Treatment access barriers and disparities among individuals with co-occurring mental health and substance use disorders: an integrative literature review
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The purpose of this integrative review is to examine and synthesize extant literature pertaining to barriers to substance abuse and mental health treatment for persons with co-occurring substance use and mental health disorders (COD). Electronic searches were conducted using ten scholarly databases. Thirty-six articles met inclusion criteria and were examined for this review. Narrative review of these articles resulted in the identification of two primary barriers to treatment access for individuals with COD: personal characteristics barriers and structural barriers. Clinical implications and directions for future research are discussed. In particular, additional studies on marginalized sub-populations are needed, specifically those that examine barriers to treatment access among older, non-White, non-heterosexual populations.
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Previous research identified personal-level and environmental/structural barriers to SUD treatment receipt.
“Previous research on treatment receipt barriers identified both personal-level and environmental/structural factors.”
Several obstacles curb help-seeking: need for anonymity or autonomy, shame, and denial, as well as limited availability or accessibility of interventions.
“Several obstacles curb help-seeking: need for anonymity or autonomy, shame, and denial (Suurvali et al., 2009; Priester et al., 2016), as well as limited availability (Rockloff and Schofield, 2004) or accessibility of interventions (i.e., scheduling conflicts, transportation difficulties; Clarke, 2007; Priester et al., 2016).”
From Online and Mobile Interventions for Problem Gambling, Alcohol, and Drugs: A Systematic Review (2017) · cites this paper as Priester et al., 2016
The malleable and little demanding framework of online interventions may counterbalance obstacles to entering treatment, but is susceptible to give rise to variable commitment and utilization.
“The malleable and little demanding framework of online interventions may counterbalance obstacles to entering treatment (Priester et al., 2016), but is susceptible to give rise to variable commitment and utilization.”
From Online and Mobile Interventions for Problem Gambling, Alcohol, and Drugs: A Systematic Review (2017) · cites this paper as Priester et al., 2016
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- Authors
- Priester, M. A., Browne, T., Iachini, A., Clone, S., DeHart, D., & Seay, K. D.
- Affiliations
- University of South Carolina (US)
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2016-02
- Volume
- 61
- Pages
- 47-59
- ISSN
- 0740-5472 (ISSN-L)
- PMC
- PMC4695242
- OpenAlex
- W1961210484
- Cited by
- 561
- References
- 80
- Citations by year
- 2026: 54 · 2025: 80 · 2024: 67 · 2023: 81 · 2022: 81 · 2021: 54 · 2020: 56 · 2019: 36 · 2018: 22 · 2017: 20 · 2016: 7
- FWCI
- 2.11
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (F31DA034442, T32DA015035)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- co-occurring disorders, treatment access barriers, psychotherapy, addiction treatment, treatment disparities, structural barriers, marginalized communities, older adults, racial and ethnic minorities, sexual minorities
- MeSH terms
- Mental Disorders, Health Services Accessibility, Humans, Minority Groups, Diagnosis, Dual (Psychiatry), Substance-Related Disorders, Healthcare Disparities
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