Cited by 229Substance Abuse Treatment and OutcomesMental Health Treatment and AccessOpioid Use Disorder Treatment

Barriers to Substance Abuse Treatment in Rural and Urban Communities: Counselor Perspectives

Open access
Pullen, Erin, Oser, Carrie·2014·Substance Use & Misuse

Abstract

The purpose of this study is to compare rural and urban substance abuse counselors' perceptions of barriers to providing effective treatment services. Data were collected from 28 substance abuse counselors in Kentucky during four focus group sessions in 2008. Line-by-line coding and memoing were used by two raters on the transcribed data to isolate findings. The results of this study suggest that, though rural and urban counselors encounter similar constraints that hamper successful treatment outcomes, rural counselors are subject to special circumstances within their communities that present unique challenges to treatment efficacy. Novel contributions, implications, and limitations are also discussed.

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Crossref · 10.3109/10826084.2014.891615

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  • Comprehensive data on the patterns and factors influencing substance use in West Africa remain limited.

    “Despite the growing recognition of substance use as a critical public health issue, the response in West Africa has been hampered by several challenges [3, 9]. These include limited access to treatment services, inadequate funding for prevention programs, and a lack of comprehensive data on drug use patterns [17].”

    From Prevalence and patterns of substance use in West Africa: A systematic review and meta-analysis (2024) · cites this paper as [17]

    The Limitations section describes a study of counselors in Kentucky and cautions that its findings may not apply to other regions. Neither it nor the passages retrieved for West Africa and drug-use patterns address whether comprehensive substance-use data in West Africa are limited. (LLM, conf=0.76)

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1 of the 30 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. Hutchinson L Blakely C Substance abuse trends in rural areas: a literature review Rural Healthy People 2010: A companion document to health people 2010 2010 Vol. 2 College Station, TX Southwest Rural Health Research Center
  2. Pruitt LR The forgotten fifth: rural youth and substance abuse Stanford Law & Policy Review 2009 20 259 304

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Authors
Pullen, E., & Oser, C.
Affiliations
University of Kentucky (US)
Corresponding author
Pullen, Erin
Venue
Substance Use & Misuse
Published
2014-03-10
Volume
49
Issue
7
Pages
891-901
ISSN
  • 1082-6084 (ISSN-L)
  • 1532-2491
OpenAlex
W2130517233
Cited by
229
References
30
Citations by year
2026: 18 · 2025: 27 · 2024: 20 · 2023: 18 · 2022: 30 · 2021: 43 · 2020: 30 · 2019: 17 · 2018: 8 · 2017: 11 · 2016: 2 · 2015: 2 · 2014: 3
FWCI
4.53
Type
journal article
Language
en
Open access
Locations
  • Substance Use & Misuse (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Drug Abuse (K01DA021309)
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
addiction treatment, barriers to treatment, rural communities, urban communities, addiction counselors, counselor perceptions, urban-rural differences, treatment efficacy, Kentucky
MeSH terms
Attitude of Health Personnel, Communication Barriers, Cooperative Behavior, Counseling, Female, Financial Support, Health Services Accessibility, Humans, Kentucky, Language, Male, Rural Population, Transportation, Urban Population, Focus Groups, Case Management, Substance-Related Disorders, Qualitative Research

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