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States and Substance Abuse Treatment Programs: Priorities, Guidelines and Funding for Infection-Related Services.

Poster presented at the College on Problems of Drug Dependence (CPDD) annual meeting, Quebec City, Canada, June 16-21, 2007.

Steven Allan Kritz, MD (Addiction Research and Treatment Corporation, NY Node), Lawrence S. Brown Jr., MD, MPH (Addiction Research and Treatment Corporation, NY Node), R. Jeffrey Goldsmith, MD (Cincinnati VA/CinARC, OV Node), Edmund J. Bini, MD, MPH (VA New York Harbor Healthcare System, NY Node), James A. Robinson, MEd (Nathan Kline Institute for Psychiatric Research, NY/LI Node), Donald Alderson, MS (New York State Psychiatric Institute, NY Node), John Rotrosen, MD (New York University, NY Node), CTN Infections Study Team (CTN-0012).

This poster discusses the results of a survey done as part of protocol CTN-0012 ("Characteristics of Screening, Evaluation, and Treatment of HIV/AIDS, Hepatitis C Viral Infections, and Sexually Transmitted Infections in Substance Abuse Treatment Programs"), emphasizing the perspective of state substance abuse and health departments in relationship to the treatment programs within their jurisdiction for three infection groups: HIV/AIDS, Hepatitis C virus, and sexually transmitted infections. State substance abuse and health departments were compared regarding priorities, written guidelines and availability of funding for 8 selected services for the 3 infections (24 comparisons). In addition, clarity of guidelines and availability of funding for the 8 services, as reported by administrators and clinicians at treatment programs offering these services were compared with guidelines and funding as reported by the states. Surveys were received from 48 states and DC (96%) representing 46 substance abuse and 42 health departments. The response rate from treatment program administrators and clinicians was 269 (84%) and 1723 (78%), respectively. There was general agreement between states and the two departments within the states regarding priorities and availability of funding (19 of 24 comparisons). While most states had guidelines for infection-related services, clarity of guidelines as expressed by treatment program administrators and clinicians was less than optimal. For funding, treatment program administrators indicated less availability than the states for all 24 comparisons, 19 of which were statistically significant. While states appear generally to have their priorities, guidelines and funding in place, the mosaic that constitutes the healthcare delivery system may be too complex for the treatment programs to access most efficiently. (Poster, PowerPoint slides, English, 2007)

Keywords: Community health services | Health services research | Hepatitis C | HIV/AIDS | Sexually transmitted diseases | States - Roles in the CTN | College on Problems of Drug Dependence (CPDD) annual meeting, 2007

Document No: 218

Submitted by Steven Kritz, M.D., New York Node (6/26/2007).

Alderson, Donald search
Bini, Edmund J. search mail
Brown, Lawrence S. Jr. search mail
Goldsmith, R. Jeffrey search mail
Kritz, Steven Allan search mail
Robinson, James A. search mail
Rotrosen, John search mail
NIDA-CTN-0012 search www
All Nodes and CTPs were asked to participate in this study

Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
The materials on this site have neither been created nor reviewed by NIDA.
Updated 6/2009 --