Krahn Gloria, Farrell Nancy, Gabriel Roy, Deck Dennis
Oregon Health and Science University, Portland, OR 97207, USA.
J Subst Abuse Treat. 2006 Dec;31(4):375-84. doi: 10.1016/j.jsat.2006.05.011. Epub 2006 Aug 17.
Research in substance abuse (SA) treatment has demonstrated that persons with disabilities (PWDs) are at substantially higher risk for SA than persons without disabilities. Despite their higher risk, PWDs access SA treatment at a much lower rate than persons without disabilities. Using the Behavioral Model for Vulnerable Populations as a research framework, we identified reasons for differences in access to SA treatment for Medicaid-eligible adults with disabilities in Oregon through a multiphase study. Analyses of demographic and referral source data, along with interviews with key state agency representatives, adults with disabilities, and treatment program personnel, helped identify barriers to SA treatment access. These barriers are reflected as attributes of PWDs, contextual variables that enable or impede access, recognition of the need for SA treatment, and characteristics of treatment services. The findings suggest needed policy and practice changes to increase access rates for PWDs. They provide direction for future research.
药物滥用（SA）治疗方面的研究表明，残疾人（PWDs）比非残疾人面临的药物滥用风险要高得多。尽管风险更高，但残疾人接受药物滥用治疗的比例却远低于非残疾人。我们以弱势群体行为模型作为研究框架，通过一项多阶段研究，确定了俄勒冈州符合医疗补助条件的成年残疾人在获得药物滥用治疗方面存在差异的原因。对人口统计学和转诊来源数据的分析，以及与主要州机构代表、成年残疾人及治疗项目人员的访谈，有助于找出药物滥用治疗获取方面的障碍。这些障碍表现为残疾人的属性、影响获取的背景变量、对药物滥用治疗需求的认知以及治疗服务的特点。研究结果表明，需要在政策和实践方面做出改变，以提高残疾人的治疗获取率。它们为未来的研究提供了方向。
