From November 1999 until June 2001, Philip Appel, PhD, and colleagues at the New York State Office of Alcoholism and Substance Abuse Services documented barriers to substance abuse treatment services for injection drug users in New York City and its northern suburbs.
Researchers also gathered suggestions regarding ways to address the barriers identified by injection drug users, street outreach workers, substance abuse treatment staff and government officials.
- Users of injection drugs, who were clients of street outreach programs, and other stakeholders in substance abuse treatment cited the following main barriers to treatment:
- Family or personal problems or lack of desire for treatment.
- Lack of insurance or Medicaid coverage or long waiting lists.
- Lack of uniform admissions criteria.
- Lack of transportation and treatment slots.
- Insensitivity of social services staff and police.
- Key suggestions offered for reducing treatment barriers include:
- Admit people without insurance or Medicaid and people without identification or other documents to treatment programs.
- Increase funding for transportation, treatment slots, staffing, training and case management.
- Streamline admissions.
- Offer educational and incentive programs for substance abuse treatment staff.
Substance Abuse Policy Research Program Project Results
Individual project results from the RWJF initiative, Substance Abuse Policy Research ProgramRead the Program Results for Substance Abuse Policy Research Program View all
Mildred Dalton Manning, the last surviving member of a group of U.S. Army and Navy nurses taken prisoner in the Philippines at the start of ...
Learn how to improve care transitions and prevent avoidable hospital readmissions, and pick up nursing and medical education con-ed credits.
Join the Commission on June 19, 2013 for a public meeting to raise awareness of how non-medical factors influence health and move public- an...
"We often see the benefits of diversity as being for minorities," Angela Amar writes. "We seldom see that the majority benefits as well."
The reconvened Commission to Build a Healthier America will provide new guidance in two key areas: early childhood and healthy communities.
Legislation Would Dramatically Expand FDA’s Oversight of Compounding Pharmacies - Study: Diners Dramatically Underestimate Calories in Fast ...
The strange pull of this series is its humanity, not its horrors.
By “practicing” with medical simulation and by interacting with culturally diverse standardized patients, students and residents can develop...
Team members, grantees, and guests discuss breakthrough ideas that will allow us to move toward solving challenges in health care.
The RWJF Roadmaps to Health Prize honors outstanding community partnerships which are helping people live healthier lives. The six winners w...
While the need to address disparities in care is well known, few strategies for reducing disparities have been studied systematically.
A national conversation highlighting efforts to improve care transitions, reduce avoidable hospital readmissions, and lift overall quality o...