Table 3.
Association of Medicaid status at T1 with different types of substance use disorder treatments between the two waves in participants of the National Epidemiologic Survey on Alcohol and Related Conditions with lifetime SUD.
| Type of substance use treatment | Medicaid at T1 | Un-insured at T1 |
Comparison | ||||
|---|---|---|---|---|---|---|---|
| N | % | N | % | AOR | 95 %CI | p | |
| Any substance use treatment | 64 | 11.9 | 154 | 7.6 | 1.66 | 1.04,2.66 | .034 |
| Treatments potentially covered by health insurance | 60 | 11.3 | 118 | 6.0 | 2.05 | 1.28,3.31 | .004 |
| Outpatient clinic, including outreach programs and day or partial hospital | 24 | 4.0 | 37 | 1.4 | 2.24 | 1.05,4.79 | .038 |
| Inpatient ward of a psychiatric or general hospital | 20 | 4.3 | 21 | 0.8 | 3.59 | 1.49,8.66 | .005 |
| Detoxification ward or clinic | 26 | 4.9 | 41 | 2.1 | 2.36 | 1.15,4.84 | .020 |
| Rehabilitation program | 29 | 5.4 | 58 | 3.0 | 2.16 | 1.15,4.09 | .018 |
| Private office of physician, psychiatrist, psychologist, or social worker | 45 | 8.6 | 69 | 3.5 | 2.33 | 1.40,3.86 | .001 |
| Methadone Maintenance Program | 5 | 0.6 | 5 | 0.4 | 1.45 | 0.36,5.83 | .593 |
| Emergency room | 17 | 3.6 | 24 | 1.1 | 2.74 | 1.04,7.26 | .042 |
| Treatments not covered by insurance | 49 | 8.9 | 123 | 6.2 | 1.62 | 0.96,2.73 | .070 |
| Self-help groups (e.g., AA, NA) | 39 | 7.1 | 102 | 5.3 | 1.47 | 0.89,2.43 | .135 |
| Family services or other social services | 27 | 4.7 | 37 | 2.0 | 2.85 | 1.34,6.07 | .007 |
| Halfway house or therapeutic community | 7 | 1.1 | 14 | 0.6 | 1.55 | 0.47,5.17 | .468 |
| Crisis Center | 7 | 1.2 | 6 | 0.4 | 2.18 | 0.62–7.68 | .220 |
| Employee Assistance Program (EAP) | 2 | 0.2 | 5 | 0.3 | 1.08 | 0.19–6.07 | .933 |
| Help from clergyman, priest, rabbi, or any type of religious counselor | 13 | 2.0 | 25 | 1.2 | 1.36 | 0.58–3.22 | .477 |
a
Regression model adjusted for sex, age, race/ethnicity, income, employment status, receipt of SSI, substance use disorder and mood or anxiety disorders in the past year (at T1) as well as other types of insurance enrollment.