Volume 53 | Number 1 | February 2018

Abstract List

Amanda J. Abraham Ph.D., Christina M. Andrews Ph.D., Marissa E. Yingling Ph.D., Jerry Shannon Ph.D.


Objective

To examine county‐level geographic variation in treatment admissions among opioid treatment programs (s) that accept Medicaid in the continental United States.


Data Sources/Study Setting

Data come from the 2012 National Survey of Substance Abuse Treatment Services.


Study Design/Data Collection

We used local measures of spatial autocorrelation () analysis to identify (1) clusters of counties with higher and lower than average rates of opioid use disorders and (2) clusters of counties with higher and lower than average treatment admissions among s that accept Medicaid, adjusting for county population size.


Principal Findings

Our results reveal several clusters of counties with higher than average rates of opioid use disorder () and lower than average treatment admissions among s that accept Medicaid. These clusters are highly concentrated in the Southeast region of the country and include Arkansas, Kentucky, Louisiana, Mississippi, and Tennessee.


Conclusions

Medicaid enrollees in areas in the Southeast have the largest gaps between county‐level rates and estimated county‐level capacity for treatment, as measured by county‐level total treatment admissions among s that accept Medicaid. Policy makers should consider strategies to increase the availability of s with the capacity to serve Medicaid enrollees.