Employment and primary source of treatment payment: physical recovery capital as a predictor of cocaine use treatment completion.

Objective: This study examined employment prior to discharge and the source of treatment payment as physical recovery capital that predicts the completion of treatment for cocaine use. Methods: The 2020 Treatment Episode Data Set: Discharges of the United States was analyzed using binary logistic regression to estimate the adjusted odds ratio of treatment completion with employment and the primary source of payment among those whose primary substance of use was cocaine. Results: A significant increase in the odds of completing treatment was observed among those with full-time or part-time employment. By contrast, those not in the labor force had significantly lower odds of treatment completion. Significantly high odds of treatment completion were also noted among those whose primary source of payment was private insurance or government payment schemes. Conclusions: Treatment services should include the promotion of employment or offer sub-services that assist in securing a job. Future studies should investigate the impact of Medicaid on treatment completion when the Institutions for Mental Diseases (IMD) service exclusion waivers for Medicaid funding are further adopted by states. The policy for substance treatment under Medicare needs to be improved for older people to access treatment facilities and options. [ABSTRACT FROM AUTHOR]