Alcohol Abuse and Dependence in a national sample of psychiatric patients

Dace S. Svikis, Deborah A. Zarin, Terri Tanielian, Harold Alan Pincus

Research output: Contribution to journalArticle

Abstract

Objective: To examine clinical characteristics and services being provided to Alcohol Abuse/Dependent (AAD) patients in current psychiatric practice. Method: In a national sample of psychiatrists (N = 417), each provided data on three preselected patients (N = 1,245; 51.8% women) that included demographics, DSM-IV diagnoses, treatment setting and health-plan measures. Logistic regression was used to compare patients with and without an AAD diagnosis. Results: Only 12% of patients (n = 151) had an AAD diagnosis. AAD patient care was more frequently subject to utilization review and restriction or specification of medications to be prescribed (formulary). Psychiatrists also perceived greater restrictions on AAD patient care (e.g., requirements to use specific practice guidelines or treatment algorithms). Conclusions: Findings suggest that health care systems are subjecting treatment patients with AAD to greater scrutiny and may be limiting the extent and nature of care provided to these patients. The low prevalence of AAD among patients being seen by psychiatrists also warrants further attention. Study findings highlight the utility of practice-based research in addiction psychiatry.

Original languageEnglish (US)
Pages (from-to)427-430
Number of pages4
JournalJournal of Studies on Alcohol
Volume61
Issue number3
StatePublished - May 2000

Fingerprint

Alcoholism
Psychiatry
abuse
alcohol
Alcohols
psychiatrist
patient care
Patient Care
Utilization Review
Patient treatment
Formularies
Health care
Practice Guidelines
psychiatry
addiction
Diagnostic and Statistical Manual of Mental Disorders
Logistics
medication
Therapeutics
Logistic Models

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychology(all)

Cite this

Svikis, D. S., Zarin, D. A., Tanielian, T., & Pincus, H. A. (2000). Alcohol Abuse and Dependence in a national sample of psychiatric patients. Journal of Studies on Alcohol, 61(3), 427-430.

Alcohol Abuse and Dependence in a national sample of psychiatric patients. / Svikis, Dace S.; Zarin, Deborah A.; Tanielian, Terri; Pincus, Harold Alan.

In: Journal of Studies on Alcohol, Vol. 61, No. 3, 05.2000, p. 427-430.

Research output: Contribution to journalArticle

Svikis, DS, Zarin, DA, Tanielian, T & Pincus, HA 2000, 'Alcohol Abuse and Dependence in a national sample of psychiatric patients', Journal of Studies on Alcohol, vol. 61, no. 3, pp. 427-430.
Svikis DS, Zarin DA, Tanielian T, Pincus HA. Alcohol Abuse and Dependence in a national sample of psychiatric patients. Journal of Studies on Alcohol. 2000 May;61(3):427-430.
Svikis, Dace S. ; Zarin, Deborah A. ; Tanielian, Terri ; Pincus, Harold Alan. / Alcohol Abuse and Dependence in a national sample of psychiatric patients. In: Journal of Studies on Alcohol. 2000 ; Vol. 61, No. 3. pp. 427-430.
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