Prevalence and perceived importance of racial matching in the psychotherapeutic dyad: a national survey of addictions treatment clinical practices

Steinfeldt, Jesse A.; Clay, Shondra L.; Priester, Paul E.

doi:10.1186/s13011-020-00318-x

Cited by 23Counseling Practices and SupervisionPsychotherapy Techniques and ApplicationsCultural Competency in Health Care

Prevalence and perceived importance of racial matching in the psychotherapeutic dyad: a national survey of addictions treatment clinical practices

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Steinfeldt, Jesse A., Clay, Shondra L., Priester, Paul E.·2020·Substance Abuse Treatment, Prevention, and Policy

DOI 10.1186/s13011-020-00318-xPMC PMC7545852

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Abstract

Background: Despite conflicting results in the literature concerning its efficacy in practice, racial matching has been identified as a component of culturally sensitive treatment. Methods: This study examined the perceived importance and prevalence of racial matching by surveying a national sample of substance use disorder (SUD) centers from the Substance Abuse and Mental Health Services Administration (SAMHSA). Results: Using univariate statistical analysis, results for the prevalence of racial matching revealed that in 58% of the clinics, there was the potential to match a counselor with a racially similar client, while in 39% of the clinics, there was no potential to provide such a match. Among the agencies that displayed a potential for racial matching, 26% of the respondents indicated that they never racially matched clients and therapists, 71% reported that they sometimes practice racial matching, 15% indicated that they usually racially match, and only 7% purported to always racially match clients and therapists. Results for the perceived importance of racial matching revealed that in both situations where treatment centers had the potential for racial matching and did not have the potential for racial matching, supervisors reported that it was relatively important to provide culturally sensitive treatment but that it was not as important to match clients in SUD centers with racially/ethnically similar counselors. Conclusion: The topic of racial matching can be very complex and has shown variation amongst SUD centers; however, this study emphasizes the importance of providing culturally sensitive treatment and an appreciation of differences among members within each racial group.

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Ethnic matching is a complex approach, as seen in substance misuse literature for ethnic minorities.
“However, ethnic matching is a complex approach, as seen in substance misuse literature for ethnic minorities [70].”
From ‘We don’t talk about that around here’: an interpretative phenomenological analysis (IPA) of South Asian male survivors’ experiences of childhood sexual abuse in the UK (2025) · cites this paper as [70]

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Authors: Steinfeldt, J. A., Clay, S. L., & Priester, P. E.
Affiliations: Indiana University Bloomington (US)
Northern Illinois University (US)
Corresponding author: Priester, Paul E.
ORCID: Steinfeldt, Jesse A.
Clay, Shondra L.
Priester, Paul E.
Venue: Substance Abuse Treatment, Prevention, and Policy
Publisher: Springer Science and Business Media LLC
Published: 2020-10-08
Volume: 15
Issue: 1
Pages: 76-76
ISSN: 1747-597X (ISSN-L)
DOI: 10.1186/s13011-020-00318-x
PMC: PMC7545852
OpenAlex: W3092506440
Cited by: 23
References: 64
Citations by year: 2026: 1 · 2025: 7 · 2024: 4 · 2023: 6 · 2022: 5
FWCI: 3.01
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0 (tdm)
creativecommons.org/licenses/by/4.0 (vor)
Locations: Substance Abuse Treatment Prevention and Policy (publishedVersion, cc-by)
Research Square (acceptedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics: Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
Keywords: racial matching, addiction treatment, culturally sensitive care, treatment centers
MeSH terms: Ethnicity, Female, Humans, Male, United States, United States Substance Abuse and Mental Health Services Administration, Prevalence, Substance Abuse Treatment Centers, Behavior, Addictive, Racial Groups, Cultural Competency

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Prevalence and perceived importance of racial matching in the psychotherapeutic dyad: a national survey of addictions treatment clinical practices

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