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The role of perceived need and health insurance in substance use treatment: implications for the Affordable Care Act.
J Subst Abuse Treat. 2015 Jul; 54:14-20.JS

Abstract

The expansions in insurance coverage under the Patient Protection & Affordable Care Act (ACA) that took full effect in 2014 have been projected to increase the number of users of behavioral health services. By analyzing data from the 2008-2012 National Survey on Drug Use and Health, this paper examines whether health insurance expansion may result in an increase in substance use disorder (SUD) treatment utilization. The study sample includes 18,600 adults with SUD but no diagnosable mental health condition. The analysis finds that over 80% of that population receives no treatment and 97% do not perceive a need for treatment. When they do receive treatment, they are more likely to receive mental health treatment. Using multinomial logistic regression, the study finds that having Medicaid or private insurance is associated with higher likelihood of receiving SUD treatment, but only when individuals perceive a need for it, compared to being uninsured and not perceiving a need for treatment (the reference category). These results indicate that increased service utilization is associated with perceiving a need for substance abuse treatment, implying that outreach initiatives to raise awareness about SUD and the effective role of substance use treatment are needed to enhance the impact of the structural changes to the substance abuse treatment system resulting from the ACA.

Authors+Show Affiliations

Center for Behavioral Health Statistics & Quality, Substance Abuse & Mental Health Services Administration. Electronic address: mir.ali@samhsa.hhs.gov.Center for Behavioral Health Statistics & Quality, Substance Abuse & Mental Health Services Administration.Center for Behavioral Health Statistics & Quality, Substance Abuse & Mental Health Services Administration.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25753655

Citation

Ali, Mir M., et al. "The Role of Perceived Need and Health Insurance in Substance Use Treatment: Implications for the Affordable Care Act." Journal of Substance Abuse Treatment, vol. 54, 2015, pp. 14-20.
Ali MM, Teich JL, Mutter R. The role of perceived need and health insurance in substance use treatment: implications for the Affordable Care Act. J Subst Abuse Treat. 2015;54:14-20.
Ali, M. M., Teich, J. L., & Mutter, R. (2015). The role of perceived need and health insurance in substance use treatment: implications for the Affordable Care Act. Journal of Substance Abuse Treatment, 54, 14-20. https://doi.org/10.1016/j.jsat.2015.02.002
Ali MM, Teich JL, Mutter R. The Role of Perceived Need and Health Insurance in Substance Use Treatment: Implications for the Affordable Care Act. J Subst Abuse Treat. 2015;54:14-20. PubMed PMID: 25753655.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The role of perceived need and health insurance in substance use treatment: implications for the Affordable Care Act. AU - Ali,Mir M, AU - Teich,Judith L, AU - Mutter,Ryan, Y1 - 2015/02/23/ PY - 2014/09/10/received PY - 2015/01/28/revised PY - 2015/02/13/accepted PY - 2015/3/11/entrez PY - 2015/3/11/pubmed PY - 2016/2/10/medline KW - Affordable Care Act KW - Mental health treatment KW - Substance abuse treatment SP - 14 EP - 20 JF - Journal of substance abuse treatment JO - J Subst Abuse Treat VL - 54 N2 - The expansions in insurance coverage under the Patient Protection & Affordable Care Act (ACA) that took full effect in 2014 have been projected to increase the number of users of behavioral health services. By analyzing data from the 2008-2012 National Survey on Drug Use and Health, this paper examines whether health insurance expansion may result in an increase in substance use disorder (SUD) treatment utilization. The study sample includes 18,600 adults with SUD but no diagnosable mental health condition. The analysis finds that over 80% of that population receives no treatment and 97% do not perceive a need for treatment. When they do receive treatment, they are more likely to receive mental health treatment. Using multinomial logistic regression, the study finds that having Medicaid or private insurance is associated with higher likelihood of receiving SUD treatment, but only when individuals perceive a need for it, compared to being uninsured and not perceiving a need for treatment (the reference category). These results indicate that increased service utilization is associated with perceiving a need for substance abuse treatment, implying that outreach initiatives to raise awareness about SUD and the effective role of substance use treatment are needed to enhance the impact of the structural changes to the substance abuse treatment system resulting from the ACA. SN - 1873-6483 UR - https://www.unboundmedicine.com/medline/citation/25753655/The_role_of_perceived_need_and_health_insurance_in_substance_use_treatment:_implications_for_the_Affordable_Care_Act_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0740-5472(15)00041-0 DB - PRIME DP - Unbound Medicine ER -