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Client and program characteristics associated with wait time to substance abuse treatment entry
Christina M Andrews1, Hee-Choon Shin, Jeanne C Marsh
1School of Social Service Administration, University of Chicago, Chicago, IL 60637, USA. cmandrews@uchicago.edu
Long wait times for substance abuse treatment are common. African-Americans, those referred by criminal justice, and methadone patients face longer waits, while HIV/AIDS patients experience shorter ones.
Area of Science:
- Addiction medicine
- Health services research
- Public health
Background:
- Wait time is a significant barrier to accessing substance abuse treatment.
- Little is known about the factors contributing to these treatment delays.
Purpose of the Study:
- Estimate the proportion of clients waiting over a month for substance abuse treatment.
- Identify client and program characteristics linked to extended wait times.
Main Methods:
- Utilized data from the National Treatment Improvement Evaluation Study (1992-1997).
- Analyzed data from 2920 clients across 57 substance abuse treatment programs.
- Employed generalized linear modeling to identify factors associated with wait time.
Main Results:
- African-American ethnicity, criminal justice referral, and methadone treatment were associated with increased wait times.
- HIV/AIDS diagnosis was linked to decreased wait times.
Conclusions:
- A substantial number of clients experience wait times exceeding one month for substance abuse treatment.
- Specific demographic and referral factors predict longer treatment entry delays.
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