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Table 2 Impact of IHSS versus no-IHSS on health system outcomes 6 months before and 6 months after residential treatment

From: Community trial evaluating the integration of Indigenous healing practices and a harm reduction approach with principles of seeking safety in an Indigenous residential treatment program in northern Ontario

 

6 months before

6 months after

Mean (Std)

OR (95%CI)

aOR

Mean (Std)

OR (95%CI)

aOR

Primary Care visits

 IHSS

1.65 (2.43)

1.01 (0.90–1.13)

0.55 (0.72–1.23)

1.08 (1.94)

1.10 (0.78–1.52)

1.13 (0.79–1.23)

 No IHSS (reference)

1.73 (2.24)

  

1.17 (1.99)

  

ED visits for any reason

 IHSS

1.82 (2.60)

0.98 (0.75–1.28)

0.91 (0.67–1.23)

1.40 (2.50)

1.07 (0.77–1.50)

1.06 (0.75–1.50)

 No IHSS (reference)

1.88 (2.6)

  

1.50 (2.80)

  

ED visits for substance use

 IHSS

0.35 (1.01)

0.94 (0.59–1.48)

0.81 (0.47–1.39)

0.30 (1.00)

0.89 (0.49–1.73)

0.76 (0.37–1.54)

 No IHSS (reference)

0.47 (1.20)

  

0.30 (1.20)

  

Hospitalizations

 IHSS

0.16 (0.49)

1.25 (0.73–2.15)

0.78 (0.41–1.47)

0.17 (0.65)

0.77 (0.28–1.83)

0.76 (0.32–1.80)

 No IHSS (reference)

0.12 (0.38)

  

0.12 (0.62)

  

Mental health visits

 IHSS

2.30 (5.12)

0.88 (0.15–4.92)

0.66 (0.46–0.96)

1.62 (4.07)

1.64 (0.16–6.56)

0.92 (0.75–1.40)

 No IHSS (reference)

0.91 (1.48)

  

0.74 (2.10)

  
  1. ED Emergency department, STD Standard deviation, OR Odds ratio, aOR Adjusted odds ratio, 95%CI 95% confidence interval