The economic consequences of substance use disorders

The economic consequences of substance use disorders

e12 Abstracts / Journal of Substance Abuse Treatment 43 (2012) e1–e25 One promising approach is the recovery management checkups (RMC) model, which ...

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e12

Abstracts / Journal of Substance Abuse Treatment 43 (2012) e1–e25

One promising approach is the recovery management checkups (RMC) model, which is based on the premise that ongoing monitoring and early re-intervention will impact the long-term trajectory of addiction careers. Results from recent clinical trials of RMCs for adults with substance use disorders indicate that, relative to a control group, RMC subjects spend less time in the community using drugs, experience quicker linkages with substance abuse treatment, have greater treatment engagement, exhibit less long-term substance use, and experience fewer substance use disorder symptoms. This study estimates the incremental cost-effectiveness of RMC relative to a control group in promoting abstinence and reducing the number of substance use-related problems over a 4 year follow-up period. Incremental cost-effectiveness ratios and cost-effectiveness acceptability curves are presented and discussed. http://dx.doi.org/10.1016/j.jsat.2012.08.064

Got munchies? The association between cannabis use and body weight Isabelle Beulaygue University of Miami E-mail address: [email protected] Although marijuana use is commonly associated with increased appetite and the likelihood of weight gain, research findings in this area are mixed. While a vast body or research finds a positive relationship between marijuana consumption and body weight, some recent studies indicate a negative association between marijuana consumption and body weight. The latter studies are cross-sectional in nature, and often do not control for omitted variables such as physical activities, socioeconomic status, and other drug use. Using data from Waves III and IV of the National Longitudinal Survey of Adolescent Health (Add Health), we utilize a fixed effects model to study the relationship between marijuana use and body mass index over time. Our analysis also includes sensitivity tests investigating the relationship between marijuana consumption and waist circumference for individuals at Wave IV. Findings reveal that marijuana consumption is related to lower body mass index and waist circumference.

shape relationship between alcohol use and mortality, with moderate drinkers demonstrating lower risk of death. However, most studies examining alcohol use and health are cross sectional in nature and limited in their ability to address unobserved heterogeneity. We build on a previous study to investigate the relationship between alcohol use and health status. Using two waves of the National Longitudinal Survey of Adolescent Health (ADD Health), we employ a fixed effects analysis to examine whether the proposed relationship between moderate alcohol use and health is robust while controlling for various health and lifestyle factors. Findings indicate that moderate alcohol use is related to better health status. http://dx.doi.org/10.1016/j.jsat.2012.08.066

The economic consequences of substance use disorders Ioana Popovici Nova Southeastern University E-mail address: [email protected] Benefit–cost analysis of substance abuse treatment estimates and compares program costs and consequences to determine whether the total benefit of treatment exceeds the total cost of service delivery. This objective is particularly challenging for substance abuse researchers because the benefits of addiction services are measured across several independent and often non-correlated outcomes such as reduced crime, better health, and changes in employment. One of the essential yet difficult research tasks when conducting benefit–cost analyses is to convert various outcome measures from their natural units into economic costs. To facilitate the conversion of clinical measures to economic measures, this study presents a comprehensive list of monetary conversion factors for numerous measures within six broad outcome domains: health care utilization, illegal activity, criminal justice services, employment and education, social services and public assistance, and HIV risk behavior. Methods, sources of data, and applications to the field of addiction research are discussed. http://dx.doi.org/10.1016/j.jsat.2012.08.067

Symposium http://dx.doi.org/10.1016/j.jsat.2012.08.065

The relationship between moderate alcohol use and health status Bisma Sayed University of Miami E-mail address: [email protected] Although alcohol use is frequently implicated for contributing to a variety of health problems, recent research suggests that moderate alcohol consumption may be beneficial for health. Extant research finds that there is a U

Addiction pharmacotherapy: What do we know about access? Sharon Reif Brandeis University E-mail address: [email protected] Advances in pharmacotherapy for addiction continue, with an increasing number of medications available to treat addictions. However, existence of medications does not necessarily translate to access for people with addictions. The presentations in this symposium address access to addiction