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A population-based study on substance abuse treatment for adults with disabilities: access, utilization, and
Gloria Krahn1, Dennis Deck, Roy Gabriel
1Oregon Health and Science University, Portland, Oregon, USA. krahng@ohsu.edu
Aims:
To examine potential disparities in access to substance abuse treatment services for Medicaid-eligible adults with disabilities, and compare utilization rates and outcomes in outpatient programs.
Design:
Population-based multi-year cross-sectional study.
Setting:
State-wide examination of substance-abuse treatment, particularly outpatient.
Participants:
Medicaid enrollees aged 18-64.
Measures:
Treatment access and utilization; outcome measures of retention, completion, readmission, and abstinence derived from state treatment and Medicaid databases.
Findings:
Access and utilization rates for adults with disabilities were about half others' rates; treatment outcomes were generally equivalent across groups.
Conclusions:
Adults with disabilities are underutilizing substance abuse treatment, suggesting barriers to accessing treatment.
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