title: Patient and program factors in obtaining supportive services in DATOS.
abstract: This study examined patient and program factors that influenced the receipt of scheduled supportive services in the Drug Abuse Treatment Outcome Studies (DATOS). Patients (N = 2,932) in 21 long-term residential (LTR) programs, 27 outpatient methadone treatment (OMT), and 25 outpatient drug-free programs were interviewed at admission and at 3 months during treatment. A hierarchical regression analysis was used to examine the relationship between patient-level and program-level factors associated with receiving supportive services in seven categories (medical, psychological, family, legal, educational, vocational, and financial). LTR patients received more services on average than outpatients (especially OMT), but patients overall received few services in the first 3 months of treatment. The patient-level likelihood of receiving services was related to being female and to having higher problem severity at intake. At the program level, outpatient clientele with higher problem severity received more services if they entered a program whose other enrolled patients were less troubled on average.
authors.affiliation: National Institute on Drug Abuse National Institutes of Health, 6001 Executive Boulevard, Room 5159, Bethesda, MD 20892, USA. bennet_fletcher@nih.gov
authors.forename: Bennett W
authors.initials: BW
authors.lastname: Fletcher
authors.forename: Kirk M
authors.initials: KM
authors.lastname: Broome
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Delany
authors.forename: Joseph
authors.initials: J
authors.lastname: Shields
authors.forename: Patrick M
authors.initials: PM
authors.lastname: Flynn
mesh_terms: D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data; D019970:Cocaine-Related Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D003131:Combined Modality Therapy; D015897:Comorbidity; D004608:Eligibility Determination / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006556:Heroin Dependence / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D016013:Likelihood Functions; D008297:Male; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010343:Patient Admission / Q000706:statistics & numerical data; D010348:Patient Care Team / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012737:Sex Factors; D012944:Social Support; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data; D014481:United States