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Access to medication-assisted treatment for opioid use disorder: is Rhode Island different, and why?

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  • Mary A. Burke

Abstract

This paper assesses the prevalence of medication-assisted treatment (MAT) among treatment episodes for opioid use disorder (OUD) in Rhode Island, as compared with the remaining New England states and the United States as a whole. Based on the Treatment Episode Data Set (TEDS-A), a national census of admissions into publicly funded treatment facilities for substance use disorders, we find that during the period beginning in 2000 through 2017, Rhode Island exhibited a greater tendency to use MAT as part of OUD treatment compared with the average state in the United States and compared with the average combined tendency among the five other New England states. Logistic regression analysis reveals that the higher incidence of MAT among OUD treatment episodes in Rhode Island compared with the US average can be partly accounted for by Rhode Island?s having (1) a higher share of patients with government-sponsored health insurance plans, (2) an older age profile of patients, (3) a higher share of married patients, and (4) a higher percentage of intravenous drug users. However, well over half of the difference in the MAT rate between Rhode Island and rest of the United States is due to differences in factors not observed in the TEDS-A but which are known to prevail in the state, such as Rhode Island?s high number of methadone clinics per capita, its high federal funding rate per capital to combat substance abuse, and state policies promoting the use of MAT.

Suggested Citation

  • Mary A. Burke, 2019. "Access to medication-assisted treatment for opioid use disorder: is Rhode Island different, and why?," Current Policy Perspectives 19-2, Federal Reserve Bank of Boston.
    • Handle: RePEc:fip:fedbcq:2019_002
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    References listed on IDEAS

    as
    1. Joyce Manchester & Riley Sullivan, 2019. "Exploring causes of and responses to the opioid epidemic in New England," New England Public Policy Center Policy Reports 19-2, Federal Reserve Bank of Boston.
    2. Johanna Catherine Maclean & Brendan Saloner, 2019. "The Effect of Public Insurance Expansions on Substance Use Disorder Treatment: Evidence from the Affordable Care Act," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 38(2), pages 366-393, March.
    3. Jones, C.M. & Campopiano, M. & Baldwin, G. & McCance-Katz, E., 2015. "National and state treatment need and capacity for opioid agonist medication-assisted treatment," American Journal of Public Health, American Public Health Association, vol. 105(8), pages 55-63.
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    1. Mary A. Burke & Riley Sullivan, 2020. "Medication-assisted Treatment for Opioid Use Disorder in Rhode Island: Who Gets Treatment, and Does Treatment Improve Health Outcomes?," New England Public Policy Center Research Report 20-3, Federal Reserve Bank of Boston.
    2. Mary A. Burke & Katherine Grace Carman & Riley Sullivan & Hefei Wen & James Frank Wharam & Hao Yu, 2021. "Did the Affordable Care Act Affect Access to Medications for Opioid Use Disorder among the Already Insured? Evidence from the Rhode Island All-payer Claims Database," Working Papers 21-17, Federal Reserve Bank of Boston.

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    More about this item

    Keywords

    opioid use disorder; treatment episode data set; medication-assisted treatment; Rhode Island;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private

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