Behavioral health treatment utilization among individuals with co-occurring opioid use disorder and mental illness: Evidence from a national survey
Behavioral health treatment utilization among individuals with co-occurring opioid use disorder and mental illness: Evidence from a national survey
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DOI：
10.1016/j.jsat.2018.12.006
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发表时间：
2019-03-01
影响因子：
3.9
通讯作者：
Chen, Jie
中科院分区：
文献类型：
--
作者：
Novak, Priscilla;Feder, Kenneth A.;Chen, Jie
背景：过去的研究表明，在物质使用障碍的个体中，精神疾病的存在可以影响行为健康治疗的开始、过程和成功，但很少有研究专门研究阿片类药物使用障碍(OUD)患者。方法：利用2008-2014年全国药物使用与健康调查，本研究调查了精神疾病严重程度不同的OUD患者对药物使用障碍和心理健康治疗的利用情况。结果：47%的轻、中度精神病患者没有接受任何行为健康治疗，21%的严重精神疾病患者没有接受任何行为健康治疗。在同时患有轻度和中度精神疾病的患者中，16%的患者报告同时接受了药物使用障碍和心理健康治疗；在同时患有严重精神疾病的患者中，这一比例为32%。最常见的治疗形式是精神健康的处方药，无论个人是否患有任何精神疾病，这一点都是正确的。超过50%的研究人群报告经济困难是治疗的障碍。结论：有很高比例的精神疾病患者没有得到必要的护理。然而，近五分之一的OUD但未被诊断为精神疾病的人正在接受治疗精神疾病的处方药。这些发现表明，有必要更好地促进OUD患者在不同环境中获得和协调行为健康护理。
Background: Past research shows that among individuals with substance use disorders, the presence of a co-occurring mental illness can influence the initiation, course, and success of behavioral health treatment, but little research has examined people with opioid use disorder (OUD) specifically.Methods: Using the 2008-2014 National Survey on Drug Use and Health, this study examines the utilization of substance use disorder and mental health treatment among individuals with OUD and different degrees of mental illness severity. The study also examined types of treatment, perceived unmet need for treatment, and barriers to care.Results: 47% of individuals with OUD and co-occurring mild/moderate mental illness did not receive any behavioral health treatment, and 21% of those with co-occurring serious mental illnesses did not receive any behavioral health treatment. Among those with OUD and co-occurring mild/moderate mental illness, 16% reported receiving both substance use disorder and mental health treatment; among those with co-occurring serious mental illness the rate was 32%. The most common form of treatment was prescription medication for mental health, and this was true regardless of whether or not the individual had any mental illness. More than 50% of the study population reported financial difficulties as a barrier to treatment.Conclusion: A high proportion of individuals with OUD and co-occurring mental illness are not receiving needed care. However, nearly one in five of those with OUD but no diagnosed mental illness is receiving prescription medication for mental illness. These findings suggest that there is a need to better facilitate access to and coordinate behavioral health care across settings for individuals with OUD.