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An Ancillary Effect of Patient Navigation Following Detox: Fewer Arrests

Published online by Cambridge University Press:  27 January 2025

Robert Rosenman Open the ORCID record for Robert Rosenman [Opens in a new window] ,
Carolyn Noonan ,
Clemma Muller ,
Rich Maclehose ,
Jodi Trojan ,
Erin Poole  and
Spero M. Manson
Robert Rosenman*
Affiliation:
The Institute for Research and Education to Advance Community Health, Elson S. Floyd College of Medicine, Washington State University, Seattle, WA, USA
Carolyn Noonan
Affiliation:
The Institute for Research and Education to Advance Community Health, Elson S. Floyd College of Medicine, Washington State University, Seattle, WA, USA
Clemma Muller
Affiliation:
The Institute for Research and Education to Advance Community Health, Elson S. Floyd College of Medicine, Washington State University, Seattle, WA, USA
Rich Maclehose
Affiliation:
Division of Epidemiology and Community Health, School of Public Health, University of Minnesota Twin Cities, Minneapolis, MN, USA
Jodi Trojan
Affiliation:
Gateways to Recovery, Fairbanks, AK, USA
Erin Poole
Affiliation:
Centers for American Indian and Alaskan Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
Spero M. Manson
Affiliation:
Centers for American Indian and Alaskan Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA
*
Corresponding author: Robert Rosenman; Email: [email protected]
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Abstract

Patient navigation (PN) is increasingly used to help people overcome barriers to accessing health care. In a recent trial, PN was added to motivational interviewing (MI) to help patients discharged from detoxification (detox) transition to follow-up care. The goal was to test whether PN in addition to MI increased transition rates and reduced subsequent readmissions into detox compared with MI alone. Results demonstrated little evidence of a treatment effect on either of these two outcomes, but post hoc exploratory analyses showed that patients who received PN were less likely to be arrested in the year following discharge than patients who did not receive PN. In addition, the group that received PN had fewer multiple arrests resulting in a lower average number of arrests per person. These findings are hypothesis-generating and need replication for conclusive inference. Nevertheless, economic analysis indicates that PN after detox could be a cost-beneficial intervention to reduce arrests among a population at high risk for involvement in the criminal justice system.

Keywords

Patient NavigationAlcohol rehabilitationarrestNative AmericanI1I19J15
Type
Article
Information
Journal of Benefit-Cost Analysis , First View , pp. 1 - 23
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Society for Benefit-Cost Analysis

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