Evidence-based treatment for opiate-dependent clients: availability, variation, and organizational correlates.
The majority of opiate-dependent clients entering substance abuse treatment are referred to "drug-free" (non-methadone) modalities. Given the known challenges of treating these clients in drug-free settings relative to the documented effectiveness of methadone maintenance, these analyses investigate the availability of various clinical and wraparound services for this population among a US sample of addiction treatment programs with and without methadone maintenance services (N = 763). Face-to-face interviews conducted in 2002-2003 gathered data on the number of opiate-dependent clients treated; organizational characteristics, including size, ownership, accreditation, and staffing; treatment practices, including methadone availability, use of other pharmacotherapies, and levels of care; and services offered, including vouchers, transportation, and other wraparound services. Facilities treating proportionately more opiate-dependent clients were significantly more likely to offer a variety of evidence-based services, regardless of methadone availability. Implications for referral linkages and quality of care are discussed.
Ducharme
Lori J
LJ
Institute for Behavioral Research, 101 Barrow Hall, University of Georgia, Athens, GA 30602-2401, USA. lorid@uga.edu
Knudsen
Hannah K
HK
Roman
Paul M
PM
D003376:Counseling; D019317:Evidence-Based Medicine; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D009293:Opioid-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration*