State policies matter: The case of outpatient drug treatment program practices

Abstract This study examined relationships between state policy requirements governing outpatient substance abuse treatment services and reported outpatient treatment program practices. State policies effective as of February 1, 2003, and February 1, 2004, were collected and analyzed via primary leg...

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Bibliographic Details
Published in:Journal of substance abuse treatment 2008-07, Vol.35 (1), p.13-21
Main Authors: Chriqui, Jamie F., Ph.D., M.H.S, Terry-McElrath, Yvonne, M.H.S.A, McBride, Duane C., Ph.D, Eidson, Shelby S., J.D
Format: Article
Language:English
Subjects:
Ambulatory Care
Biological and medical sciences
Counseling
Desintoxication. Drug withdrawal
Health Policy
Health services
Humans
Medical sciences
Mental health
Multivariate analysis
Outpatient treatment
Prevention. Health policy. Planification
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Social psychiatry. Ethnopsychiatry
Social services
State policy
State regulation
Studies
Substance abuse
Substance abuse treatment
Substance-Related Disorders - therapy
Treatment practices
Treatment services
Treatments
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Summary:Abstract This study examined relationships between state policy requirements governing outpatient substance abuse treatment services and reported outpatient treatment program practices. State policies effective as of February 1, 2003, and February 1, 2004, were collected and analyzed via primary legal research; data were validated by state officials (88% response rate; > 90% validation rate). Treatment practice data were obtained from the National Survey of Substance Abuse Treatment Services for the years 2003 and 2004. Multivariate analyses clustered by state were conducted, controlling for state, program, and state-aggregated client admission characteristics. Results indicated that treatment programs located in states with requirements for comprehensive substance abuse assessment, family counseling, substance abuse and infectious disease/sexually transmitted disease testing services, HIV/AIDS education, and aftercare services had significantly higher odds of offering such services ( p values ranging from < .05 to < .001). This study presents new information regarding the potential role that state policy context may play in understanding treatment program practices.
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2007.08.012