Date of Conferral

5-9-2024

Date of Award

May 2024

Degree

Ph.D.

School

Health Services

Advisor

Heba Athar

Abstract

New York State (NYS) is home to millions of veterans and has the fifth-largest veteran population in the country. Veterans represent a vulnerable population and are at higher risk for mental and physical health struggles. The focus of this quantitative study was to assess if there is any significant difference between pre- and post-OUD 24-hour detoxification treatment services, residential/rehabilitation treatment services, ambulatory outpatient treatment services, frequency of opioid use at discharge, and mental disorder among veterans with opioid use disorder in NYS when controlling for age, gender, race, and marital status. The study utilized the harm reduction framework and the health belief model as theoretical bases. Secondary data from the Treatment Episode Data Set—Discharges from 2018-2020 were used. The results of the binary logistic regression analysis indicate that 24-hour detoxification treatment is not statistically significant associated with ambulatory/outpatient care. The results suggest that, when compared with ambulatory or outpatient treatment, detox 24-hour treatment services did not increase or decrease the likelihood of a mental health disorder among the veterans. The treatment type of 24-hour detoxification was found not to be significantly associated with the likelihood of a mental health disorder among veterans. Implications for positive social change include growth of the community as a result of identifying effective treatment services to significantly lower mental disorders and criminal acts among veterans with opioid use disorder. Further research should be conducted using an experimental design to allow the deduction of cause-and-effect relationships between the study variables.

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