title: Drug treatment program ownership, Medicaid acceptance, and service provision.
abstract: The Institute of Medicine noted that effective substance abuse treatment (SAT) programs integrate individual therapeutic approaches with transitional/ancillary services. In addition, research suggests that type of ownership impacts SAT services offered and that Medicaid plays a key role in SAT access. Data from the National Survey of Substance Abuse Treatment Services for the years 2000 and 2002-2006 were used to examine relationships among SAT program Medicaid acceptance, program ownership, and transitional/ancillary service accessibility. Multivariate logistic regression models controlling for state- and program-level contextual factors were used to analyze the data. Nonprofit SAT programs were significantly more likely to offer transitional/ancillary services than for-profit programs. However, programs that accepted Medicaid, regardless of ownership, were significantly more likely to offer most transitional/ancillary services. The data suggest that Medicaid may play a significant role in offering key transitional/ancillary services related to successful treatment outcome, regardless of program ownership type.
authors.affiliation: Institute for Prevention of Addictions, Andrews University, Berrien Springs, MI 49104-0211, USA. mcbride@andrews.edu
authors.forename: Duane C
authors.initials: DC
authors.lastname: McBride
authors.forename: Jamie F
authors.initials: JF
authors.lastname: Chriqui
authors.forename: Yvonne M
authors.initials: YM
authors.lastname: Terry-McElrath
authors.forename: Mesfin S
authors.initials: MS
authors.lastname: Mulatu
mesh_terms: D006297:Health Services Accessibility / Q000191:economics; D006801:Humans; D008484:Medicaid / Q000191:economics*; D010067:Ownership / Q000191:economics*; D016320:Substance Abuse Treatment Centers / Q000191:economics*; D019966:Substance-Related Disorders / Q000191:economics / Q000628:therapy*; D014481:United States