"Some studies indicate that minority groups, compared to Whites, experience better or equal access to and utilization of treatment services (Daley, 2005; Niv and Hser, 2006; Yang et al., 2006), with an over-representation of minorities in some substance abuse treatment programs (De La Rosa et al., 1990; Desmond and Maddux, 1984; Hanson, 1985; Jung, 2000; Kopstein and Roth, 1990; SAMHSA, 2002; Schmidt and Weisner, 1993; Yang et al., 2006). Other evidence indicates ethnic disparities do occur, with minorities experiencing reduced access to drug treatment (Little, 1981; Lundgren et al., 2001; Rhodes et al., 1990; Robles et al., 2003; Rounsaville and Kleber, 1985; Wu et al., 2004; Wu et al., 2003), fewer services (Wells et al., 2001), shorter treatment stays (Agosti et al., 1996; Evans et al., 2006; Longshore et al., 2004; McCaul et al., 2001; Milligan et al., 2004), or no substance abuse treatment services at all (Longshore et al., 1992). Despite mixed findings on ethnic differences in the drug treatment literature, researchers increasingly agree that minority groups experience more persistent and severe drug addiction, greater harmful consequences such as an increased rate of infectious diseases (e.g., HIV) related to intravenous drug use , and a higher prevalence of morbidity and mortality (Cooper et al., 2005; Demetriades et al., 2004; Friedman et al., 1987; Galea et al., 2003; Harlow, 1990; Kochanek et al., 2004; National Center for Health Statistics, 2004a, b; Prendergast et al., 1998; SAMHSA, 2003; Tardiff et al., 1989). "
[Show abstract][Hide abstract] ABSTRACT: This study examined whether ethnic differences exist in access to care, receipt of services, and associated outcomes of 1,057 offenders participating in California's Proposition 36. Data are based on intake and 3-month follow-up interviews conducted as part of a multisite prospective treatment outcome study. Logistic regressions were conducted to examine ethnicity and other predictors of treatment placement and services intensity. Across ethnic groups, services intensity in several domains was inadequately matched to need, and few services besides substance abuse treatment were provided. Blacks and Hispanics received alcohol and employment services that were not commensurate with their greater need. Although Blacks were more likely to be placed in residential programs, their employment status worsened from intake to follow-up. There were few other ethnic differences in outcomes. Assessing and eliminating ethnic-associated differences in health service delivery, even as moderate as our findings revealed, may improve program processes and outcomes.
[Show abstract][Hide abstract] ABSTRACT: This study describes utilization of drug abuse treatment and related perceptions among African American, Hispanic, and Anglo drug-using arrestees in Los Angeles. The study extends prior research by, first, describing ethnic variation in treatment utilization through analyses that control for nonethnic demographic factors and by, second, exploring the degree to which ethnicity is related to two predisposing factors (attitude toward treatment and perceived need) and two enabling factors (perceived cost and availability). After nonethnic demographic factors and past drug dependence are controlled, African American and Hispanic drug users in Los Angeles are less likely to report having been in drug abuse treatment. Hispanic drug users are more likely than Anglos to say that they have not sought treatment because they do not need it. African American drug users are more likely than Anglos to hold unfavorable views of treatment.
The Journal of Mental Health Administration 02/1992; 19(3):268-77. DOI:10.1007/BF02518991
[Show abstract][Hide abstract] ABSTRACT: This paper describes a culturally congruent intervention to promote recovery from illegal drug use among African Americans and reports initial outcomes. The intervention was based on the transtheoretical stages-of-change model and on techniques of focused dyadic counseling and motivational interviewing. Subjects were randomly assigned to the culturally congruent intervention or to a control condition. Each condition featured a single counseling session during which drug-related and other needs were assessed and appropriate referrals offered. Posttest data indicated that subjects in the culturally congruent condition were more involved in the counseling session, more willing to self-disclose, more motivated to seek help for drug-use-associated problems, and higher on preparation for change.
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