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
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201737.138.442.432.632.3
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
201140.240.639.241.047.6
201042.740.842.944.657.4
200942.746.045.646.257.4
200842.442.644.545.949.1
200744.546.045.650.356.5
200643.249.043.350.350.0
200544.545.840.750.952.3
200445.945.752.6
ENGAGEMENT OF AOD TREATMENT
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201712.314.111.63.82.9
201611.312.912.53.63.4
201511.813.510.23.22.9
201412.814.211.33.33.5
201313.714.810.63.23.5
201213.614.610.83.13.0
201115.216.011.93.73.8
201015.616.014.23.73.8
200916.115.712.34.64.2
200816.216.212.44.39.4
200715.215.214.44.56.3
200613.816.011.74.57.0
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
  • Save

    Save your favorite pages and receive notifications whenever they’re updated.

    You will be prompted to log in to your NCQA account.

  • Email

    Share this page with a friend or colleague by Email.

    We do not share your information with third parties.

  • Print

    Print this page.