title: Access to treatment-related and support services in methadone treatment programs.
abstract: This study examines whether the mechanism through which a methadone maintenance treatment site offers seven treatment-related and support services is related to whether a patient receives such services. Mechanisms include the provision of services on-site, at another program site, or through formal or informal linkage arrangements. Analysis was conducted on a nationally representative sample of methadone treatment sites. Providing services on-site was found to be positively related to patient access to a majority of services, whereas, in general, offering services at another program site or through formal or informal linkages was not found to be effective. Not-for-profit or public ownership of treatment sites was also found to be positively related to patient access.
authors.affiliation: Health Services and Social Policy Research, RTI International, Research Triangle Park, NC 27709-2194, USA. berkman@rti.org
authors.forename: Nancy D
authors.initials: ND
authors.lastname: Berkman
authors.forename: Wendee M
authors.initials: WM
authors.lastname: Wechsberg
mesh_terms: D000293:Adolescent; D000328:Adult; D003710:Demography; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D008658:Inactivation, Metabolic; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration*; D008691:Methadone / Q000627:therapeutic use*; D008875:Middle Aged; D009294:Narcotics / Q000627:therapeutic use*; D009293:Opioid-Related Disorders / Q000534:rehabilitation*; D012944:Social Support; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration*; D014481:United States
chemical_list: D009294:Narcotics; D008691:Methadone