View in EDS HTML Full Text PDF Full Text

Disparities in the Treatment of Substance Use Disorders: Does Where You Live Matter?

Saved in:
Bibliographic Details
Title: Disparities in the Treatment of Substance Use Disorders: Does Where You Live Matter?
Authors: Acevedo, Andrea, Panas, Lee, Garnick, Deborah, Acevedo-Garcia, Dolores, Miles, Jennifer, Ritter, Grant, Campbell, Kevin
Source: Journal of Behavioral Health Services & Research. Oct2018, Vol. 45 Issue 4, p533-549. 17p. 3 Charts, 1 Graph.
Subjects: Health equity, Substance-induced disorders, Mental health services, Outpatient medical care, Ethnic groups, Therapeutics
Abstract: This study focused on (1) whether disparities in timely receipt of substance use services can be explained in part by the characteristics of the community in which the clients reside and (2) whether the effect of community characteristics on timely receipt of services was similar across racial/ethnic groups. The sample was composed of adults receiving publicly funded outpatient treatment in Washington State. Treatment data were linked to data from the US census. The outcome studied was "Initiation and Engagement" in treatment (IET), a measure noting timely receipt of services at the beginning of treatment. Community characteristics studied included community level economic disadvantage and concentration of American Indian, Latino, and Black residents in the community. Black and American Indian clients were less likely to initiate or engage in treatment compared to non-Latino white clients, and American Indian clients living in economically disadvantaged communities were at even greater risk of not initiating treatment. Community economic disadvantage and racial/ethnic makeup of the community were associated with treatment initiation, but not engagement, although they did not entirely explain the disparities found in IET. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 132187562
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Disparities in the Treatment of Substance Use Disorders: Does Where You Live Matter?
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Acevedo%2C+Andrea%22">Acevedo, Andrea</searchLink><br /><searchLink fieldCode="AR" term="%22Panas%2C+Lee%22">Panas, Lee</searchLink><br /><searchLink fieldCode="AR" term="%22Garnick%2C+Deborah%22">Garnick, Deborah</searchLink><br /><searchLink fieldCode="AR" term="%22Acevedo-Garcia%2C+Dolores%22">Acevedo-Garcia, Dolores</searchLink><br /><searchLink fieldCode="AR" term="%22Miles%2C+Jennifer%22">Miles, Jennifer</searchLink><br /><searchLink fieldCode="AR" term="%22Ritter%2C+Grant%22">Ritter, Grant</searchLink><br /><searchLink fieldCode="AR" term="%22Campbell%2C+Kevin%22">Campbell, Kevin</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Journal+of+Behavioral+Health+Services+%26+Research%22">Journal of Behavioral Health Services & Research</searchLink>. Oct2018, Vol. 45 Issue 4, p533-549. 17p. 3 Charts, 1 Graph.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink><br /><searchLink fieldCode="DE" term="%22Substance-induced+disorders%22">Substance-induced disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Outpatient+medical+care%22">Outpatient medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Ethnic+groups%22">Ethnic groups</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: This study focused on (1) whether disparities in timely receipt of substance use services can be explained in part by the characteristics of the community in which the clients reside and (2) whether the effect of community characteristics on timely receipt of services was similar across racial/ethnic groups. The sample was composed of adults receiving publicly funded outpatient treatment in Washington State. Treatment data were linked to data from the US census. The outcome studied was "Initiation and Engagement" in treatment (IET), a measure noting timely receipt of services at the beginning of treatment. Community characteristics studied included community level economic disadvantage and concentration of American Indian, Latino, and Black residents in the community. Black and American Indian clients were less likely to initiate or engage in treatment compared to non-Latino white clients, and American Indian clients living in economically disadvantaged communities were at even greater risk of not initiating treatment. Community economic disadvantage and racial/ethnic makeup of the community were associated with treatment initiation, but not engagement, although they did not entirely explain the disparities found in IET. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=132187562
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s11414-018-9586-y
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 17
        StartPage: 533
    Subjects:
      – SubjectFull: Health equity
        Type: general
      – SubjectFull: Substance-induced disorders
        Type: general
      – SubjectFull: Mental health services
        Type: general
      – SubjectFull: Outpatient medical care
        Type: general
      – SubjectFull: Ethnic groups
        Type: general
      – SubjectFull: Therapeutics
        Type: general
    Titles:
      – TitleFull: Disparities in the Treatment of Substance Use Disorders: Does Where You Live Matter?
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Acevedo, Andrea
      – PersonEntity:
          Name:
            NameFull: Panas, Lee
      – PersonEntity:
          Name:
            NameFull: Garnick, Deborah
      – PersonEntity:
          Name:
            NameFull: Acevedo-Garcia, Dolores
      – PersonEntity:
          Name:
            NameFull: Miles, Jennifer
      – PersonEntity:
          Name:
            NameFull: Ritter, Grant
      – PersonEntity:
          Name:
            NameFull: Campbell, Kevin
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 10
              Text: Oct2018
              Type: published
              Y: 2018
          Identifiers:
            – Type: issn-print
              Value: 10943412
          Numbering:
            – Type: volume
              Value: 45
            – Type: issue
              Value: 4
          Titles:
            – TitleFull: Journal of Behavioral Health Services & Research
              Type: main
ResultId 1