A latent class analysis of tailored substance use treatment programs: Implications for treating syndemic conditions facing sexual and gender minority populations

Helminen, Emily C.; Cascalheira, Cory J.; Shaw, Thomas J.; Zollweg, Sarah; Hughes, Tonda L.; Scheer, Jillian R.

doi:10.1016/j.drugalcdep.2022.109550

Cited by 10 publications

(14 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…28 It may very well be the case that geographic sociocultural views affect the availability of programs and services designed to support LGBT people along with policies. 11,12,25,29 Results from our analyses also found that community outreach as a programmatic characteristic is positively associated with providing LGBT-tailored programs at SUD facilities. Research suggests that engaging in community outreach to advertise LGBT-tailored programs can help raise awareness of the SUD treatment facilities providing these services.…”

Section: Discussionsupporting

confidence: 60%

“…[8][9][10] Given these social and health inequities, programmatic efforts, including LGBT-tailored services, may be an effective way to connect LGBT individuals to SUD treatment. [11][12][13] Like other conditions, evidence-based treatment options for SUD exist. [14][15][16] However, treatment options that are not culturally responsive to the needs and experiences of marginalized populations may be a barrier to accessing or continued engagement in SUD treatment.…”

Section: Introductionmentioning

confidence: 99%

“… 8 - 10 Given these social and health inequities, programmatic efforts, including LGBT-tailored services, may be an effective way to connect LGBT individuals to SUD treatment. 11 - 13 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Characteristics of Outpatient and Residential Substance Use Disorder Treatment Facilities with a Tailored LGBT Program

et al. 2023

View full text Add to dashboard Cite

Lesbian, gay, bisexual, and transgender (LGBT) individuals have a high prevalence of substance use disorders (SUDs) and experience unique barriers to treatment. Little is known about the characteristics of SUD treatment facilities providing LGBT-tailored programs at the outpatient and residential levels of care. The purpose of this study is to examine the availability of LGBT-tailored programs in outpatient and residential SUD treatment facilities. Using the National Survey of Substance Abuse Treatment Services 2020, we conducted logistic regression to examine facility characteristics, including ownership, pay assistance, region, outreach, and telehealth services, associated with having an LGBT-tailored program among SUD treatment facilities. Outpatient facilities that were for-profit, had pay assistance, had community outreach services, and provided telemedicine/telehealth were more likely to have an LGBT-tailored program. Those that were government-owned, in the Midwest, and that accepted Medicaid were less likely to have an LGBT-tailored program. Residential facilities that were in the West, for-profit, and had community outreach services were more likely to have an LGBT-tailored program. This study offers a national examination of the availability of LGBT-tailored programs in SUD treatment facilities. Differences in availability based on ownership, region, pay assistance, and outreach highlight potential gaps in treatment availability.

show abstract

Section: Discussionsupporting

confidence: 60%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Characteristics of Outpatient and Residential Substance Use Disorder Treatment Facilities with a Tailored LGBT Program

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Nonetheless, the substantial measurement error raises questions about existing research using the N-SSATS data to investigate SGM-tailored programming. Although existing studies use robust analytic techniques [11,18,19], the substantial response bias in how facilities report SGM-tailored programming [8,55] could alter the substantive claims generated in these studies. Until specificity and clarity of the N-SSATS definition of SGM-tailored programming improves, caution is warranted when interpreting results from studies using the N-SSATS data.…”

Section: Discussionmentioning

confidence: 99%

“…Understanding facility-level associations can reveal targetable, structural determinants for public health policymakers. For example, since substance use treatment facilities that receive federal funding are more likely to offer SGM-tailored programming [11], public health policymakers could mandate federally funded facilities to offer such programming [19]. However, because public health policy and governing structures vary by state [20], and government funding for substance use and mental health treatment includes state and local funds [16,17], there is a need to understand state-level structural determinants that may influence the availability of SGM-tailored programming.…”

Section: Sgm-tailored Programming At Behavioral Health Facilitiesmentioning

confidence: 99%

Structural determinants of tailored behavioral health services for sexual and gender minorities in the United States, 2010 to 2020: a panel analysis

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background Research indicates that tailored programming for sexual and gender minority (SGM; e.g., lesbian, gay, bisexual, transgender, queer) people, compared to non-tailored programming, is effective for reducing the disproportionate health burden SGM people experience relative to the general population. However, the availability of SGM-tailored programming is often over-reported and inconsistent across behavioral health (i.e., substance use and mental health) facilities in the United States (U.S.). Methods Using panel analysis, the National Survey of Substance Abuse Treatment Services (N-SSATS), and the National Mental Health Services Survey (N-MHSS), this study examines structural stigma and government funding as two structural determinants affecting the availability of SGM-tailored programming in the U.S. Results Results indicated that from 2010 to 2020, reductions in structural stigma (i.e., increases in state-level supportive SGM policies) were positively associated with increases in the proportion of substance use treatment facilities offering SGM-tailored programming. This effect was significant after controlling for over-reporting of SGM-tailored programming and time- and state-specific heterogeneity. On average, the effect of reduced structural stigma resulted in approximately two new SGM-tailored programs in the short term and about 31 new SGM-tailored programs in the long term across U.S. substance use treatment facilities. Structural stigma did not predict the availability of SGM-tailored programming in mental health treatment facilities. Government funding was not significant in either data set. However, without correcting for over-reporting, government funding became a significant predictor of the availability of SGM-tailored programming at substance use treatment facilities. Conclusions Because SGM-tailored programming facilitates access to healthcare and the current study found longitudinal associations between structural stigma and the availability of SGM-tailored programming in substance use treatment facilities, our findings support claims that reducing structural stigma increases access to behavioral health treatment specifically and healthcare generally among SGM people. This study’s findings also indicate the importance of correcting for over-reporting of SGM-tailored programming, raising concerns about how respondents perceive the N-SSATS and N-MHSS questions about SGM-tailored programming. Implications for future research using the N-SSATS and N-MHSS data and for public health policy are discussed.

show abstract

Expressive writing treatments to reduce PTSD symptom severity and negative alcohol-related outcomes among trauma-exposed sexual minority women and transgender/nonbinary people: Study protocol for a mixed-method pilot trial

Scheer,

Behari,

Schwarz

et al. 2023

Contemporary Clinical Trials Communications

Self Cite

View full text Add to dashboard Cite

A latent class analysis of tailored substance use treatment programs: Implications for treating syndemic conditions facing sexual and gender minority populations

Cited by 10 publications

References 61 publications

Characteristics of Outpatient and Residential Substance Use Disorder Treatment Facilities with a Tailored LGBT Program

Characteristics of Outpatient and Residential Substance Use Disorder Treatment Facilities with a Tailored LGBT Program

Structural determinants of tailored behavioral health services for sexual and gender minorities in the United States, 2010 to 2020: a panel analysis

Expressive writing treatments to reduce PTSD symptom severity and negative alcohol-related outcomes among trauma-exposed sexual minority women and transgender/nonbinary people: Study protocol for a mixed-method pilot trial

Contact Info

Product

Resources

About