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Need-service matching in substance abuse treatment: Racial/ethnic differences

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  • Marsh, Jeanne C.
  • Cao, Dingcai
  • Guerrero, Erick
  • Shin, Hee-Choon

Abstract

This study examines the impact of ancillary health and social services matched to client needs in substance abuse treatment for African Americans, Latinos and Whites. The study uses data collected from 1992 to 1997 for the National Treatment Improvement Evaluation Study, a prospective cohort study of substance abuse treatment programs and their clients. The analytic sample consists of 3142 clients (1812 African Americans, 486 Latinos, 844 Whites) from 59 treatment facilities. Results show that racial/ethnic minorities are underserved compared to Whites in the substance abuse service system. Different racial/ethnic groups come into treatment with distinct needs and receive distinct services. Although groups respond differentially to service types, substance abuse counseling and matching services to needs is an effective strategy both for retaining clients in treatment and for reducing post-treatment substance use for African Americans and Whites. Receipt of access services was related to reduced post-treatment substance use for Latinos. Study findings are relevant to planning special services for African Americans and Latinos.

Suggested Citation

  • Marsh, Jeanne C. & Cao, Dingcai & Guerrero, Erick & Shin, Hee-Choon, 2009. "Need-service matching in substance abuse treatment: Racial/ethnic differences," Evaluation and Program Planning, Elsevier, vol. 32(1), pages 43-51, February.
    • Handle: RePEc:eee:epplan:v:32:y:2009:i:1:p:43-51
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    References listed on IDEAS

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    1. Wickizer, T. & Maynard, C. & Atherly, A. & Frederick, M. & Koepsell, T. & Krupski, A. & Stark, K., 1994. "Completion rates of clients discharged from drug and alcohol treatment programs in Washington State," American Journal of Public Health, American Public Health Association, vol. 84(2), pages 215-221.
    2. Wu, L.-T. & Kouzis, A.C. & Schlenger, W.E., 2003. "Substance Use, Dependence, and Service Utilization among the US Uninsured Nonelderly Population," American Journal of Public Health, American Public Health Association, vol. 93(12), pages 2079-2085.
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    1. Shin, Hee-Choon & Marsh, Jeanne C., 2022. "Identifying relative strength of methadone versus health and social services in comprehensive substance use disorder treatment using a variance decomposition approach," Evaluation and Program Planning, Elsevier, vol. 92(C).
    2. Finno-Velasquez, Megan & Seay, Kristen D. & He, Amy S., 2016. "A national probability study of problematic substance use and treatment receipt among Latino caregivers involved with child welfare: The influence of nativity and legal status," Children and Youth Services Review, Elsevier, vol. 71(C), pages 61-67.
    3. Kaye, Miranda P. & Faber, Aubrey & Davenport, Katie E. & Perkins, Daniel F., 2018. "Common components of evidence-informed home visitation programs for the prevention of child maltreatment," Children and Youth Services Review, Elsevier, vol. 90(C), pages 94-105.
    4. Lin, Yu-An & Hedeker, Donald & Ryan, Joseph P. & Marsh, Jeanne C., 2020. "Longitudinal analysis of need-service matching for substance-involved parents in the child welfare system," Children and Youth Services Review, Elsevier, vol. 114(C).
    5. Simon, James David & Brooks, Devon, 2016. "Post-investigation service need and utilization among families at risk of maltreatment," Children and Youth Services Review, Elsevier, vol. 69(C), pages 223-232.
    6. Marsh, Jeanne C. & Shin, Hee-Choon & Cao, Dingcai, 2010. "Gender differences in client-provider relationship as active ingredient in substance abuse treatment," Evaluation and Program Planning, Elsevier, vol. 33(2), pages 81-90, May.
    7. Simon, James David & Brooks, Devon, 2019. "Targeting services to reduce need after a child abuse investigation: Examining complex needs, matched services, and meaningful change," Children and Youth Services Review, Elsevier, vol. 99(C), pages 386-394.
    8. Lin, Qinyun & Kolak, Marynia & Watts, Beth & Anselin, Luc & Pollack, Harold & Schneider, John & Taylor, Bruce, 2022. "Individual, interpersonal, and neighborhood measures associated with opioid use stigma: Evidence from a nationally representative survey," Social Science & Medicine, Elsevier, vol. 305(C).
    9. Marsh, Jeanne C. & Smith, Brenda D. & Bruni, Maria, 2011. "Integrated substance abuse and child welfare services for women: A progress review," Children and Youth Services Review, Elsevier, vol. 33(3), pages 466-472, March.
    10. Guerrero, Erick G. & Song, Ahyoung & Henwood, Benjamin & Kong, Yinfei & Kim, Tina, 2018. "Response to culturally competent drug treatment among homeless persons with different living arrangements," Evaluation and Program Planning, Elsevier, vol. 66(C), pages 63-69.

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