title: Organizational implementation of evidence-based substance abuse treatment in racial and ethnic minority communities.
abstract: We evaluated organizational factors associated with the implementation of contingency management treatment (CMT) and medication-assisted treatment (MAT) in substance abuse treatment (SAT) programs serving racial and ethnic minority communities. Analysis of cross-sectional data collected in 2010-2011 from a random sample of 148 publicly funded SAT programs showed that accepting private insurance was positively associated with CMT and MAT implementation, whereas larger programs were associated with greater implementation of MAT. Supervisorial openness to and expectations about implementing evidence-based practices (EBPs) and attributes for change were strongly associated with CMT, whereas the interactions between openness to EBPs and programs that accept private insurance and that are governed by parent organizations were positively associated with MAT. These external expectations and managerial attitudes supported the implementation of psychosocial and pharmacotherapy treatments in SAT. Implications for improving standards of care in minority communities are discussed.
authors.affiliation: School of Social Work, University of Southern California, 655 West 34th Street, Los Angeles, CA, 90089-041, USA, erickgue@usc.edu.
authors.forename: Erick G
authors.initials: EG
authors.lastname: Guerrero
authors.forename: Amy
authors.initials: A
authors.lastname: He
authors.forename: Ahraemi
authors.initials: A
authors.lastname: Kim
authors.forename: Gregory A
authors.initials: GA
authors.lastname: Aarons
mesh_terms: D005006:Ethnicity; D055317:Evidence-Based Practice / Q000379:methods / Q000458:organization & administration*; D006801:Humans; D019458:Insurance Coverage; D008913:Minority Groups; D016730:Program Development; D044469:Racial Groups; D016320:Substance Abuse Treatment Centers / Q000379:methods / Q000458:organization & administration / Q000592:standards; D019966:Substance-Related Disorders / Q000188:drug therapy / Q000208:ethnology / Q000628:therapy*
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