Treatment services in two national studies of community-based drug abuse treatment programs

Etheridge, Rose M.; Craddock, S. Gail; Dunteman, George H.; Hubbard, Robert L.

doi:10.1016/0899-3289(95)90303-8

Cited by 130 publications

(48 citation statements)

References 18 publications

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“…Comprehensive service delivery declined in the 1980s (D'Aunno & Vaughn, 1995;Etheridge et al, 1995). The current study could not detect changes in the reported availability of most medical and psychosocial services during the 1990s, despite research demonstrating the benefit of these services (McLellan, Arndt, et al, 1993;McLellan et al, 1997).…”

Section: Discussioncontrasting

confidence: 57%

“…A lack of information regarding client-level need for services is another limitation, one that constrains our ability to determine whether the leveling-off of the availability of services was the appropriate result of a leveling-off in clients' needs. Other research has documented a substantial burden of unresolved medical and psychosocial problems among addiction treatment clients (Etheridge et al, 1995;McLellan & Weisner, 1996), and no evidence suggests an improvement in these issues in the 1990s. Finally, though these results do not generalize to inpatient or residential programs, the overwhelming majority (approximately 90%) of addiction treatment clients are in outpatient programs ).…”

Section: Discussionmentioning

confidence: 99%

“…These problems may cause distress and trigger relapse even among persons who successfully reduce their substance use (Friedmann, Saitz, & Samet, 1998;McLellan & Weisner, 1996), and delivery of comprehensive services to address these issues has been shown to improve functioning, treatment retention, and outcomes (McLellan, Arndt, Metzger, Woody, & O'Brien, 1993;McLellan, Grisson, et al, 1993;McLellan & Weisner, 1996;McLellan et al, 1998). Despite their importance to quality substance abuse treatment (Leshner, 1999;Leukefeld, Pickens, & Schuster, 1992), the availability of comprehensive services declined from 1980to 1990(D'Aunno & Vaughn, 1995Etheridge, Craddock, Dunteman, & Hubbard, 1995;McLellan & Weisner, 1996;Widman, Platt, Lidz, Mathis, & Metzger, 1997). The current study examined whether the downward trend in the availability of comprehensive services in outpatient substance abuse treatment programs continued in the 1990s, while accounting for characteristics of these programs and their clientele.…”

Section: Introductionmentioning

confidence: 99%

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Trends in comprehensive service availability in outpatient drug abuse treatment

Friedmann

Lemon

Durkin

et al. 2003

Journal of Substance Abuse Treatment

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Comprehensive medical and psychosocial services are essential to quality addiction treatment, but their availability declined in the 1980s. To determine whether this downward trend in the availability of comprehensive services continued in the 1990s, we analyzed data from a national panel study of outpatient substance abuse treatment units in 1990, 1995, and 2000. Response rates were greater than 85%. Regarding the availability of comprehensive services, including physical examinations, routine medical care, mental health services, financial counseling and employment counseling, administrators reported whether any substance abuse treatment client received the service in the past year. With the exception of physical examinations, whose reported availability increased from 1990 to 1995, and financial counseling, whose reported availability decreased during the same time, the reported availability of comprehensive services changed little during the 1990s. These findings highlight the continuing need to monitor access to comprehensive services and other quality markers in addiction treatment over time.

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Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Trends in comprehensive service availability in outpatient drug abuse treatment

Friedmann

Lemon

Durkin

et al. 2003

Journal of Substance Abuse Treatment

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“…providing, or accessing for clients, the comprehensive services they require (Hser, Polinsky, Maglione, & Anglin, 1999;McLellan, Arndt, Metzger, Woody, & O'Brien, 1993;McLellan et al, 1998), and providers find themselves increasingly called upon to respond to a wider array of needs with a diminishing supply of resources (D'Aunno & Vaughn, 1995;Etheridge, Craddock, Dunteman, & Hubbard, 1995;Gerstein et al, 1997;Pringle, Emptage, & Hubbard, 2006). Now, these same providers are asked to treat more than the substance use problems and accompanying social problems that have been recognized.…”

Section: Introductionmentioning

confidence: 99%

Co-occurring disorders in substance abuse treatment: Issues and prospects

Flynn

Brown

2008

Journal of Substance Abuse Treatment

145

111

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This paper explores the epidemiology of co-occurring disorders with an emphasis on the implications of study findings for the functioning and potential of substance abuse treatment. Severity of disorder is discussed as an issue that may have particular significance for the selection of specialized as opposed to traditional substance abuse treatment forms. Exploration is made, as well, of the resources currently available to substance abuse treatment, especially the human resources available, and the implications of resource availability for undertaking initiatives specific to co-occurring disorder. Findings from standard and enhanced treatment for comorbid individuals are examined in an effort to clarify areas of need for specialized and typical treatment personnel. Issues are raised for consideration by the clinical research and treatment provider communities in terms of assessment and diagnosis, manpower and training, and response to the challenge of relapse in this population.

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“…In some areas, in fact, funding for substance abuse treatment programs has been reduced during the course of the AIDS epidemic. 41,42 Many communities have lengthy waiting lists of eligible individ-uals seeking treatment, and in other areas treatment is simply not available to those in need. These problems are compounded for those dependent upon publicly funded services, or those in areas where public policy restricts certain modalities of treatment.…”

Section: Substance Abuse Treatmentmentioning

confidence: 99%