title: Treatment Access Barriers and Disparities Among Individuals with Co-Occurring Mental Health and Substance Use Disorders: An Integrative Literature Review.
abstract: The purpose of this integrative review is to examine and synthesize extant literature pertaining to barriers to substance abuse and mental health treatment for persons with co-occurring substance use and mental health disorders (COD). Electronic searches were conducted using ten scholarly databases. Thirty-six articles met inclusion criteria and were examined for this review. Narrative review of these articles resulted in the identification of two primary barriers to treatment access for individuals with COD: personal characteristics barriers and structural barriers. Clinical implications and directions for future research are discussed. In particular, additional studies on marginalized sub-populations are needed, specifically those that examine barriers to treatment access among older, non-White, non-heterosexual populations.
authors.affiliation: College of Social Work, DeSaussure College, University of South Carolina, Columbia, SC, 29208. Electronic address: maryp@email.sc.edu.
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Priester
authors.affiliation: College of Social Work, DeSaussure College, University of South Carolina, Columbia, SC, 29208.
authors.forename: Teri
authors.initials: T
authors.lastname: Browne
authors.affiliation: College of Social Work, DeSaussure College, University of South Carolina, Columbia, SC, 29208.
authors.forename: Aidyn
authors.initials: A
authors.lastname: Iachini
authors.affiliation: College of Social Work, DeSaussure College, University of South Carolina, Columbia, SC, 29208.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Clone
authors.affiliation: College of Social Work, DeSaussure College, University of South Carolina, Columbia, SC, 29208.
authors.forename: Dana
authors.initials: D
authors.lastname: DeHart
authors.affiliation: College of Social Work, DeSaussure College, University of South Carolina, Columbia, SC, 29208.
authors.forename: Kristen D
authors.initials: KD
authors.lastname: Seay
mesh_terms: D017831:Diagnosis, Dual (Psychiatry); D006297:Health Services Accessibility; D054625:Healthcare Disparities; D006801:Humans; D001523:Mental Disorders / Q000150:complications / Q000628:therapy*; D008913:Minority Groups; D019966:Substance-Related Disorders / Q000150:complications / Q000628:therapy*
keywords: Co-occurring; Dual diagnosis; Mental health disorders; Substance use disorders; Treatment barriers