Cited by 18Substance Abuse Treatment and OutcomesOpioid Use Disorder TreatmentMental Health Treatment and Access

Predictors of treatment receipt among adults with a drug use disorder

Epstein, Joan F., Hourani, Laurel L., Heller, David C.·2004·The American Journal of Drug and Alcohol Abuse

Abstract

This study used data from the 2000 and 2001 National Household Surveys on Drug Abuse to examine factors that contribute to the receipt of specialty substance abuse treatment, which is defined as treatment in rehabilitation facilities, hospitals, or mental health centers designed to help stop or reduce drug use. The population examined was a nationally representative sample of 3291 adults aged 18 or older with a drug use disorder in the past 12 months. Data were collected by computer-assisted interviews using a combination of computer-assisted personal interviews conducted by the interviewer and audio computer-assisted self-interviewing guided by the computer and respondent. Using descriptive analyses and multivariate logistic regression models, this study compared sociodemographic, substance abuse, and psychosocial characteristics of those receiving treatment with those not receiving treatment; it also examined the factors that influenced treatment receipt while controlling for potential confounders. Characteristics significantly contributing to treatment receipt among adults with a drug use disorder included the following: a woman without social support; a high school graduate with no college education; those receiving insurance through Medicaid or a state Children's Health Insurance Program; those on probation, parole, or supervised release in the past year; a daily smoker of cigarettes; those meeting at least three criteria for drug dependence; those having past year dependence on or abuse of alcohol; and those receiving any mental health treatment or counseling in the past year. Adults associated with the criminal justice system had a different pattern of treatment predictors from those who were not involved with the criminal justice system.

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Crossref · 10.1081/ada-200037550

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Authors
Epstein, J. F., Hourani, L. L., & Heller, D. C.
Affiliations
  • Substance Abuse and Mental Health Services Administration (US)
  • RTI International (US)
Venue
The American Journal of Drug and Alcohol Abuse
Published
2004-01-01
Volume
30
Issue
4
Pages
841-869
ISSN
  • 0095-2990 (ISSN-L)
  • 1097-9891
OpenAlex
W2029713450
Cited by
18
References
40
Citations by year
2025: 1 · 2020: 1 · 2019: 2 · 2018: 1 · 2015: 2 · 2013: 2 · 2012: 2
FWCI
0.72
Type
journal article
Language
en
Open access
closed
Locations
  • The American Journal of Drug and Alcohol Abuse (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
treatment receipt, drug use disorders, addiction treatment, predictors of treatment, sociodemographic factors, social support, Medicaid, State Children's Health Insurance Program, community supervision, supervised release, cigarette smoking, drug addiction, alcoholism, psychotherapy, criminal justice involvement
MeSH terms
Adolescent, Adult, Alcoholism, Computers, Crime, Female, Health Services Accessibility, Health Surveys, Humans, Interview, Psychological, Male, Mathematical Computing, Probability, Referral and Consultation, Regression Analysis, Smoking, Socioeconomic Factors, Illicit Drugs, Multivariate Analysis, Logistic Models, Substance Abuse Treatment Centers, Smoking Cessation, Substance-Related Disorders, Resource Allocation

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