Racial and ethnic differences in substance abuse treatment initiation and engagement.
Racial and ethnic differences in substance abuse treatment initiation and engagement.
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DOI：
10.1080/15332640.2012.652516
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发表时间：
2012
影响因子：
1.3
通讯作者：
Reynolds M
中科院分区：
文献类型：
--
作者：
Acevedo A;Garnick DW;Lee MT;Horgan CM;Ritter G;Panas L;Davis S;Leeper T;Moore R;Reynolds M
本研究检查了种族/族裔在启动和参与方面的差异，这是药物使用障碍治疗的两项性能指标，重点是在治疗早期及时接受服务。来自俄克拉荷马州精神卫生和药物滥用服务部的行政数据与来自全国药物滥用治疗服务调查的设施级信息相关联。我们发现，黑人客户不太可能开始治疗，但我们没有发现种族/民族的治疗参与差异。大多数客户和设施特征与启动或参与的关联在种族/民族群体中没有差异。需要更多地注意了解可能导致所发现的差异的原因以及如何解决这些差异。这项研究还提供了一种方法，国家机构可以实施监测治疗质量和检查种族/民族的物质滥用治疗服务的差异。
This study examined variations by race/ethnicity in initiation and engagement, two performance measures of treatment for substance use disorders, which focus on the timely receipt of services during the early stage of treatment. Administrative data from the Oklahoma Department of Mental Health and Substance Abuse Services were linked with facility-level information from the National Survey of Substance Abuse Treatment Services. We found that Black clients were less likely to initiate treatment, but we found no differences in treatment engagement by race/ethnicity. Most client and facility characteristics’ association with initiation or engagement did not differ across racial/ethnic groups. Increased attention is needed to understand what may contribute to the differences found and how to address them. This study also offers an approach that state agencies may implement for monitoring treatment quality and examining racial/ethnic disparities in substance abuse treatment services.