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To improve the quality of care for alcohol-related disorders, key transitions in the continuum of care, including treatment entry, must be fully understood. The purpose of this study was to investigate identifiable predictors of patient entry into a substance-use treatment program following the initial diagnosis of an alcohol-related disorder on a medical or surgical inpatient unit. An administrative computerized database was used to identify the sample for this study. Inpatient and outpatient records were obtained from the Little Rock VAMC/DHCP. Predictors of patient entry into treatment within six months of the initial diagnosis of an alcohol related disorder included age younger than than 60 (odds ratio [OR]=4.6), not married (OR=1.7), primary diagnosis of an alcohol-related disorder (OR=7.7), diagnosis of a comorbid drug (OR=4.3) or psychiatric disorder (OR=3.6), diagnosis by a medical as opposed to a surgical specialty (OR=6.0), and African American (OR=1.7).