Organizational Implementation of Evidence-Based Substance Abuse Treatment in Racial and Ethnic Minority Communities

被引:25
|
作者
Guerrero, Erick G. [1 ]
He, Amy [1 ]
Kim, Ahraemi [1 ]
Aarons, Gregory A. [2 ]
机构
[1] Univ So Calif, Sch Social Work, Los Angeles, CA 90089 USA
[2] Univ Calif San Diego, Dept Psychiat, San Diego, CA 92093 USA
关键词
Implementation; Evidence-based practices; Contingency management; Medication assisted treatment; CLINICAL-TRIALS NETWORK; CONTINGENCY MANAGEMENT; BUPRENORPHINE TREATMENT; EARLY ADOPTION; ATTITUDES; SERVICES; LEADERSHIP; READINESS; DIFFUSION; OPPORTUNITIES;
D O I
10.1007/s10488-013-0515-3
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We evaluated organizational factors associated with the implementation of contingency management treatment (CMT) and medication-assisted treatment (MAT) in substance abuse treatment (SAT) programs serving racial and ethnic minority communities. Analysis of cross-sectional data collected in 2010-2011 from a random sample of 148 publicly funded SAT programs showed that accepting private insurance was positively associated with CMT and MAT implementation, whereas larger programs were associated with greater implementation of MAT. Supervisorial openness to and expectations about implementing evidence-based practices (EBPs) and attributes for change were strongly associated with CMT, whereas the interactions between openness to EBPs and programs that accept private insurance and that are governed by parent organizations were positively associated with MAT. These external expectations and managerial attitudes supported the implementation of psychosocial and pharmacotherapy treatments in SAT. Implications for improving standards of care in minority communities are discussed.
引用
收藏
页码:737 / 749
页数:13
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