Excessive alcohol use is a serious and growing public health problem. Alcoholic beverage sales in the United States increased greatly immediately after stay-at-home orders relaxing of restrictions associated with COVID-19 pandemic. However, it not known to what degree consumption changed. This study assesses differences drinking patterns before enactment orders.In May 2020, cross-sectional online survey 993 individuals using probability-based panel designed be representative US population...

Alcohol consumption increased during the COVID-19 pandemic in 2020 United States. We projected effect of alcohol on alcohol-associated liver disease (ALD) and mortality.

Introduction Alcohol consumption and risky drinking behavior increased in the early phases of COVID-19 pandemic United States, but it is not known if for whom those changes were sustained over longer term. This study analyzes longitudinal data on patterns during first year States. Methods A nationally representative survey was used to assess alcohol among respondents 21 years older who reported between February November 2020 (N = 557) overall by subgroups. Results Compared with February,...

Abstract Aims To conduct a cost‐effectiveness analysis (CEA) comparing the delivery of brief intervention (BI) with treatment (BT) within Screening, Brief Intervention and Referral to Treatment (SBIRT) programs. Design Quasi‐experimental differences in observed baseline characteristics between BI BT patients were adjusted using propensity score techniques. Incremental comparison costs health outcomes associated BT. Setting Health‐care settings four US states participating Substance Abuse...

There is increasing interest in deploying screening, brief intervention, and referral to treatment (SBIRT) practices emergency departments (ED) intervene with patients at risk for substance use disorders. However, the current literature inconclusive on whether SBIRT are effective reducing costs utilization.This study sought evaluate health care utilization associated services ED.This analyzed downstream who were exposed within an Allegheny County, Pennsylvania, ED through a program titled...

Abstract Background and aims Alcohol consumption increased in the early phases of COVID‐19 pandemic United States. use disorder (AUD) risky drinking are linked to harmful health effects. This paper aimed project future cost impacts shifts alcohol during pandemic. Design An individual‐level simulation model long‐term patterns for people with life‐time AUD was used simulate 10 000 individuals outcomes estimated 25.9 million current drinkers The considered three scenarios: (1) no change...

Abstract Aims To assess the relative impact of brief treatment (BT) compared with intervention (BI) on changes in substance use behavior primary care screening programs for disorders, overall and by patient severity. Design participants A total 9029 patients both baseline follow‐up interviews were identified US Government Performance Results Act (GPRA) data from October 2004 February 2008. Using a propensity score framework, multiple generalized linear mixed models local matching method...

Background A challenge for evaluating alcohol treatment efficacy is determining what constitutes a "good" outcome or meaningful improvement. Abstinence at the end of an unambiguously good outcome; however, focus on abstinence ignores potential benefits patients reducing their drinking to less problematic levels. Patients may be low-risk levels but high-functioning and impose few social costs. In this study, we estimate relationship between COMBINE subsequent healthcare costs with emphasis...

Objective: To estimate the return on investment (ROI) of a workplace initiative to reduce work–family conflict in group-randomized 18-month field experiment an information technology firm United States. Methods: Intervention resources were micro-costed; benefits included medical costs, productivity (presenteeism), and turnover. Regression models used ROI, cluster-robust bootstrap was calculate its confidence interval. Results: For each participant, model-adjusted costs intervention $690...

Abstract: This paper examines the costs of delivering screening, brief intervention, and referral to treatment (SBIRT) services within first seven demonstration programs funded by US Substance Abuse Mental Health Services Administration. Service-level were estimated compared across implementation model (contracted specialist, inhouse generalist) service delivery setting (emergency department, hospital inpatient, outpatient). Program-level grantee recipient programs. data collected through...

To examine the conditions under which Screening, Brief Intervention and Referral to Treatment (SBIRT) programs can be sustained by health insurance payments.A mathematical model was used estimate number of patients needed for revenues exceed costs.Three medical settings in United States were examined: in-patient, out-patient emergency department. Components SBIRT delivered combinations health-care practitioners (generalists) behavioral specialists.Practitioners seven who received grants from...

Screening and brief intervention for harmful substance use in medical settings is being promoted heavily the United States. To justify service provision fiscally, field needs accurate estimates of number type staff required to provide services, thus time taken perform activities used deliver services. This study analyzed spent component services misuse Screening, Brief Intervention Referral Treatment (SBIRT) program implemented emergency departments, in-patient units ambulatory...

From International Network on Brief Interventions for Alcohol and Other Drugs (INEBRIA) Meeting 2013 Rome, Italy. 18-20 September 2013.

To estimate US population health utilities for subgroups defined by alcohol use disorder (AUD) status and consumption level.

indicates pandemic period.