School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Department of Psychological Science, University of Texas Rio Grande Valley, Edinburg, Texas, USA.
Am J Addict. 2024 Jul;33(4):400-408. doi: 10.1111/ajad.13520. Epub 2024 Jan 24.
Spanish is the second most spoken language in the United States. Not all substance use disorder (SUD) treatment facilities provide treatment in Spanish. This study examined factors associated with SUD treatment facilities having counselors that provide treatment in Spanish.
State-level estimates of Spanish-speaking individuals were derived from the American Community Survey 2019. SUD treatment facility characteristics were captured from the National Survey of Substance Abuse Treatment Services 2020. We examined a sample of 15,246 facilities which included 12,798 outpatient, 3554 nonhospital residential, and 1106 with both outpatient and residential programs. Binary logistic regression models were used to observe state-level proportions of Spanish speakers and facility-level characteristics as factors associated with a facility having counselors that provide treatment in Spanish.
Approximately 23.3% of facilities had counselors able to provide treatment in Spanish. Among outpatient or nonhospital residential SUD facilities, those in a state with a larger proportion of Spanish-speaking individuals, facilities with pay assistance, facilities that accept Medicaid, and facilities that engage in community outreach had higher odds of having counselors that provide treatment in Spanish.
Considering that less than a quarter of facilities provide treatment in Spanish, increasing the availability of linguistically appropriate and culturally responsive services for SUD is imperative.
This national study is the first of its kind to examine associations between estimates of Spanish speakers and treatment facility characteristics associated with counselors that provide treatment in Spanish in outpatient and nonhospital residential SUD treatment.
西班牙语是美国第二大使用最广泛的语言。并非所有物质使用障碍（SUD）治疗机构都提供西班牙语治疗服务。本研究旨在探讨与 SUD 治疗机构中提供西班牙语治疗服务的咨询师相关的因素。
从 2019 年美国社区调查中得出讲西班牙语人群的州级估计数。从 2020 年国家药物滥用治疗服务调查中获取 SUD 治疗机构特征。我们对包括 12798 家门诊、3554 家非住院性住所和 1106 家门诊和住所相结合的 15246 家治疗机构的样本进行了研究。采用二元逻辑回归模型观察州级西班牙语使用者比例和机构级特征，以了解与治疗机构中提供西班牙语治疗服务的咨询师相关的因素。
约 23.3%的治疗机构有能够提供西班牙语治疗服务的咨询师。在门诊或非住院性住所 SUD 治疗机构中，那些在西班牙语使用者比例较大的州，提供付费援助的机构、接受医疗补助的机构和开展社区外展服务的机构，其提供西班牙语治疗服务的咨询师更有可能提供西班牙语治疗服务。
考虑到不到四分之一的治疗机构提供西班牙语治疗服务，增加 SUD 的语言适宜性和文化响应服务的可及性至关重要。
本项全国性研究首次探讨了西班牙语使用者估计数与门诊和非住院性住所 SUD 治疗机构特征之间的关联，这些特征与提供西班牙语治疗服务的咨询师相关。
