TY - JOUR
T1 - Trends in comprehensive service availability in outpatient drug abuse treatment
AU - Friedmann, Peter D.
AU - Lemon, Stephenie C.
AU - Durkin, Elizabeth M.
AU - D'Aunno, Thomas A.
N1 - Funding Information:
This study was supported by grants 1K08-DA00320 and 5R01-DA03272 from the National Institute on Drug Abuse (NIDA). Dr. Friedmann is a Robert Wood Johnson Foundation Generalist Physician Faculty Scholar. Research for this article was performed while Dr. Durkin was a National Research Service Award postdoctoral fellow at the Institute for Health Services Research and Policy Studies under an institutional award from the Agency for Healthcare Research and Quality (AHRQ). The views expressed here are the authors' and not necessarily those of NIDA, AHRQ or the Robert Wood Johnson Foundation. The Institutional Review Boards of Rhode Island Hospital and the Biological Sciences Division of the University of Chicago approved this research.
Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2003/1
Y1 - 2003/1
N2 - 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.
AB - 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.
KW - Health services accessibility
KW - Substance abuse treatment centers
KW - Substance-related disorders
KW - Trends
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U2 - 10.1016/S0740-5472(02)00323-9
DO - 10.1016/S0740-5472(02)00323-9
M3 - Article
C2 - 12646334
AN - SCOPUS:0037225964
SN - 0740-5472
VL - 24
SP - 81
EP - 88
JO - Journal of Substance Abuse Treatment
JF - Journal of Substance Abuse Treatment
IS - 1
ER -