Organizational determinants of outpatient substance abuse treatment duration in women

Citation

Campbell, Cynthia; Alexander, Jeffrey A.; & Lemak, Christy Harris (2009). Organizational determinants of outpatient substance abuse treatment duration in women. Journal of Substance Abuse Treatment. vol. 37 (1) pp. 64-72 , PMCID: PMC2935286

Abstract

Longer treatment duration has consistently been related to improved substance use outcomes. This study examined how tailored women's programming and organizational characteristics were related to duration in outpatient substance abuse treatment in women. Data were from two waves of a national outpatient substance abuse treatment unit survey (n = 571 in 1999/2000, n = 566 in 2005). Analyses were conducted separately for methadone and nonmethadone programs. Negative binomial regressions tested associations between organizational determinants, tailored programming, and women's treatment duration. Of the tailored programming services, childcare was significantly related to longer duration in the nonmethadone programs, but few other organizational factors were. Tailored programming was not associated to treatment duration in methadone programs, but ownership, affiliation, and accreditation were related to longer duration. Study findings suggest evidence for how external relationships related to resources, treatment constraints, and legitimacy may influence women's treatment duration. Methadone programs may be more vulnerable to external influences.

URL

http://dx.doi.org/10.1016%2Fj.jsat.2008.09.012

Reference Type

Journal Article

Journal Title

Journal of Substance Abuse Treatment

Author(s)

Campbell, Cynthia
Alexander, Jeffrey A.
Lemak, Christy Harris

Year Published

2009

Volume Number

37

Issue Number

1

Pages

64-72

DOI

10.1016/j.jsat.2008.09.012

PMCID

PMC2935286

Reference ID

992