{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T02:02:21Z","timestamp":1771207341654,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Alcohol use and treatment for alcohol use disorder (AUD) changed during the pandemic. Alcohol consumption increased among high\u2010risk groups, while treatment utilisation declined, raising concerns about an expanding treatment gap. This study analyses inpatient and outpatient AUD treatment trends during the pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analysed electronic health records from 5671 patients residing in Hamburg, Germany, who utilised at least one alcohol\u2010related treatment between January 2016 and December 2021. Data from two statutory health insurance providers and two pension funds provided weekly numbers of patients receiving AUD treatment, including outpatient (psychiatric consultations, psychotherapy, pharmacotherapy), inpatient standard and intensive treatment, and outpatient and inpatient rehabilitation programs. Using a segmented regression approach, we examined changes over time for: (i) any treatment; (ii) outpatient treatment;\u00a0and (iii) inpatient treatment across five periods of the pandemic: pre\u2010pandemic, first lockdown, between lockdowns, second lockdown and post\u2010second lockdown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the first lockdown in spring 2020, AUD treatment utilisation declined by 27% before briefly returning to near pre\u2010pandemic levels. A gradual decline was observed in later pandemic periods, even after containment measures were lifted. The decline was more pronounced in inpatient settings than in outpatient settings, at \u221245% and \u221215%, respectively, during the first lockdown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusions<\/jats:title>\n                    <jats:p>The utilisation of AUD treatment services dropped substantially during the pandemic, particularly in inpatient settings. This reduction may have contributed to the rise in alcohol\u2010related deaths during this period. This study is the first to assess long\u2010term inpatient and outpatient treatment trends across multiple pandemic phases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dar.70107","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T14:42:57Z","timestamp":1769524977000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Interrupted Time Series Analysis of Alcohol Use Disorder Treatment Utilisation During the Coronavirus Pandemic in Hamburg, Germany"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1231-3760","authenticated-orcid":false,"given":"Jakob","family":"Manthey","sequence":"first","affiliation":[{"name":"Centre for Interdisciplinary Addiction Research, Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"},{"name":"Department of Psychiatry, Medical Faculty University of Leipzig  Leipzig Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolin","family":"Kilian","sequence":"additional","affiliation":[{"name":"Centre for Interdisciplinary Addiction Research, Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"},{"name":"National Institute of Public Health University of Southern Denmark  Copenhagen Denmark"},{"name":"Danish Institute for Advanced Studies University of Southern Denmark  Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludwig","family":"Kraus","sequence":"additional","affiliation":[{"name":"Centre for Interdisciplinary Addiction Research, Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"},{"name":"Department of Public Health Sciences, Centre for Social Research on Alcohol and Drugs Stockholm University  Stockholm Sweden"},{"name":"Institute of Psychology ELTE E\u00f6tv\u00f6s Lor\u00e1nd University  Budapest Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Schranz","sequence":"additional","affiliation":[{"name":"Centre for Interdisciplinary Addiction Research, Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1139-030X","authenticated-orcid":false,"given":"Bernd","family":"Schulte","sequence":"additional","affiliation":[{"name":"Centre for Interdisciplinary Addiction Research, Department of Psychiatry and Psychotherapy University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1024\/0939-5911\/a000841"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(25)00047-7"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13446"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/adb0000796"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph181910547"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2021.109065"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.53317"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.16156"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckad103"},{"key":"e_1_2_11_11_1","article-title":"How Has the COVID\u201019 Pandemic Impacted Addiction Services? 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