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

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

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

DOI 10.3109/10826084.2014.891615PMC PMC3995852

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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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Authors: Pullen, E., & Oser, C.
Affiliations: University of Kentucky (US)
Corresponding author: Pullen, Erin
ORCID: Pullen, Erin
Oser, Carrie
Venue: Substance Use & Misuse
Publisher: Informa UK Limited
Published: 2014-03-10
Volume: 49
Issue: 7
Pages: 891-901
ISSN: 1082-6084 (ISSN-L)
1532-2491
DOI: 10.3109/10826084.2014.891615
PMC: PMC3995852
OpenAlex: W2130517233
Semantic Scholar: 119548f23e1fac496185bce652806a0c7879508b
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: green
www.ncbi.nlm.nih.gov
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
Health Sciences › Medicine › Psychiatry and Mental health › 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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Barriers to Substance Abuse Treatment in Rural and Urban Communities: Counselor Perspectives

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