title: Trajectories in use of substance abuse and mental health services among stimulant users in rural areas.
abstract: OBJECTIVE
  This study examined substance abuse and mental health service utilization during a three-year period among stimulant users living in rural areas.
  
  
  METHODS
  Participants (N=710) were interviewed at baseline and every six months for 36 months. One-step transition probabilities were constructed between the two types of service use for each consecutive pair of interviews to examine the resulting steady-state probabilities among multiple one-step transition matrices.
  
  
  RESULTS
  Most participants received no substance abuse or mental health services. On average, the probabilities of reporting use of the same types of services during the 36-month follow-up were 82% for receiving neither service, 9% for receiving only mental health treatment, 6% for receiving only substance abuse treatment, and 2% for receiving both services.
  
  
  CONCLUSIONS
  Further study is needed to determine factors that affect the decision to seek mental health or substance abuse treatment among residents of rural communities.
authors.affiliation: Department of Psychiatry, Universityof Arkansas for Medical Sciences, Little Rock, AR 72205, USA. currangeoffreym@uams.edu
authors.forename: Geoffrey Michael
authors.initials: GM
authors.lastname: Curran
authors.forename: Songthip T
authors.initials: ST
authors.lastname: Ounpraseuth
authors.forename: Elise
authors.initials: E
authors.lastname: Allee
authors.forename: Jeon
authors.initials: J
authors.lastname: Small
authors.forename: Brenda M
authors.initials: BM
authors.lastname: Booth
mesh_terms: D000293:Adolescent; D000328:Adult; D000697:Central Nervous System Stimulants; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012424:Rural Population; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000628:therapy*; D014481:United States; D055815:Young Adult
chemical_list: D000697:Central Nervous System Stimulants