Rural substance use treatment centers in the United States: an assessment of treatment quality by location

The American Journal of Drug and Alcohol Abuse
Mary Bond EdmondPaul M Roman

Abstract

While previous research has added to the understanding of rural residents' unique health challenges, much remains to be learned about the provision of substance use disorder (SUD) treatment in rural areas. A key question is difference in structural resources and quality of care between rural and urban treatment centers. To examine differences in treatment quality in rural and urban centers and to determine if differences in treatment quality are contextualized by centers' structural resources. Utilizing combined data from two representative samples of SUD treatment centers (n = 591), we used a series of multivariate regressions to analyze the association between center rurality and various indicators of structural characteristics and treatment quality. Interaction effects were further examined between structural characteristics and treatment quality indicators. We found that structural and quality differences between rural and urban treatment centers were present. Rural centers had reduced access to highly educated counselors, were more likely to be non-profit and dependent on public funding, offered fewer wraparound services, and had less diverse specialized treatment options. Our results also indicated that rural centers were...Continue Reading

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Citations

Apr 2, 2013·Journal of Substance Abuse Treatment·Nickolas ZallerJosiah D Rich
Oct 27, 2017·Journal of Community Health·Ronald D WilliamsVeronica Ray
Jan 1, 2018·Journal of Social Work Practice in the Addictions·Grant VictorCarrie Oser

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