Both substance use disorders (SUDs) (any SUD 48.3%, alcohol 12.5%, tobacco 38.8%, drug 23.2%) and mental health disorders (MHDs) (any MHD 74.9%, mood 53.2%, sleep 37.3%, anxiety 32.7%, schizophrenia/psychoatics/delusional 14.8%, dementia/delirium/amnestic/cognitive 14.4%, adjustment 9.1%) were prevalent. Overall, 81.7% of the sample had SUD or MHD. Elevated odds of SUD were noted among men (tobacco, alcohol) and those who were never married (alcohol, cannabis).
Conclusions: While data are limited to one large academic health system, they provide clinical evidence revealing that nearly one-half of patients with high-risk diabetes had SUD recorded in their electronic health records, highlighting a need for developing service models to optimize high-risk care management.
Results Article: Wu L, Ghitza UE, Zhu H, et al. Substance Use Disorders and Medical Comorbidities Among High-Need, High-Risk Patients with Diabetes. Drug and Alcohol Dependence 2018;186:86-93. [get article]