Predictors of Substance Abuse Treatment Outcome in Hospitalized Veterans
Article first published online: 24 MAY 2013
Copyright © American Academy of Addiction Psychiatry
The American Journal on Addictions
Volume 22, Issue 4, pages 358–365, JulyߝAugust 2013
How to Cite
Vayalapalli, S., Fareed, A., Byrd-Sellers, J., Stout, S., Casarella, J. and Drexler, K. (2013), Predictors of Substance Abuse Treatment Outcome in Hospitalized Veterans. The American Journal on Addictions, 22: 358–365. doi: 10.1111/j.1521-0391.2013.12050.x
- Issue published online: 24 JUN 2013
- Article first published online: 24 MAY 2013
- Manuscript Revised: 2 DEC 2011
- Manuscript Accepted: 2 DEC 2011
- Manuscript Received: 18 JUL 2011
Background and Objectives
Historically patients consulted for the substance abuse treatment from the medical surgical floors have a very low show rate for the substance abuse treatment. The authors performed retrospective chart review to find predictors of substance abuse treatment outcome in hospitalized veterans at Atlanta VA Medical Center.
The medical records from all the patients who were admitted to the medical/surgical floor with substance abuse consults from January-December 2009 were reviewed. A total of 235 consults were received. Those records were examined to find the predictors for substance abuse treatment.
Multiple variables were tested for significance – patient demographics, housing status, employment, reason for hospitalization, toxicology screens, co-morbid psychiatric and medical conditions, physician visits, and patients on waiting list. All variables were given cut-off point for the p-value of .10. These variables were then included in the logistic regression model. It was found that homelessness (χ2 = 16.14 and p < .0001) was the only individual variable that showed a statistically significant correlation with starting the program. It was found that homelessness (χ2 = 19.21 and p < .0001) was the only individual variable that showed statistically significant correlation with completing the program.
Conclusions and Scientific Significance
Our study supports that for veterans with substance abuse, housing was the only consistent predictor to enter intensive outpatient program (IOP), complete IOP, and start aftercare. Our study demonstrates the need for and potential benefit of providing stable housing for the homeless veterans. (Am J Addict 2013;22:358–365)