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INROADS: Intersecting Research on Addiction and Disability Services
Principal Investigator(s): View help for Principal Investigator(s) Sharon Reif, Brandeis University; Rachel Sayko Adams, Boston University School of Public Health
Version: View help for Version V2
Project Citation:
Reif, Sharon, and Adams, Rachel Sayko. INROADS: Intersecting Research on Addiction and Disability Services. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2024-08-05. https://doi.org/10.3886/E201605V2
Project Description
Summary:
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People with disabilities (PWD) are an overlooked health
disparity population who routinely experience stigma, discrimination, ableism,
and lower socioeconomic status. Barriers to health care are generally high for
PWD, and despite over three decades of the Americans with Disabilities Act,
many health care settings including addiction treatment are not fully
accessible for PWD. The INROADS portfolio stems from two projects: (1) INROADS
(NIDILRR 90DPGE0007) and (2) INROADS-Alcohol (NIAAA R01AA031236), each of which
examine the intersection between substance use and risky use, addiction,
disability, and addiction treatment services. Both studies focus on the broad population of PWD, as well as subpopulations such as those
with vision or hearing impairments, mobility impairment or spinal cord injury, acquired brain injury including TBI, intellectual and developmental disabilities including those with autism, and serious mental illness.
The original INROADS project, or Intersecting Research on Opioid Misuse, Addiction, and Disability Services, was a joint research program between Brandeis University’s Institute for Behavioral Health and its Lurie Institute for Disability Policy. It examined the intersection between addiction, disability, and service provision in an effort to address the rise of opioid use disorders (OUD) among people with disabilities.
INROADS-A (INROADS-Alcohol) is an active joint research program between Brandeis University’s Institute for Behavioral Health and Boston University School of Public Health’s Department of Health Law, Policy and Management, which builds on the foundational INROADS research with a focus on alcohol use disorder.
The original INROADS project laid a foundation for understanding the intersection of disability with opioid use disorder, and traumatic brain injury (TBI) with at-risk opioid use and consequences, and INROADS-A seeks to better understand alcohol use patterns, treatment needs, and alcohol use disorder (AUD) treatment access, quality and outcomes for people with disabilities.
The original INROADS project, or Intersecting Research on Opioid Misuse, Addiction, and Disability Services, was a joint research program between Brandeis University’s Institute for Behavioral Health and its Lurie Institute for Disability Policy. It examined the intersection between addiction, disability, and service provision in an effort to address the rise of opioid use disorders (OUD) among people with disabilities.
INROADS-A (INROADS-Alcohol) is an active joint research program between Brandeis University’s Institute for Behavioral Health and Boston University School of Public Health’s Department of Health Law, Policy and Management, which builds on the foundational INROADS research with a focus on alcohol use disorder.
The original INROADS project laid a foundation for understanding the intersection of disability with opioid use disorder, and traumatic brain injury (TBI) with at-risk opioid use and consequences, and INROADS-A seeks to better understand alcohol use patterns, treatment needs, and alcohol use disorder (AUD) treatment access, quality and outcomes for people with disabilities.
Funding Sources:
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United States Department of Health and Human Services. National Institutes of Health. National Institute on Alcohol Abuse and Alcoholism (1R01AA031236);
United States Department of Health and Human Services. Administration for Community Living. National Institute on Disability, Independent Living, and Rehabilitation Research (90DPGE0007)
Scope of Project
Subject Terms:
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disability;
alcohol use
Geographic Coverage:
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National
Time Period(s):
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10/1/2016 – 9/30/2022
Data Type(s):
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administrative records data;
survey data
Methodology
Data Source:
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MarketScan®124 Commercial Claims and Encounters database
This database consists of de-identified health care claims for enrollees, spouses/partners, and dependents in U.S. employer-based health plans, including outpatient, inpatient, and pharmacy claims linked to a unique enrollee ID. Disability will be identified via ICD-10 diagnoses of disabling conditions. Nearly half of all Americans are covered by employer-based insurance, including many PWD, and MarketScan provides an important insight into this population. These data cannot be shared beyond the original researchers per our data use agreement.
National Survey on Drug Use and Health (NSDUH)
Substance Abuse and Mental health Services Administration’s (SAMHSA) household survey data offer robust prevalence estimates of self-reported alcohol use, consequences, AUD, and treatment measures, weighted to be generalizable to the U.S. population ages 12 and older. NSDUH data are cross-sectional, can be pooled across years, and include population sampling and the ability to capture PWD with ACS-6 functional disabilities. NSDUH allows for nuanced examination of self-reported alcohol use, consequences and treatment not available in claims data. These data are public access available through SAMHSA.
This database consists of de-identified health care claims for enrollees, spouses/partners, and dependents in U.S. employer-based health plans, including outpatient, inpatient, and pharmacy claims linked to a unique enrollee ID. Disability will be identified via ICD-10 diagnoses of disabling conditions. Nearly half of all Americans are covered by employer-based insurance, including many PWD, and MarketScan provides an important insight into this population. These data cannot be shared beyond the original researchers per our data use agreement.
National Survey on Drug Use and Health (NSDUH)
Substance Abuse and Mental health Services Administration’s (SAMHSA) household survey data offer robust prevalence estimates of self-reported alcohol use, consequences, AUD, and treatment measures, weighted to be generalizable to the U.S. population ages 12 and older. NSDUH data are cross-sectional, can be pooled across years, and include population sampling and the ability to capture PWD with ACS-6 functional disabilities. NSDUH allows for nuanced examination of self-reported alcohol use, consequences and treatment not available in claims data. These data are public access available through SAMHSA.
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