Unmet needs for comprehensive services in outpatient addiction treatment

Pringle, Jan; Emptage, Nicholas P.; Hubbard, Robert L.

doi:10.1016/j.jsat.2005.11.006

Cited by 34 publications

(31 citation statements)

References 22 publications

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“…Regardless, it has been argued that at least two-thirds of the people who perceive a need for treatment actually have an alcohol, other drug, or other mental health disorder (Edlund et al, 2006). Thus, our findings, like those of previous research (Hartley et al, 1999;Booth et al, 2000;Hauenstein et al, 2006;Pringle et al, 2006), again suggest that there is a substantial unmet need for drug abuse treatment services in rural communities.…”

Section: Discussionsupporting

confidence: 77%

Perceived need for substance abuse treatment among illicit stimulant drug users in rural areas of Ohio, Arkansas, and Kentucky

Falck

Wang

Carlson

et al. 2007

Drug and Alcohol Dependence

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Non-medical drug use in rural communities in the United States is a significant and growing public health threat. Understanding what motivates drug users in rural areas to seek substance abuse treatment may help in addressing the problem. Perceived need for treatment, a construct indicative of problem recognition and belief in problem solution, has been identified as an important predictor of help-seeking behavior. This cross-sectional study used data collected through face-to-face interviews to examine factors associated with perceived need for drug abuse treatment among notin-treatment, adult, illicit stimulant drug users (n=710) in rural areas of Ohio, Kentucky, and Arkansas. More than one-quarter of the sample perceived a need for treatment. Results from a stepwise multiple regression analysis showed that white users, users with better physical and mental health status, and occasional users of methamphetamine were significantly less likely to see a need for treatment. Users with higher Addiction Severity Index composite scores for family/social problems or legal problems, and users with prior drug abuse treatment experience were significantly more likely to perceive a need for treatment. These findings have practical implications for efforts addressing substance abuse in rural areas.

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Section: Discussionsupporting

confidence: 77%

Perceived need for substance abuse treatment among illicit stimulant drug users in rural areas of Ohio, Arkansas, and Kentucky

Falck

Wang

Carlson

et al. 2007

Drug and Alcohol Dependence

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“…As detailed above, findings from studies conducted to determine the use of integrated treatment suggest that only a small minority of clients evidencing co-occurring disorder received both substance abuse and mental health services simultaneously (7-8% - Harris & Edlund, 2005;Watkins et al, 2001) although rates are somewhat higher for comorbid clients evidencing serious mental disorder (15%- Harris and Edlund, 2005). Although factors ranging from stigma to an inability to define any single intervention as having clear effectiveness have been cited as reasons for the lack of a coordinated substance abuse and mental health treatment effort (Drake & Wallach, 2000;Ridgely, Goldman, & Willenbring, 1990), findings of an inadequate response to clients' multiple presenting problems have been widely reported (Etheridge et al, 1995;Etheridge, Hubbard, Anderson, Craddock, & Flynn, 1997;Gerstein et al, 1997;Pringle et al, 2006). D'Aunno and Vaughn (1995) as well as Etheridge and colleagues (1997) have, indeed, described a diminution of services such that the comparatively broad array of services available in earlier years have been reduced in association with a diminution in available resources.…”

Section: Integrated Treatmentmentioning

confidence: 99%

“…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

151

112

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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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“…Despite these fi ndings, client-level data suggest that many client needs are unmet (Apantaku-Olajide et al, 2012;Machlan et al, 2005;Pringle et al, 2006). To date, there has been less organizational-level research on how client characteristics are associated with the provision of wraparound services in SUD treatment programs across the United States.…”

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confidence: 99%

The Relationship Between Client Characteristics and Wraparound Services in Substance Use Disorder Treatment Centers

Paino

Aletraris

Roman

2016

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: The National Institute on Drug Abuse (NIDA) recommends a comprehensive treatment program for individuals with substance use disorder (SUD) in order to treat needs they often have in addition to their SUD. Specifi cally, NIDA suggests providing services related to the following issues: medical care, mental health care, HIV/ AIDS, child care, educational, vocational, family counseling, housing, transportation, fi nancial, and legal. By providing a comprehensive model that combines core and wraparound services, treatment centers can deliver a higher quality of treatment. In this article, we assessed the relationship between client characteristics and the availability of wraparound services in SUD treatment centers. Method: We combined two nationally representative samples of treatment centers and used a negative binomial regression and a series of logistic regressions to analyze the relationship between client characteristics and wraparound services. Results: On average, centers offered fewer than half of the wraparound services endorsed by NIDA. Our results indicated that client characteristics were signifi cantly related to the provision of wraparound services. Most notably, the proportion of adolescent clients was positively related to educational services, the proportion of female clients was positively related to child care, but the proportion of clients referred from the criminal justice system was negatively associated with the provision of multiple wraparound services. Conclusions: Our fi ndings have important implications for SUD clients and suggest that, although centers are somewhat responsive to their clients' ancillary needs, most centers do not offer the majority of wraparound services. (J. Stud. Alcohol Drugs, 77, 160-169, 2016)

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Unmet needs for comprehensive services in outpatient addiction treatment

Cited by 34 publications

References 22 publications

Perceived need for substance abuse treatment among illicit stimulant drug users in rural areas of Ohio, Arkansas, and Kentucky

Perceived need for substance abuse treatment among illicit stimulant drug users in rural areas of Ohio, Arkansas, and Kentucky

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

The Relationship Between Client Characteristics and Wraparound Services in Substance Use Disorder Treatment Centers

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