The impact of substance use disorders on treatment engagement among justice-involved veterans with posttraumatic stress disorder.
The impact of substance use disorders on treatment engagement among justice-involved veterans with posttraumatic stress disorder.
复制标题
药物使用障碍对患有创伤后应激障碍的参与司法的退伍军人的治疗参与度的影响。
DOI：
10.1037/ser0000238
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发表时间：
2019
影响因子：
2.3
通讯作者：
Finlay,AndreaK
中科院分区：
文献类型：
--
作者：
Stimmel,MatthewA;Rosenthal,Joel;Blue-Howells,Jessica;Clark,Sean;Harris,AlexHS;Rubinsky,AnnaD;Bowe,Thomas;Finlay,AndreaK
Veterans involved with the criminal justice system represent a particularly vulnerable population who experience high rates of both posttraumatic stress disorder (PTSD) and substance use disorders (SUD). This study sought to investigate whether having co-occurring SUD is a barrier to PTSD treatment. This is a retrospective observational study of a national sample of justice-involved veterans served by the Veterans Health Administration Veterans Justice Outreach program who had a diagnosis of PTSD (N= 27,857). Mixed effects logistic regression models with a random effect for facility (N= 141 medical centers) were utilized to estimate the odds of receiving each type of PTSD treatment as a function of having a SUD diagnosis. Results indicate that a majority of veterans with PTSD served by the Veterans Justice Outreach program have an SUD diagnosis (73%), and having a co-occurring SUD was associated with higher odds of receiving PTSD treatment, after adjusting for demographic differences. Although not without limitations, these results suggest that among justice-involved veterans enrolled in the Veterans Health Administration with PTSD, having an SUD comorbidity is not a barrier to PTSD treatment and may in fact facilitate access to PTSD treatment.
