Ethnic differences in utilization of drug treatment services and outcomes among Proposition 36 offenders in California

Abstract This study examined whether ethnic differences exist in access to care, receipt of services, and associated outcomes of 1,057 offenders participating in California's Proposition 36. Data are based on intake and 3-month follow-up interviews conducted as part of a multisite prospective t...

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Bibliographic Details
Published in:Journal of substance abuse treatment 2007-12, Vol.33 (4), p.391-399
Main Authors: Fosados, Raquel, M.P.H, Evans, Elizabeth, M.A, Hser, Yih-Ing, Ph.D
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Black or African American
Black People
California
Clinical outcomes
Desintoxication. Drug withdrawal
Drug abuse
Drug and Narcotic Control - legislation & jurisprudence
Drug treatment outcomes
Ethnic differences
Female
Health services utilization
Helpseeking
Hispanic or Latino
Humans
Logistic Models
Male
Medical sciences
Mental health
Middle Aged
Organization of mental health. Health systems
Proposition 36
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Racial differences
Regression analysis
Social psychiatry. Ethnopsychiatry
Substance abuse treatment
Substance Abuse Treatment Centers - statistics & numerical data
Substance-Related Disorders - ethnology
Substance-Related Disorders - therapy
Treatment
Treatment Outcome
Treatments
White People
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Summary:Abstract This study examined whether ethnic differences exist in access to care, receipt of services, and associated outcomes of 1,057 offenders participating in California's Proposition 36. Data are based on intake and 3-month follow-up interviews conducted as part of a multisite prospective treatment outcome study. Logistic regressions were conducted to examine ethnicity and other predictors of treatment placement and services intensity. Across ethnic groups, services intensity in several domains was inadequately matched to need, and few services besides substance abuse treatment were provided. Blacks and Hispanics received alcohol and employment services that were not commensurate with their greater need. Although Blacks were more likely to be placed in residential programs, their employment status worsened from intake to follow-up. There were few other ethnic differences in outcomes. Assessing and eliminating ethnic-associated differences in health service delivery, even as moderate as our findings revealed, may improve program processes and outcomes.
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2007.02.005