“Culturally Responsive” Substance Use Treatment: Contemporary Definitions and Approaches for Minoritized Racial/Ethnic Groups

Banks, Devin E.; Brown, Kanila L.; Saraiya, Tanya C.

doi:10.1007/s40429-023-00489-0

Cited by 10 publications

(1 citation statement)

References 83 publications

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“…42 Relatedly, traditional SUD treatment services lack intentional implementation of culturally responsive strategies that address the environmental obstacles described above and deeply resonate with Black individuals being served. 43 Specifically, approaches that include faith-based interventions, 44 matching Black clients with Black clinicians, education about adaptive relational supports in clients' own communities, recovery support services that address structural barriers 32 and provide recognition, affirmation, and mitigation of "healthy mistrust" of MOUD based on historical and current examples of mistreatment of Black clients in healthcare and substance use treatment settings 45,46 have demonstrated promise and should be expanded.…”

Section: Potential Factors Contributing To Racial Inequities In Treat...mentioning

confidence: 99%

Outcomes of State Targeted/Opioid Response Grants and the Medication First Approach: Evidence of Racial Inequities in Improved Treatment Access and Retention

Winograd,

Budesa,

Banks

et al. 2023

Substance Abuse

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Background: Since 2017, Missouri has increased access to medication for opioid use disorder (OUD) within the State’s publicly-funded substance use specialty treatment system through a “Medication First” approach. Results from a statewide assessment of the first year of State Targeted Response implementation showed increases and improvements in overall treatment admissions, medication utilization, and treatment retention. The current study, which focuses on the St. Louis region, the epicenter of Missouri’s overdose crisis, examines whether improvements were experienced equally among Black and White clients. Methods: This study is a retrospective analysis using state-level billing records for individuals with OUD receiving services through publicly-funded substance use treatment programs between July 1, 2016, and June 30, 2019, with claimed services updated through November 1, 2020. Comparisons across time periods, treatment groups, and Black and White clients were assessed using chi-square tests of independence and multivariate negative binomial regressions. Results: White individuals in St. Louis experienced larger increases in treatment admissions and utilization of medications for OUD than Black individuals, and Black clients were retained in treatment for shorter lengths of time than White clients. Conclusion: In Missouri, rates of drug overdose deaths are more than three times higher for Black people than White people. Racial inequities in OUD treatment utilization and retention must be intentionally targeted and corrected as one component of reducing this sizable disparity in fatalities.

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Section: Potential Factors Contributing To Racial Inequities In Treat...mentioning

confidence: 99%

Outcomes of State Targeted/Opioid Response Grants and the Medication First Approach: Evidence of Racial Inequities in Improved Treatment Access and Retention

Winograd,

Budesa,

Banks

et al. 2023

Substance Abuse

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A Scoping Review of the Utilization of Opioid Use Treatment, Harm Reduction, and Culturally Tailored Interventions Among Racial/Ethnic Minorities in the United States

Ezell,

Simek,

Shetty

et al. 2024

Int J Ment Health Addiction

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As part of a multilayered scoping review, we assessed literature on prevention and management interventions for racial/ethnic minorities in the United States (US) who non-medically use prescription opioids and/or who use illicit opioids such as heroin. The review specifically focused on access to and uptake of medications for opioid use disorder (MOUD) and harm reduction resources. We conducted a scoping review of peer-reviewed literature and governmental reports published between January 2000 and August 2024 on patterns of access to, and acceptability and utilization of, overdose prevention and opioid use management resources among racial/ethnic minorities in the US. Searches were conducted on Cochrane, PubMed, Embase, and Google Scholar, with us examining studies on the uptake of MOUD, such as buprenorphine and methadone, syringe services programs (SSPs), safe consumption sites, and harm reduction resources like naloxone (used to reverse overdoses) and fentanyl test strips (used to test for the presence of fentanyl in drug supplies). Additionally, we sought to identify and describe existing interventions for opioid use prevention and management that have expressly incorporated cultural adaptations related to racial/ethnic minorities’ specific needs and preferences in an effort to improve participants' sense of salience and acceptability and thus enhance utilization. We further endeavored to leverage this scoping review towards the development of research and intervention guidelines contoured to improve future scholarship and programming with these populations. The existing evidence suggests that racial/ethnic minorities in the US, specifically Black individuals, have diminished access to and/or utilization of preventive and management resources and amenities such as buprenorphine and naloxone, owing to structural deficits, provider bias, socioeconomic obstacles, geographic barriers, and communal stigma and distrust. Black individuals, relative to White individuals, also appear less likely to report using SSPs to obtain syringes and related resources, but across racial groups, those who used SSPs were more likely to be trained in, possess, and/or use naloxone. Further, there have been very few culturally tailored interventions for harm reduction or MOUD; there were limited data across the reviewed works on Native American/Indigenous or Asian populations; and the broader body of literature lacks methodological rigor. We close by proposing a cultural humility-focused model for better meeting the complex needs of these populations through research and primary and secondary intervention.

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At Risk Populations: People of Color

Arbelo Cruz

2023

Reference Module in Neuroscience and Biobehavioral Psychology

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“Culturally Responsive” Substance Use Treatment: Contemporary Definitions and Approaches for Minoritized Racial/Ethnic Groups

Cited by 10 publications

References 83 publications

Outcomes of State Targeted/Opioid Response Grants and the Medication First Approach: Evidence of Racial Inequities in Improved Treatment Access and Retention

Outcomes of State Targeted/Opioid Response Grants and the Medication First Approach: Evidence of Racial Inequities in Improved Treatment Access and Retention

A Scoping Review of the Utilization of Opioid Use Treatment, Harm Reduction, and Culturally Tailored Interventions Among Racial/Ethnic Minorities in the United States

At Risk Populations: People of Color

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