommercial PPOMedicaid HMOMedicare HMOMedicare PPO
201835.436.242.833.533.9
201736.636.742.333.936.1
201633.533.940.832.736.5
201533.334.538.232.735.2
201434.736.138.332.535.1
201337.640.338.233.737.8
201239.141.239.438.843.3
201140.240.639.24147.6
201042.740.842.944.657.4
200942.74645.646.257.4
200842.442.644.545.949.1
200744.54645.650.356.5
200643.24943.350.350
200544.545.840.750.952.3
200445.945.752.6

Engagement of AOD Treatment - Alcohol Abuse or Dependence

YearCommercial HMOCommercial PPOMedicaid HMOMedicare HMOMedicare PPO
201811.813.610.94.94.6
201711.813.710.64.64.3

Engagement of AOD Treatment - Opioid Abuse or Dependence

YearCommercial HMOCommercial PPOMedicaid HMOMedicare HMOMedicare PPO
201819.520.325.65.33.9
201720.121.222.24.83.8

Engagement of AOD Treatment - Other Drug Abuse or Dependence

YearCommercial HMOCommercial PPOMedicaid HMOMedicare HMOMedicare PPO
20181213.911.73.72.6
201712.314.111.63.82.9

Engagement of AOD Treatment (Total)

YearCommercial HMOCommercial PPOMedicaid HMOMedicare HMOMedicare PPO
201812.213.8144.53.9
201712.514.313.54.43.6
201611.312.912.53.63.4
201511.813.510.23.22.9
201412.814.211.33.33.5
201313.714.810.63.23.5
201213.614.610.83.13
201115.21611.93.73.8
201015.61614.23.73.8
200916.115.712.34.64.2
200816.216.212.44.39.4
200715.215.214.44.56.3
200613.81611.74.57
200514.115.39.74.73.2
200415.5_11.97.1_

References

  1. Substance Abuse and Mental Health Services Administration. (2017). Key substance use and mental health indicators in the United States: Results from the 2016 National Survey on Drug Use and Health (HHS Publication No. SMA 17-5044, NSDUH Series H-52). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved from https://www.samhsa.gov/data/
  2. National Institute on Drug Abuse (NIDA). (2018). How effective is drug addiction treatment? https://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/frequently-asked-questions/how-effective-drug-addiction-treatment
  3. Substance Abuse and Mental Health Services Administration (SAMSHA). “Medication Assisted Treatment (MAT).” https://www.integration.samhsa.gov/clinical-practice/mat/mat-overview
  4. (2016). Cost effectiveness of drug treatment. Retrieved from: https://www.drugabuse.gov/publications/teaching-packets/understanding-drug-abuse-addiction/section-iv/6-cost-effectiveness-drug-treatment
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