TY - JOUR
T1 - Organizational correlates of access to primary care and mental health services in drug abuse treatment units
AU - Friedmann, Peter D.
AU - Alexander, Jeffrey A.
AU - D'Aunno, Thomas A.
N1 - Funding Information:
Supported by grants 1K08-DA00320 and 5R01-DA03272 from the National Institute on Drug Abuse. The views expressed here are the authors’ and do not necessarily reflect those of NIDA. This research was presented at the 14th Annual Meeting of the Association for Health Service Research, June 16, 1997. The authors thank Xihong Lin, PhD for statistical consultation; Christy Harris Lemak, MHA, MBA and Barbara Lamar, PhD for their counsel and expert data management.
PY - 1999/1
Y1 - 1999/1
N2 - Primary care and mental health services improve drug abuse treatment clients' health and treatment outcomes. To examine the association between clients' access to these services and the characteristics of drug treatment organizations, we analyze data from a national survey of the unit directors and clinical supervisors of 618 outpatient drug abuse treatment programs in 1995 (88% response rate). In multivariate models controlling for client characteristics and urban location, public units, units with more human resources, and methadone programs delivered more primary care services. Public units, Joint Commission on Accreditation of Health Care Organizations- accredited units, nonmethadone units, and units with more staff psychiatrists or psychologists delivered more mental health services. We conclude that organizational factors may influence drug abuse treatment clients' access to primary care and mental health services. Changes in the treatment system that weaken or eliminate public programs over-burden staff, de-emphasize quality standards or lessen methadone availability may erode recovering clients' tenuous access to these services.
AB - Primary care and mental health services improve drug abuse treatment clients' health and treatment outcomes. To examine the association between clients' access to these services and the characteristics of drug treatment organizations, we analyze data from a national survey of the unit directors and clinical supervisors of 618 outpatient drug abuse treatment programs in 1995 (88% response rate). In multivariate models controlling for client characteristics and urban location, public units, units with more human resources, and methadone programs delivered more primary care services. Public units, Joint Commission on Accreditation of Health Care Organizations- accredited units, nonmethadone units, and units with more staff psychiatrists or psychologists delivered more mental health services. We conclude that organizational factors may influence drug abuse treatment clients' access to primary care and mental health services. Changes in the treatment system that weaken or eliminate public programs over-burden staff, de-emphasize quality standards or lessen methadone availability may erode recovering clients' tenuous access to these services.
KW - Delivery of health care
KW - Health service needs and demands
KW - Mental health services
KW - Substance abuse treatment centers
KW - Substance dependence
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U2 - 10.1016/S0740-5472(98)00018-X
DO - 10.1016/S0740-5472(98)00018-X
M3 - Article
C2 - 9888124
AN - SCOPUS:0032916863
SN - 0740-5472
VL - 16
SP - 71
EP - 80
JO - Journal of Substance Abuse Treatment
JF - Journal of Substance Abuse Treatment
IS - 1
ER -