Trends in comprehensive service availability in outpatient drug abuse treatment

Abstract

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.

Evidence-based treatment practices for drug-involved adults in the criminal justice system

“…The data appear to support this supposition. For example, correctional administrators' reports of "comprehensive treatment" in 84% of prisons compared with treatment directors' report of 34% suggests that correctional administrators are overstating the extent of available programming (Friedmann, Lemon, Durkin, & D'Aunno, 2003). Social desirability and availability biases, the latter stemming from the notoriety of the Department of Justice's Residential Substance Abuse Treatment (RSAT) for State Prisoners Program (42 U.S.C.…”

Age and HIV Sexual Risk among Women in Methadone Treatment

“…Additionally, our findings, in conjunction with prior studies [36,78], suggest that emerging research regarding gender-specific, integrated substance abuse and mental health treatment for women [84][85][86][87] is a priority because of its potential to affect not only substance use and mental health outcomes, but also HIV sexual risk and exposure to intimate partner violence. However, despite the established and emerging body of research regarding the positive outcomes associated with comprehensive services and integrated substance abuse and mental health treatment for women, data from national surveys of substance abuse treatment providers generally indicate that such services are inconsistently available [88][89][90][91]. In fact, data from a national survey of facilities providing outpatient, inpatient and residential services indicate that integrated treatment is available in only 49.9% of the facilities, and of those facilities that provide integrated treatment, only 54.6% provide HIV/AIDS education [91].…”

Cigarette smoking cessation services in outpatient substance abuse treatment programs in the United States

“…26,27 For example, units that are publicly owned have more comprehensive service provision than for-profit units. [27][28][29] Accordingly, we hypothesize that public units, whose mission focuses on the public health and welfare, will provide more smoking cessation services than for-profit units, 26 in which profit maximization is a central goal. We also expect that the environment's focus on health will cause hospital-affiliated programs to offer more services to prevent smoking-related illness.…”

“…We also expect that the environment's focus on health will cause hospital-affiliated programs to offer more services to prevent smoking-related illness. 27 Treatment modality, comprehensiveness, and commitment to quality are other elements of the institutional environment that affect a program's delivery of smoking services. 30 We hypothesize that units that use pharmacological approaches may be also more likely to offer pharmacology for smoking cessation.…”