Does the implementation of evidence-based and culturally competent practices reduce disparities in addiction treatment outcomes?

Addictive Behaviors
Erick G GuerreroYinfei Kong

Abstract

Research is limited on the extent to which implementation of evidence-based and culturally responsive practices reduces outcome disparities in substance use disorder treatment. We examined the role of contingency management treatment (CMT), medication-assisted treatment (MAT), and culturally competent practices on Mexican Americans' rate of successful completion of treatment. We analyzed a concatenated dataset from 153 publicly funded substance use disorder treatment programs in Los Angeles County, California, in 2011 and 2013. These data were merged with data from 15,412 adult clients in both periods, of whom we selected only Mexican Americans (46.3%) and non-Latino Whites (53.7%). The outcome was successful treatment completion. The main independent variables were client demographics, drug use severity, mental health issues, and program license and professional accreditation. Less than half of the programs highly implemented CMT, MAT, and culturally competent practices. CMT and cultural competence were not associated with successful treatment completion. However, Mexican Americans in programs with high degree of implementation of MAT had higher odds of successfully completing treatment compared to non-Latino Whites and progra...Continue Reading

Citations

Nov 30, 2018·American Journal of Public Health·David Goodman-MezaDan Werb
Jul 12, 2019·Frontiers in Public Health·Ortal Slobodin, Cleo L Crunelle
Aug 31, 2020·Addiction Research & Theory·Tabitha E H MosesMark K Greenwald

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