Decreases in employer referrals to first-time substance use treatment for adults from 2004 to 2020

Author:

Ware Orrin D.,Hussong Andrea1,Frey Jodi J.2,Daughters Stacey1,Cloeren Marianne3,Gryczynski Jan4,Lister Jamey5,Jordan Robyn6

Affiliation:

1. Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill; Chapel Hill, NC, USA

2. School of Social Work, University of Maryland; Baltimore, MD, USA

3. School of Medicine, University of Maryland; Baltimore, MD, USA

4. Friends Research Institute; Baltimore, MD, USA

5. School of Social Work, Rutgers University; New Brunswick, NJ, USA

6. School of Medicine, University of North Carolina at Chapel Hill; Chapel Hill, NC

Abstract

Abstract Objective Examine trends of employer/employee assistance program referred admissions to outpatient substance use disorder (SUD) treatment in the United States. Methods The publicly available Treatment Episode Data Set was used. Full-time employed adults with no history of SUD treatment referred to outpatient treatment by an employer/employee assistance program from 2004 to 2020 were included (N = 36,142). Joinpoint regression examined admission trends. Results Employer/employee assistance program referred admissions to outpatient treatment decreased annually by 6.4% from 2004 to 2020 (p < .001). Joinpoint analyses identified two linear segments from 2004 to 2008 (increased but not significant) and from 2008 to 2020. From 2008 to 2020, an average annual percent decrease of 8.7% (p < .001) was identified. Conclusions Findings from this repeated cross-sectional study suggest a missed opportunity for workplaces to serve as a potential SUD treatment access point.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Public Health, Environmental and Occupational Health

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