A Population-Based Study on Substance Abuse Treatment for Adults with Disabilities: Access, Utilization, and Treatment Outcomes

Author： Krahn Gloria Deck Dennis Gabriel Roy Farrell Nancy

Publisher： Informa Healthcare

ISSN： 0095-2990

Source： The American Journal of Drug and Alcohol Abuse, Vol.33, Iss.6, 2007-11, pp. : 791-798

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Abstract

Aims: To examine potential disparities in access to substance abuse treatment services for Medicaid-eligible adults with disabilities, and compare utilization rates and outcomes in outpatient programs. Design: Population-based multi-year cross-sectional study. Setting: State-wide examination of substance-abuse treatment, particularly outpatient. Participants: Medicaid enrollees aged 18-64. Measures: Treatment access and utilization; outcome measures of retention, completion, readmission, and abstinence derived from state treatment and Medicaid databases. Findings: Access and utilization rates for adults with disabilities were about half others' rates; treatment outcomes were generally equivalent across groups. Conclusions: Adults with disabilities are underutilizing substance abuse treatment, suggesting barriers to accessing treatment.