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Comorbid mental disorders among clients in addiction treatment: The costs of care

机译：上瘾者中合并症患者的精神障碍：护理费用

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Urbanoski, K., Rehm, J., Lange, S., & Popova, S. (2014). Comorbid mental disorders among clients in addiction treatment: The costs of care. The International Journal Of Alcohol And Drug Research, 3 (4), 297-304. doi: http://dx.doi.org/10.7895/ijadr.v3i4.183 Aims: To compare the volume and costs of services for clients with and without comorbid mental disorders in an addiction treatment system. Design: Secondary data analysis. Setting: Administrative data for the fiscal year 2010–2011 were abstracted from the Drug and Alcohol Treatment Information System (DATIS). Participants: Data represents all clients entering publicly funded services in Ontario in the fiscal year 2010–2011 ( N = 41,953). Measures: Service costs were calculated using recent estimates of the cost per outpatient visit and day of residential care. Average numbers of visits/days per client, with and without mental disorders, were compared across gender and age subgroups. Findings: Overall, 22% of clients treated in 2010–2011 reported a past-year mental disorder. The costs of services for these clients were estimated to be between $18.5 and $40.3 million (in Canadian dollars), or 20% of the total service costs for the year. The largest difference in average volume of care was seen for residential treatment, where having a mental disorder was associated with seven fewer days of care. On average, during the period studied, among those without mental disorders, men spent 20 more days in residential care than did women. Conclusions: At the system-level in Ontario, clients with mental disorders did not account for a disproportionate amount of the total costs of care during the year. While these findings may signal a mismatch between the needs of clients with co-occurring disorders and their use of services, it is also possible that such clients receive additional care in other treatment sectors. Further study is warranted to explore potential unmet needs among clients with co-occurring disorders in addiction treatment.
机译：Urbanoski，K.，Rehm，J.，Lange，S.，＆Popova，S.（2014年）。上瘾者中合并症患者的精神障碍：护理费用。国际酒精与药物研究杂志，3（4），297-304。 doi：http：//dx.doi.org/10.7895/ijadr.v3i4.183目的：比较成瘾治疗系统中有或没有合并精神障碍患者的服务数量和费用。设计：辅助数据分析。背景：2010-2011财政年度的行政数据摘自毒品和酒精治疗信息系统（DATIS）。参与者：数据代表2010-2011财政年度在安大略省进入公共资助服务的所有客户（N = 41,953）。措施：服务费用是使用最近对每次门诊和住院日费用的估计来计算的。比较了不同性别和年龄组的每位患者有或没有精神障碍的平均访问次数/天数。调查结果：总体而言，2010-2011年接受治疗的患者中有22％报告有过去的精神障碍。这些客户的服务成本估计在18.5到4030万美元（加元）之间，占当年总服务成本的20％。住院治疗的平均护理量差异最大，其中精神障碍患者的护理时间减少了七天。平均而言，在所研究的时期内，在没有精神障碍的人中，男性在住宿照料上的时间比女性多20天。结论：在安大略省的系统级，精神障碍患者在这一年中的医疗总费用中所占的比例并不高。尽管这些发现可能预示着合并症患者的需求与他们对服务的使用不匹配，但也有可能这些患者在其他治疗部门获得额外的护理。有必要进行进一步的研究，以探讨在成瘾治疗中同时发生疾病的患者中潜在的未满足需求。

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