Does distance affect utilization of substance abuse and mental health services in the presence of transportation services?

Whetten, Rachel; Whetten, Kathryn; Pence, Brian W.; Reif, Susan; Conover, Christopher J.; Bouis, S.

doi:10.1080/09540120600839397

Cited by 41 publications

(35 citation statements)

References 22 publications

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“…Findings from other studies support the role that competing subsistence needs and poverty plays in access to care, particularly among HIV-infected women (Cunningham, Sanchez, Li, Heller, & Sohler, 2008;Cunningham et al, 1999;Ehrhardt et al, 2009;Remien et al, 2009;Sohler, Li, & Cunningham, 2007;Vyavaharkar et al, 2008). However, other evidence found that distance to care was not a significant factor in utilization of health care when transportation was provided to PLWH (Whetten et al, 2006).…”

Section: Discussionmentioning

confidence: 82%

Perceived Barriers to HIV Care Among HIV-Infected Women in the Deep South

Moneyham¹,

McLeod²,

Boehme³

et al. 2010

Journal of the Association of Nurses in AIDS Care

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Despite the wide availability of effective treatments for HIV disease, many HIV-infected individuals are not in care, and HIV-infected women, particularly those residing in resource-poor areas, may have greater difficulty accessing HIV care than men. The purpose of this research was to explore perceived barriers to care experienced by HIV-infected women living in the Deep South region of the United States. Qualitative research methods were used to generate in-depth descriptions of women's experiences in accessing HIV care. Participants (N = 40) were recruited from 4 community-based HIV service organizations to participate in focus groups. Sessions lasted approximately 2 hours and were audio recorded. Verbatim transcripts, demographic data, and observational notes were subjected to content analysis strategies that coded the data into categories. Five categories of barriers to HIV care were identified as follows: personal, social, financial, geographic/transportation, and health system barriers. Implications of the findings for future research and practice are discussed in this study.

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Section: Discussionmentioning

confidence: 82%

Perceived Barriers to HIV Care Among HIV-Infected Women in the Deep South

Moneyham¹,

McLeod²,

Boehme³

et al. 2010

Journal of the Association of Nurses in AIDS Care

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“…2,19,[33][34][35][36][37][38] For example, a study of individuals with HIV initiating mental health counseling found that nearly 30% did not return after 1 session and only 37% completed 6 counseling sessions. 37 Significant barriers to mental health treatment have been found for HIV-infected individuals including stigma, fear of discrimination, [39][40][41] travel distance to care, 37 and lack of education, 34,42 transportation, 43 insurance, 33,34 service availability, 44,45 and motivation. 46 Offering mental health treatment in an individual's home or immediate community may reduce barriers that impede treatment entry and retention.…”

Section: Introductionmentioning

confidence: 99%

In-Home Mental Health Treatment for Individuals with HIV

Reif

Pence

LeGrand

et al. 2012

AIDS Patient Care and STDs

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Mental health problems are highly prevalent among individuals with HIV and are consistently associated with negative health outcomes. However, mental illness often remains untreated due to significant psychosocial and physical barriers to treatment participation. The Collaborative HIV/AIDS Mental Health Program (CHAMP) assessed the outcomes associated with providing 9 months of in-home mental health counseling for 40 individuals with HIV and a Major Axis I mental disorder. The evidence-based Illness Management and Recovery Model was adapted for use with HIV-positive individuals for the study using a community-based participatory research approach. Study participants were surveyed at baseline, 5 and 9 months to assess for changes in health outcomes. Thirty-five percent of study participants were female, 80% African American, 33% self-identified as MSM and the average participant age was 43. Forty percent of participants were on psychotropic medication at baseline. Participants had an average of 8 counseling visits (median 9). Statistically significant decreases in the global Brief Symptom Inventory (BSI) score and a number of BSI symptoms dimensions including anxiety, depression, obsessive compulsive, phobic anxiety and hostility were detected, indicating a reduction of psychiatric symptoms. Statistically significant improvement was also identified for the SF-12 mental health scale, adaptive coping, overall social support and emotional support. No differences in psychiatric outcomes were identified by gender, race/ethnicity, or sexual preference. Findings from the CHAMP Study suggest that the use of in-home mental health treatment may be beneficial in engaging and treating HIV-positive individuals with comorbid mental health disorders.

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“…Most notably, the drug abuse research literature, as it relates to the topic of spatial accessibility, has largely relied on administrative geographic units, such as states, counties, and zip codes (e.g. Archibald, 2008; Beardsley, et al, 2003; Fortney, et al, 1995; Jacobson, 2006; Perron, et al, 2010; Whetten, et al, 2006). More recently used geographies include census tracts, which are U.S. Census Bureau-designated geographies that average around 4,000 persons and provide greater geographic specificity (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…For example, Archibald (2008) found that regions with greater density of services providers were associate with greater prevalence of substance abuse while another study by Whetten et al (2006) showed that among HIV-positive persons, greater distance from a clinic was associated with higher participation in substance abuse and mental health programs (although not with retention and engagement). Finally, Stahler et al (2008) found that a high density of 12-step, self-help groups (Narcotics Anonymous and/or Alcoholics Anonymous) was associated with a decreased likelihood of patients diagnosed with comorbid mental health and substance abuse disorders in continuing treatment.…”

Section: Spatial Accessibility Drug Abuse and Treatment Utilizationmentioning

confidence: 99%

Spatial accessibility of drug treatment facilities and the effects on locus of control, drug use, and service use among heroin-injecting Mexican American men

Kao

Torres

Guerrero

et al. 2014

International Journal of Drug Policy

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Background This study explores the spatial accessibility of outpatient drug treatment facilities and the potential relationship with drug abuse-related outcomes among Mexican American heroin users. Methods Secondary data on 219 current and former heroin-injecting Mexican American men aged 45 and older were drawn from a research study in Houston, Texas. We used geographic information systems (GIS) to derive two spatial accessibility measures: distance from one’s place of residence to the closest drug treatment facility (in minutes); and the number of facilities within a 10-minute driving distance from one’s place of residence. Exploratory logistic regression analyses examined the association between the spatial accessibility of drug treatment facilities and several drug abuse-related outcomes: internal locus of control (LOC); perceived chances and worries of injecting in the next six months; treatment utilization; and location of last heroin purchase. Results Participants with greater spatial access to treatment programs were more likely to report a higher chance of injecting in the near future. However, while current heroin users were more worried about injecting in the next six months, greater spatial access to treatment programs seemed to have a buffering effect. Finally, those who lived closer to a treatment programs were more likely to have last purchased heroin inside the neighborhood versus outside the neighborhood. Spatial accessibility was not associated with internal LOC or treatment utilization. Conclusion The findings showed that the presence of outpatient treatment facilities—particularly services in Spanish—may influence perceived risk of future heroin use and purchasing behaviors among Mexican American men. Implications for future spatially-informed drug abuse research and the planning of culturally and linguistically responsive drug treatment programs are discussed.

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Does distance affect utilization of substance abuse and mental health services in the presence of transportation services?

Cited by 41 publications

References 22 publications

Perceived Barriers to HIV Care Among HIV-Infected Women in the Deep South

Perceived Barriers to HIV Care Among HIV-Infected Women in the Deep South

In-Home Mental Health Treatment for Individuals with HIV

Spatial accessibility of drug treatment facilities and the effects on locus of control, drug use, and service use among heroin-injecting Mexican American men

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