An Investigation of Premature Discharges from Residential Addiction Treatment Centers in the United States in 2019
AbstractThe purpose of this study was to identify predictors associated with the length of stay in patients prematurely discharged from residential addiction treatment facilities in the United States. This study sought to provide a more in-depth understanding regarding which patients may be at a greater risk for a shortened length of stay and to help fill the gap in the literature pertaining to the length of stay and related variables in prematurely discharged patients. The research methodology for this study was a quantitative, non-experimental design using pre-existing, secondary data from the Substance Abuse and Mental Health Administrations Treatment Episode Data Set-Discharge (TEDS-D) from the year 2019. The Treatment Episode Data Set-Discharge is a collection of data reported on a national level regarding discharges from substance abuse treatment facilities. Data analysis included an examination of the relationship between the predictor variables, the number of times a patient has been admitted to treatment, admission wait time, gender, and age, with the criterion variable, length of stay for an N = 49080. The data was ex post facto; therefore, this was a non-experimental design that utilized secondary analyses of pre-existing data to answer the research questions. A significant relationship was discovered to exist between the criterion/dependent variable, length of stay, predictor/independent variables days waiting for admission, the number of prior treatment episodes, and gender. When controlling for days waiting to include only those waiting one or more days for treatment admission, a subsequent significant relationship was found. This study examined variables that serve as predictive of length of stay in patients who were prematurely discharged from residential addiction treatment facilities under the premise of having been administratively discharged or in the event that the patient left treatment against professional advice.
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