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How the states stack up: Disparities in substance abuse outpatient treatment completion rates for minorities
Journal article   Peer reviewed

How the states stack up: Disparities in substance abuse outpatient treatment completion rates for minorities

Stephan Arndt, Laura Acion and Kristin White
Drug and alcohol dependence, Vol.132(3), pp.547-554
10/01/2013
DOI: 10.1016/j.drugalcdep.2013.03.015
PMID: 23664124

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Abstract

This study was an exploratory investigation of state-level minority disparities in successfully completing outpatient treatment, a major objective for attending substance abuse treatment and a known process outcome measure. This was a retrospective analysis of state discharge and admission data from the 2006 to 2008 Treatment Episode Datasets–Discharge (TEDS-D). Data were included representing all discharges from outpatient substance abuse treatment centers across the United States. All first treatment episode clients with admission/discharge records meeting inclusion criteria who could be classified as White, Latino, or Black/African American were used (n=940,058). States demonstrated racial and ethnic disparities in their crude and adjusted completion rates, which also varied considerably among the states. Minorities typically showed a disadvantage. A few states showed significantly higher completion rates for Blacks or Latinos. Realistically, a variety of factors likely cause the state race/ethnic differences in successful completion rates. States should investigate their delivery systems to reduce completion disparities.
 Epidemiology Health policy Racial disparity State government Treatment completion Treatment Episode Datasets–Discharge

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