Utilization and cost of mental health, substance abuse, and medical services among at-risk drinkers

Paul J. Nietert, Michael French, Joann E. Kirchner, Brenda M. Booth

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The objective of this research was to examine whether users of mental health or substance abuse (MH/SA) services incurred greater costs for non-MH/SA services than nonusers of MH/SA services. Two years of health care utilization data were collected on 443 at-risk drinkers from six southern U.S. states. We then examined predictors of using MH/SA services and costs associated with non-MH/SA services. The results showed that use of MH/SA services was associated with female gender, military service, health insurance, and not being employed full-time. Unadjusted analyses indicated that non-MH/SA service costs were significantly higher among MH/SA service users than nonusers. However, this association did not endure in multivariable models. In fact, emergency department costs were significantly lower among MH/SA users. It is commonly assumed that users of MH/SA services are also heavy users of other medical services. Through multivariable models, this study found that overall costs of non-MH/SA services were similar between users and nonusers of MH/SA services.

Original languageEnglish (US)
Pages (from-to)431-448
Number of pages18
JournalMedical Care Research and Review
Volume64
Issue number4
DOIs
StatePublished - Aug 2007

Fingerprint

medical services
substance abuse
Substance-Related Disorders
Mental Health
utilization
mental health
Costs and Cost Analysis
costs
Health
health
Patient Acceptance of Health Care
military service
Mental Health Services
Health Insurance
health insurance
Hospital Emergency Service
health care

Keywords

  • Alcoholism and addictive behavior
  • Economic analysis
  • Health services utilization and cost

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Health Policy

Cite this

Utilization and cost of mental health, substance abuse, and medical services among at-risk drinkers. / Nietert, Paul J.; French, Michael; Kirchner, Joann E.; Booth, Brenda M.

In: Medical Care Research and Review, Vol. 64, No. 4, 08.2007, p. 431-448.

Research output: Contribution to journalArticle

Nietert, Paul J. ; French, Michael ; Kirchner, Joann E. ; Booth, Brenda M. / Utilization and cost of mental health, substance abuse, and medical services among at-risk drinkers. In: Medical Care Research and Review. 2007 ; Vol. 64, No. 4. pp. 431-448.
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