Analysis of the uniform accident and sickness policy provision law: Lessons for social work practice, policy, and research

Social Work in Health Care

Volumn 49, Issue 7, 2010, Pages 647-668

  Cochran, Gerald ^a  

^a UNIVERSITY OF TEXAS AT AUSTIN   (United States)

Author keywords

Drugs and alcohol; Health care; Health insurance; Substance abuse policy

Indexed keywords

ADDICTION; ARTICLE; DIAGNOSTIC TEST; ECONOMICS; GOVERNMENT; HEALTH CARE COST; HEALTH INSURANCE; HUMAN; INJURY; INSURANCE; LEGAL ASPECT; POLICY; SOCIOLOGY; SUBSTANCE ABUSE; TRAFFIC ACCIDENT; UNITED STATES;

ACCIDENTS, TRAFFIC; DIAGNOSTIC TESTS, ROUTINE; HEALTH EXPENDITURES; HUMANS; INSURANCE COVERAGE; INSURANCE, ACCIDENT; PUBLIC POLICY; SOCIOLOGY, MEDICAL; STATE GOVERNMENT; SUBSTANCE ABUSE DETECTION; SUBSTANCE-RELATED DISORDERS; UNITED STATES; WOUNDS AND INJURIES;

EID: 77955602957     PISSN: 00981389     EISSN: 1541034X     Source Type: Journal    
DOI: 10.1080/00981380903426806     Document Type: Article

References (46)

1. Alcohol Policy Information System. (2008a). Insurers' liability for losses due to lntoxication ("UPPL"). Retrieved April 1, 2009, from http://www.alcoholpolicy.niaaa. nih.gov/index.asp?SEC={D65EC56D-D907-4A83-A247-063D27196124}&Type= &TAXONOMYid={93AA931B-783A-4744-8051-5D5A820909FF}&GROUP=INDE PTHSINGLEDATE&action=Clear.
2. Alcohol Policy Information System. (2008b). Insurers' liability for losses due to intoxication ("UPPL"), policy description. Retrieved April 6, 2009, from http://www.alcoholpolicy.niaaa.nih.gov/index.asp?Type=BAS_APIS&SEC={7AC19035-9A30-41E2-8C51-D33EC71A6798}
3. American College of Emergency Physcians. (2009). Costs of emergency care. Retrieved April 23, 2009, from http://www3.acep.org/patients.aspx?id=25902
4. American College of Surgeons. (2009). Advocacy and health policy. Retrieved August 26,2009, from http://www.facs.org/ahp/statelegislation.html
5. American College of Surgeons. (2007). Summary of UPPL/Alcohol exclusion law repeal efforts Chicago, IL: American College of Surgeons.
6. American College of Surgeons. (n.d.). Alcohol screening and brief intervention (SBI) for trauma patients. Chicago, IL: American College of Sugeons.
7. American Hosptial Association. (2008). Uncompenated hospital care cost: Fact sheet. Chicago, IL: American Hospital Assocation.
8. Babor, T.F., Ritson, E.B., & Hodgson, R.J. (1986). Alcohol-related problems in the primary health care setting: A review of early intervention strategies. British Journal of Addiction, 81(1), 23-46.
9. Baker, M. (2009). Summary of UPPL/alcohol exclusion law repeal efforts. Chicago, IL: American College of Surgeons.
10. Bernstein, J., Bernstein, E., Tassiopoulos, K., Heeren, T., Levenson, S., & Hingson, R. (2005). Brief motivational intervention at a clinic visit reduces cocaine and heroin use. Drug & Alcohol Dependence, 77(1), 49-59.
11. Brown, D.L. (1987). Anesthetic agents in trauma surgery: Are there differences? International Anesthesiology Clinics, 25(1), 75-90.
12. Cherpitel, C.J., & Ye, Y. (2008). Trends in alcohol- and drug-related ED and primary care visits: Data from three U.S. National Surveys (1995-2005). American Journal of Drug and Alcohol Abuse, 34(5), 576-583.
13. Chezem, L. (2004). Legal barriers to alcohol screening in emergency departments and trauma centers. Alcohol Research & Health, 28(2), 73-77.
14. D'Onofrio, G., & Degutis, L. (2002). Preventive care in the emergency department: Screening and brief intervention for alcohol problems in the emergency department: A systematic review. Academic Emergency Medicine: Official Journal Of The Society For Academic Emergency Medicine, 9(6), 627-638.
15. D'Onofrio, G., & Degutis, L. (2004). Screening and brief intervention in the emergency department. Alcohol Research & Health, 28(2), 63-72.
16. Danielsson, P., Rivara, F., Gentilello, L., & Maier, R. (1999). Reasons why trauma surgeons fail to screen for alcohol problems. Archives Of Surgery (Chicago, Ill.: 1960),134(5), 564-568.
17. Dranove, D., & Millenson, M.L. (2006). Medical bankruptcy: Myth versus fact. Health Affairs, 25, W74-W83.
18. Estee, S., & He, L. (2007). Use of alcohol and drugs declined among emergency department patients who recieve brief interventions for substance use disorders through WABIRT.: DSHS, RDA, 4.60.WA.2001.1.
19. Fleming, M.F. (1993). Screening and brief intervention for alcohol disorders. The Journal of Family Practice, 37(3), 231-234.
20. Gentilello, L., Donato, A., Nolan, S., Mackin, R., Liebich, F., Hoyt, D., & LaBrie, R. (2005). Effect of the Uniform Accident and Sickness Policy Provision Law on alcohol screening and intervention in trauma centers. The Journal Of Trauma, 59(3),624-631.
21. Gentilello, L., Ebel, B., Wickizer, T., Salkever, D., & Rivara, F. (2005). Alcohol interventions for trauma patients treated in emergency departments and hospitals: A cost benefit analysis. Annals Of Surgery, 241(4), 541-550.
22. Gentilello, L., Henningfield, J., Santora, P., & Bickel, W. (2007). The inhibitory effect of insurance statutes on the provision of alcohol screening and intervention services in trauma centers. In J. Henningfield, P. Santora, & Bickel, W. (Eds), Addiction Treatment: Science and Policy for the Twenty-First Century (pp. 105-111). Baltimore: Johns Hopkins University Press.
23. Gentilello, L., Rivara, F., Donovan, D., Jurkovich, G., Daranciang, E., Dunn, C., Villaveces, A., Copass, M., & Ries, R. (1999). Alcohol interventions in a trauma center as a means of reducing the risk of injury recurrence. Annals Of Surgery, 230(4),473-480.
24. Hadley, J., & Holahan, J. (2004). The Cost of Care for the Uninsured: What Do We Spend, Who Pays, and What Would Full Coverage Add to Medical Spending. Washinton DC: Kaiser Family Foundation.
25. Haugh, R. (2006). Drunk denials. H&HN: Hospitals & Health Networks, 80(2), 18-20.
26. Himmelstein, D.U., Warren, E., Thorne, D., & Woolhandler, S. (2005). Illness and injury as contributors to bankruptcy. Health Affairs, 24, 63-73.
27. Hollingworth, W., Relyea-Chew, A., Comstock, B.A., Overstreet, K.A., & Jarvik, J.G. (2007). The risk of bankruptcy before and after brain or spinal cord injury: A glimpse of the iceberg's tip. Medical Care, 45(8), 702-711.
28. Jacoby, M.B., Sullivan, T.A., & Warren, E. (2001). Rethinking the debates over health care financing: Evidence from the bankruptcy courts. New York University Law Review, 76(2), 375-418.
29. Keehan, S., Sisko, A., Truffer, C., Smith, S., Cowan, C., Poisal, J., & Clemens, M. (2008). Health spending projections through 2017: The baby-boom generation is coming to Medicare. Health Affairs, 27(1/2), w145-w155.
30. Kristenson, H. (1983). Identification and intervention of heavy drinking in middle- aged men: Results and follow-up of 24-60 months of long-term study with randomized controls. Alcoholism: Clinical and Experimental Research, 7(2), 203-209.
31. Kronick, R., & Rousseau, D. (2007). Is Medicaid sustainable? Spending projections for the program's second forty years. Health Affairs, 26, w271-w287.
32. Langdorf, M., Rudkin, S., Dellota, K., Fox, J., & Munden, S. (2002). Decision rule and utility of routine urine toxicology screening of trauma patients. European Journal of Emergency Medicine: Official Journal of the European Society For Emergency Medicine, 9(2), 115-121.
33. Longabaugh, R., Woolard, R.E., Nirenberg, T.D., Minugh, A.P., Becker, B., Clifford, P.R., Carty, K., Sparadeo, F., & Gogineni, A. (2001). Evaluating the effects of a brief motivational intervention for injured drinkers in the emergency department. Journal of Studies on Alcohol, 62(6), 806-816.
34. McCambridge, J., & Strang, J. (2005). Deterioration over time in effect of Motivational Interviewing in reducing drug consumption and related risk among young people. Addiction, 100(4), 470-478.
35. Mello, M.J., Nirenberg, T.D., Longabaugh, R., Woolard, R., Minugh, A., Becker, B., Baird, J., & Stein, L. (2005). Emergency department brief motivational interventions for alcohol with motor vehicle crash patients. Annals of Emergency Medicine, 45(6), 620-625.
36. National Association of Social Workers. (2008). Code of Ethics of the National Association of Social Workers. Washinton, DC. National Association of Social Workers.
37. O'Keeffe, T., Shafi, S., Sperry, J.L., & Gentilello, L.M. (2009). The implications of alcohol intoxication and the uniform policy provision law on trauma centers; a national trauma data bank analysis of minimally injured patients. The Journal of Trauma, 66(2), 495-498.
38. Rivara, F.P., Tollefson, S., Tesh, E., & Gentilello, L.M. (2000). Screening trauma patients for alcohol problems: Are insurance companies barriers? The Journal of Trauma, 48(1), 115-118.
39. Rubin, A., & Babbie, E. (2008). Research Methods for Social Work (6th ed.). Belmont, CA: Thompson Brooks/Cole.
40. Schermer, C.R., Moyers, T.B., Miller, W.R., & Bloomfield, L.A. (2006). Trauma center brief interventions for alcohol disorders decrease subsequent driving under the influence arrests. The Journal of Trauma, 60(1), 29-34.
41. Scott, E., & Anderson, P. (1991). Randomized controlled trial of general practitioner intervention in women with excessive alcohol consumption. Drug and Alcohol Review, 10(4), 313-321.
42. Singh, P., Dimich, I., & Shamsi, A. (1994). Intraoperative pulmonary oedema in a young cocaine smoker. Canadian Journal of Anaesthesia, 41(10), 961-964.
43. U.S. Department of Health and Human Services. (2002). Frequently Asked Questions on Certificates of Confidentiality. Retrieved April 6, 2009, from http://grants2.nih.gov/grants/policy/coc/faqs.htm.
44. Vagts, D., Iber, T., & Noldge-Schomburg, G. (2003). Alcohol-A perioperative problem of anaesthesia and intensive care medicine. Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS 38(12), 747-761.
45. Wallace, P., Cutler, S., & Haines, A. (1988). Randomised controlled trial of general practitioner intervention in patients with excessive alcohol consumption. BMJ: British Medical Journal, 297(6649), 663-668.
46. Zimmerman, R. (2003, Februrary 26). Why emergency rooms rarely test trauma patients for alcohol, drugs. Wall Street Journal, p. B1.