Krahn Gloria, Deck Dennis, Gabriel Roy, Farrell Nancy
Oregon Health and Science University, Portland, Oregon, USA.
Am J Drug Alcohol Abuse. 2007;33(6):791-8. doi: 10.1080/00952990701653750.
To examine potential disparities in access to substance abuse treatment services for Medicaid-eligible adults with disabilities, and compare utilization rates and outcomes in outpatient programs.
Population-based multi-year cross-sectional study.
State-wide examination of substance-abuse treatment, particularly outpatient.
Medicaid enrollees aged 18-64.
Treatment access and utilization; outcome measures of retention, completion, readmission, and abstinence derived from state treatment and Medicaid databases.
Access and utilization rates for adults with disabilities were about half others' rates; treatment outcomes were generally equivalent across groups.
Adults with disabilities are underutilizing substance abuse treatment, suggesting barriers to accessing treatment.
研究符合医疗补助条件的残疾成年人在获得药物滥用治疗服务方面的潜在差异,并比较门诊项目中的利用率和治疗效果。
基于人群的多年横断面研究。
对全州范围的药物滥用治疗进行调查,尤其是门诊治疗。
年龄在18至64岁的医疗补助参保者。
治疗可及性和利用率;从州治疗数据库和医疗补助数据库得出的关于留存率、完成率、再入院率和戒酒/戒毒的治疗效果指标。
残疾成年人的治疗可及性和利用率约为其他人的一半;各群体的治疗效果总体相当。
残疾成年人对药物滥用治疗的利用不足,这表明在获得治疗方面存在障碍。