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. 2021 May 31;16(1):46.
doi: 10.1186/s13011-021-00383-w.

A missed opportunity: underutilization of inpatient behavioral health services to reduce injection drug use sequelae in Florida

Austin E Coye  1 , Mackenzie T Jones  2 , Kasha J Bornstein  2 , Hansel E Tookes  3 , Joan E St Onge  4
Affiliations

A missed opportunity: underutilization of inpatient behavioral health services to reduce injection drug use sequelae in Florida

Austin E Coye et al. Subst Abuse Treat Prev Policy. .

Abstract

Background: People who inject drugs (PWID) suffer high morbidity and mortality from injection related infections (IRI). The inpatient setting is an ideal opportunity to treat underlying substance use disorder (SUD), but it is unclear how often this occurs.

Objectives: To quantify the utilization of behavioral health services for PWID during inpatient admissions for IRI.

Methods: Data for all hospital admissions in Florida in FY2017 were obtained from the Agency for Healthcare Administration. Hospitalization for IRI were obtained using a validated ICD-10 algorithm and treatment for substance use disorder was quantified using ICD-10-Procedure Coding System (ICD-10-PCS) codes.

Result: Among the 20,001 IRI admissions, there were 230 patients who received behavioral health services as defined by ICD-10-PCS SAT codes for treatment for SUD.

Conclusions: In a state with a large number of IRI, only a very small portion of admissions received behavioral health services. Increased efforts should be directed to studying referral patterns among physicians and other providers caring for this population and increasing utilization of behavioral health services.

Keywords: Addiction; Inpatient addiction services; MOUD; Opioids; People who inject drugs.

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Conflict of interest statement

The authors declare that they have no competing interests.

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References

    1. Ronan MV, Herzig SJ. Hospitalizations related to opioid abuse/dependence and associated serious infections increased sharply, 2002-12. Health Aff (Millwood) 2016;35(5):832–837. doi: 10.1377/hlthaff.2015.1424. - DOI - PMC - PubMed
    1. Zibbell JE, Asher AK, Patel RC, Kupronis B, Iqbal K, Ward JW, Holtzman D. Increases in acute hepatitis C virus infection related to a growing opioid epidemic and associated injection drug use, United States, 2004 to 2014. Am J Public Health. 2018;108(2):175–181. doi: 10.2105/AJPH.2017.304132. - DOI - PMC - PubMed
    1. Wurcel AG, Anderson JE, Chui KK, et al. Increasing Infectious Endocarditis Admissions Among Young People Who Inject Drugs. Open Forum Infect Dis. 2016;3(3):ofw157. doi: 10.1093/ofid/ofw157. - DOI - PMC - PubMed
    1. McCarthy NL, Baggs J, See I, et al. Bacterial infections associated with substance use disorders, large cohort of United States hospitals, 2012-2017. Clin Infect Dis. 2020;71(7):e37–e44. doi: 10.1093/cid/ciaa008. - DOI - PMC - PubMed
    1. Walley AY, Paasche-Orlow M, Lee EC, Forsythe S, Chetty VK, Mitchell S, Jack BW. Acute care hospital utilization among medical inpatients discharged with a substance use disorder diagnosis. J Addict Med. 2012;6(1):50–56. doi: 10.1097/ADM.0b013e318231de51. - DOI - PMC - PubMed

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