Factors associated with frequent utilization of crisis substance use detoxification services

Emily Carrier, Jennifer McNeely, Iryna Lobach, Shane Tay, Marc N. Gourevitch, Maria C. Raven

Research output: Contribution to journalArticlepeer-review


Previous research suggests that some substance users have multiple crisis detoxification visits and never access rehabilitation care. This care-seeking pattern leads to poorer outcomes and higher costs. The authors aimed to identify predictors of repeat detoxification visits by analyzing state-level data routinely collected at the time of substances use services admission. Repeat detoxification clients were more likely to be homeless, city-dwelling fee-for-service Medicaid recipients. Repeat detoxification clients were less likely than those with one admission to enter rehabilitation within 3 days. Treatment providers should aim for rapid transfer to rehabilitation and consider expanding detoxification intake data to improve risk stratification.

Original languageEnglish (US)
Pages (from-to)116-122
Number of pages7
JournalJournal of Addictive Diseases
Issue number2
StatePublished - Apr 2011


  • Medicaid
  • Substance use
  • detoxification
  • health costs
  • homeless
  • rehabilitation
  • urban

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health


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