Barriers to treatment: Why alcohol and drug abusers delay or never seek treatment

Cunningham, John A.; Sobell, Linda C.; Sobell, Mark B.; Agrawal, Sangeeta; Toneatto, Tony

doi:10.1016/0306-4603(93)90036-9

Cited by 284 publications

(210 citation statements)

References 6 publications

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“…9 Negative beliefs about the treatment process also seem to act as barriers to substance abuse treatment use. [10][11][12][13] For example, several studies have identified concerns about the effectiveness and confidentiality of substance abuse treatment as barriers to seeking treatment for SUDs. [10][11][12][13][14] Representations of substance users and treatment services in the media may entrench these barriers to treatment use.…”

Section: B Myers 1 N Fakier 1 J Louwmentioning

confidence: 99%

Stigma, treatment beliefs, and substance abuse treatment use in historically disadvantaged communities

Myers¹,

Fakier²,

Louw³

2009

Afr. J. Psych

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Objective: Access to substance abuse treatment among historically disadvantaged communities (HDCs) in Cape Town, South Africa is limited, despite a growing demand for services. Although research has reported on structural barriers to treatment access, nonstructural factors remain largely unexplored. The aim of this paper is to describe two nonstructural influences on the use of substance abuse treatment services for people from HDCs: stigma and negative beliefs about treatment. Method: Findings from the qualitative component of a multi-method study are reported. In-depth interviews were conducted with 20 key informants, all of whom worked or lived in HDCs in the greater Cape Town area. Content and thematic techniques were used to analyse data. Results: According to key informants (i) stigma towards individuals with substance use disorders was prevalent in HDCs and negatively impacted on attempts to access services; (ii) negative beliefs about the quality and effectiveness of treatment were commonplace and acted as barriers to the use of existing services; and (iii) several factors contributed to these nonstructural barriers including media representations of both individuals with substance use disorders and treatment facilities for these disorders. Conclusion: This paper moves beyond the description of structural barriers to treatment to describe how two nonstructural factors, stigma and negative beliefs about treatment, hinder treatment seeking for substance use disorders. Recommendations for addressing these barriers include efforts to (i) shift discourses about substance abuse treatment, (ii) improve service quality, and (iii) address myths and misconceptions about treatment.

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Section: B Myers 1 N Fakier 1 J Louwmentioning

confidence: 99%

Stigma, treatment beliefs, and substance abuse treatment use in historically disadvantaged communities

Myers¹,

Fakier²,

Louw³

2009

Afr. J. Psych

View full text Add to dashboard Cite

show abstract

“…Results confirm the relationship of two variables. There is a strong stigma associated with help seeking treatment in treatment compliance [32] [33] . Studies that determine drug use other than the primary drug of abuse suggest that greater other drug use is associated with help-seeking when the primary drug of abuse is alcohol [34] [35] .…”

Section: Resultsmentioning

confidence: 99%

“…According to Downey, Rosengren, Jackson, and Donovan [28] the heroin preference group reported less abstinence and lower treatment compliance in the heroin addiction. There is a strong stigma associated with help seeking treatment in treatment compliance [32], [33] . Finally, the last hypothesis was partially proved as treatment compliance was found inversely correlated with number of relapses.…”

Section: Resultsmentioning

confidence: 99%

Dispositional Optimism and Treatment Compliance in Heroin Addicts

Zaidi¹

2014

IOSRJHSS

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“…Además, se halló el tamaño del efecto de Cohen para las comparaciones entre grupos, considerando un valor de 0,20 como un tamaño del efecto pequeño, 0,50 medio y 0,80 grande (Cohen, 1988). Además, el hecho de que sea mayor la intención de cambio que la de búsqueda de ayuda podría deberse a que, como señalan estudios previos, el deseo de realizar cambios por cuenta propia, el miedo a ser etiquetados como "alcohólicos", las bajas expectativas sobre la efectividad del tratamiento o la creencia de que la búsqueda del mismo requiere la total abstinencia del consumo de alcohol, el cual no quiere abandonarse de manera definitiva, actúan como barreras en la búsqueda de tratamiento (Carballo et al, 2007;Cunningham, Sobell, Sobell, Agrawal, & Toneatto, 1993;Grant, 1997;Tucker et al, 2004;Wallhed Finn et al, 2014).…”

Section: Análisis De Datosunclassified

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Rodríguez¹

2015

HAAJ

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Barriers to treatment: Why alcohol and drug abusers delay or never seek treatment

Cited by 284 publications

References 6 publications

Stigma, treatment beliefs, and substance abuse treatment use in historically disadvantaged communities

Stigma, treatment beliefs, and substance abuse treatment use in historically disadvantaged communities

Dispositional Optimism and Treatment Compliance in Heroin Addicts

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