Table 3. Retention in Care Among Youths With at Least 2 Claims for Addiction Treatment.
Characteristic | Adjusted Hazard Ratio (95% CI)a | |
---|---|---|
Attrition From Any Addiction Treatment (n = 3247)b,c | Attrition From Behavioral Health Services (n = 2885)b | |
Sociodemographic characteristics | ||
Age ≥21 y | 1.63 (1.45-1.83) | 1.59 (1.41-1.80) |
Male | 1.13 (1.03-1.24) | 1.13 (1.02-1.24) |
Non-Hispanic white | 1.03 (0.93-1.14) | 1.05 (0.94-1.18) |
Eligible for Medicaid owing to disability | 0.63 (0.49-0.80) | 0.60 (0.46-0.78) |
Clinical characteristics | ||
Pregnancyd | 0.87 (0.75-0.99) | 0.90 (0.77-1.04) |
Comorbid behavioral health diagnosisd,e | 1.04 (0.95-1.14) | 1.01 (0.92-1.11) |
Comorbid alcohol or other substance use disorderd | 1.02 (0.93-1.12) | 1.00 (0.91-1.10) |
Acute or chronic pain conditiond | 0.92 (0.84-1.01) | 0.92 (0.83-1.01) |
Treatment received | ||
Higher level of behavioral health services within 3 mo of initiating episode of caref | 0.94 (0.85-1.02) | 0.92 (0.83-1.01) |
Timely opioid use disorder medication within 3 mo of diagnosis | ||
No medication | 1 [Reference] | 1 [Reference] |
Buprenorphine | 0.58 (0.52-0.64) | 0.73 (0.64-0.82) |
Naltrexone | 0.54 (0.43-0.69) | 0.57 (0.44-0.73) |
Methadone | 0.32 (0.22-0.47) | 0.47 (0.33-0.68) |
Multivariable models included all covariates listed in the table.
Attrition defined as at least 60 days without any claims for services.
Includes receipt of any behavioral health services or opioid use disorder medications.
At or during the 3 months before receiving a diagnosis of opioid use disorder.
Depression, anxiety, or attention-deficit/hyperactivity disorder.
Includes intensive outpatient treatment, partial hospitalization, residential care, or inpatient care.