Table 3.
Characteristics of subjects with alcohol and/or other drug dependence enrolled in a trial of access to a primary care based chronic disease management (CDM)care with follow-up data(N=553)
| Baseline | N (%)a |
|---|---|
| Age, median years (25th, 75th quartiles) | 39 (29, 46) |
| Male | 404 (73) |
| Race/ethnicity , non-white | 293 (53) |
| Homeless, any (past 3 month) | 327 (59) |
| Dependence, typeb | |
| Alcohol only | 65 (12) |
| Drug only | 123 (22) |
| Drug and alcohol | 365 (66) |
| Alcohol addiction severity, mean (std)c | 0.63 (0.25) |
| Drug addiction severity, mean (std) d | 0.34 (0.12) |
| Heroin, any (past 30 days) | 329 (60) |
| Cocaine, any (past 30 days) | 375 (68) |
| Heavy alcohol, any (past 30 days) | 433 (78) |
| Depression, moderate or severee | 460 (84) |
| Substance disorder-related medical conditionf,lifetime |
358 (65) |
| Specialty addiction treatment, any (past 3 month) | 189 (34) |
| Addiction pharmacotherapy, any (past 3 month) | 33 (6) |
| Mutual help group attendance, any (past 3 month) | 265 (48) |
| Engagement with CDM clinic care g | 127 (23) |
| PACIC-CDM clinic score, tertilesh, i | |
| Highest | 4.29 - 5 |
| Middle | 3.43 - < 4.29 |
| Lowest | 1 - < 3.43 |
| PACIC-any score, tertiles h, j | |
| Highest | 3.70 - 5 |
| Middle | 2.95 - < 3.70 |
| Lowest | 1- < 2.95 |
Unless otherwise indicated
Composite International Diagnostic Interview-Short Form
Among subjects with alcohol dependence and recent heavy alcohol use, n = 409
Among subjects with drug dependence and recent drug use, n = 458
Patient Health Questionnaire (PHQ-9) Score ≥10
Includes seizures, heart failure, atrial fibrillation, rapid heat beat, hepatitis, cirrhosis,peripheral neuropathy, cancer of mouth/esophagus/stomach, skin infections,pneumonia, tuberculosis, gastritis, pancreatitis, anemia, septic arthritis, endocarditis,or blood clots.
Among subjects randomly assigned access to the CDM clinic, n = 270
PACIC score range: 1-5 with higher scores indicating care with more core features of the chronic care model.
Measure of the degree that care delivered by the CDM clinic is aligned with core components of the chronic care model
Measure of the degree that care for addictions delivered by any healthcare provider is aligned with core components of the chronic care model