Access to drug abuse treatment under Treatment on Demand policy in San Francisco.
OBJECTIVE
We evaluated whether implementation of Treatment on Demand (TOD) policy in San Francisco was associated with improved access to drug abuse treatment.


METHODS
Data came from San Francisco's treatment program waiting list over 4 years spanning the implementation of TOD policy. Access measures were monthly applicants waiting and days waited by treatment admissions. Quantitative analyses with 69 treatment facilities contrasted those receiving vs. not receiving TOD funds. Qualitative data came from interviews with facility administrators.


RESULTS
There was a small statistically significant decline in monthly waiting lists in the number of people waiting for treatment during the study period. The days waited by those admitted to treatment, however, significantly increased in TOD-funded facilities. Facilities used varied criteria for completing the access measures, which limit the utility of the measures.


CONCLUSIONS
Access to treatment improved slightly with implementation of TOD policy.
Sorensen
James L
JL
Department of Psychiatry, University of California San Francisco, San Fransico, San Francisco General Hospital, California 94110, USA. James.Sorensen@UCSF.edu
Guydish
Joseph
J
Zilavy
Pamela
P
Davis
Thomas B
TB
Gleghorn
Alice
A
Jacoby
Marvin
M
Sears
Clare
C
D006291:Health Policy; D006297:Health Services Accessibility; D006801:Humans; D012044:Regression Analysis; D012495:San Francisco; D016320:Substance Abuse Treatment Centers / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D014850:Waiting Lists