학술논문
Impact of Race on the Implementation of Empirically Supported Treatments in Substance Abuse Treatment.
Document Type
Article
Author
Source
Subject
*SUBSTANCE abuse treatment
*HYPOTHESIS
*BLACK people
*CHI-squared test
*COGNITIVE therapy
*COMPARATIVE studies
*STATISTICAL correlation
*COUNSELING
*HEALTH services accessibility
*INTERVIEWING
*MULTIVARIATE analysis
*PROBABILITY theory
*QUESTIONNAIRES
*RACE
*REGRESSION analysis
*STATISTICS
*SURVEYS
*TELEPHONES
*MATHEMATICAL variables
*SECONDARY analysis
*MOTIVATIONAL interviewing
*HUMAN services programs
*DATA analysis software
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Language
ISSN
1533-256X
Abstract
The effort to address the gap between research and practice in substance abuse treatment has largely neglected the role of local resources and political trends. This study seeks to clarify the role of the local environment in implementing empirically supported treatments (ESTs). The study consisted of secondary data analysis of substance abuse treatment centers (N = 13,079) and U.S. Census data to determine the likelihood of using EST by substance abuse treatment centers in counties with 50% or more Black residents. Bivariate and multivariate models were employed. After controlling for various factors, results indicate that substance use disorder treatment agencies that accept federal funding are less likely to use ESTs if they are located in counties with predominantly (> 50%) Black residents. Implementation of ESTs could be influenced by community racial distribution (% Black), but environmental constraints and events might shift implementation patterns. [ABSTRACT FROM AUTHOR]