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New in SAj: Barriers and facilitators to changing drinking and receiving alcohol-related care: Interviews with Veterans Health Administration primary care patients who indicated interest but did not enroll in an alcohol care management intervention trial

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Most people with alcohol use disorder do not receive treatment, and primary care (PC)-based management of alcohol use disorder is a key strategy to close this gap. Understanding PC patients’ perspectives on changing drinking and receiving alcohol-related care is important for this goal, particularly among those who decline alcohol-related care. This study examined perspectives on barriers and facilitators to changing drinking and receiving alcohol-related care among Veterans Health Administration (VA) PC patients who indicated interest but did not enroll in the Choosing Healthier drinking Options In primary CarE trial (CHOICE), which tested a PC-based alcohol care management intervention.

This original research paper comes from authors Madeline C. Frost, MPH,Theresa E. Matson, MPH, Julie E. Richards, PhD MPH, Amy K. Lee, MPH, Carol E. Achtmeyer, MN ARNP, Katharine A. Bradley, MD MPH, and Emily C. Williams, PhD MPH.

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New in SAj: Predictors of substance use disorder treatment initiation and engagement among adolescents enrolled in Medicaid

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Adolescents with substance use disorders (SUD) should receive timely access to treatment to improve lifelong outcomes. The Healthcare Effectiveness Data and Information Set (HEDIS) initiation and engagement in treatment (IET) performance measure was intended to promote quality improvement for patients with SUD. Yet, few studies have assessed predictors of measure performance among adolescents or other engagement in mental health services, which is critical to understanding disparities in treatment quality or opportunities for targeted improvement strategies. The present study reports the rates and predictors of IET among adolescents with SUD, as well as receipt of any mental health services.

This article comes from authors Laura J. Chavez, PhD, MPH,Danielle L. Steelesmith , PhD,Jeffrey A. Bridge, PhD, and Cynthia A. Fontanella, PhD and was published in SAj on June 3, 2022.

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