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Organizational Correlates of Service Availability in Outpatient Substance Abuse Treatment Programs

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Abstract

In pursuit of quality care for drug abuse treatment programs, researchers continue to monitor program characteristics related to service provision. The current study examines 115 outpatient drug-free programs in four U.S. regions and documents typical methods of offering an array of services and the relationship between program characteristics and services offered onsite and by referral. Core services (e.g., comprehensive assessments) are offered primarily onsite, whereas delivery methods of wraparound services are mixed with transitional services offered generally onsite and medical services traditionally offered offsite. Accredited programs offered more core services onsite, while those providing case management offered more core and wraparound services onsite. Programs with a higher proportion of dually diagnosed clients offered more core services onsite and fewer wraparound services by referral. Programs with a higher concentration of criminal justice-referred clients offered fewer core services onsite. These findings suggest ways of improving access to services.

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Acknowledgements

The authors would like to thank the Gulf Coast, Great Lakes, Northwest Frontier, and Southern Coast Addiction Technology Transfer Centers (ATTCs) for their assistance with recruitment and training. We would also like to thank the individual programs (program leadership) who participated in the assessments and training in the TCOM Project.

This work was funded by the National Institute on Drug Abuse (grant R01 DA014468). The interpretations and conclusions, however, do not necessarily represent the position of the NIDA, NIH, or Department of Health and Human Services. More information (including intervention manuals and data collection instruments that can be downloaded without charge) is available on the Internet at http://www.ibr.tcu.edu, and electronic mail can be sent to ibr@tcu.edu.

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Correspondence to Jennifer R. Edwards PhD.

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Edwards, J.R., Knight, D.K. & Flynn, P.M. Organizational Correlates of Service Availability in Outpatient Substance Abuse Treatment Programs. J Behav Health Serv Res 38, 432–443 (2011). https://doi.org/10.1007/s11414-010-9231-x

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