Disparities in Access to Substance Abuse Treatment among People with Intellectual Disabilities and Serious Mental Illness

2010 ◽  
Vol 35 (1) ◽  
pp. 49-59 ◽  
Author(s):  
E. M. Slayter
Keyword(s):  
Substance Abuse ◽  
Mental Illness ◽  
Substance Abuse Treatment ◽  
Intellectual Disabilities ◽  
Serious Mental Illness ◽  
People With Intellectual Disabilities ◽  
Abuse Treatment

Medicaid-Covered Alcohol and Drug Treatment Use Among People With Intellectual Disabilities: Evidence of Disparities

2010 ◽  
Vol 48 (5) ◽  
pp. 361-374 ◽  
Author(s):  
Elspeth Slayter
Keyword(s):  
Substance Abuse ◽  
Substance Abuse Treatment ◽  
Intellectual Disabilities ◽  
Integrated Treatment ◽  
Treatment Utilization ◽  
Substance Abuse Disorders ◽  
Utilization Patterns ◽  
People With Intellectual Disabilities ◽  
Abuse Treatment ◽  
Treatment Use

Abstract For some, community inclusion facilitates access to alcohol and drugs and, therefore, the potential for developing substance abuse disorders. However, little is known about substance abuse treatment use among people with intellectual disabilities. Using standardized performance measures, substance abuse treatment utilization was examined for Medicaid-covered people with intellectual disabilies and substance abuse (N  =  9,484) versus people without intellectual disabilies (N  =  915,070). The sociobehavioral model of healthcare use guides multivariate logistic regression analyses of substance abuse treatment utilization patterns, revealing disability-related disparities. Factors associated with utilization included being non-White, living in a nonurban area, having a serious mental illness, and living in a state with a generous Medicaid plan for substance abuse treatment. Implications relate to health policy, service delivery patterns, and the need for cross-system collaboration in the use of integrated treatment approaches.

A Scale for Assessing the Stage of Substance Abuse Treatment in Persons with Severe Mental Illness

1995 ◽  
Vol 183 (12) ◽  
pp. 762-767 ◽  
Author(s):  
GREGORY J. McHUGO ◽  
ROBERT E. DRAKE ◽  
HEATHER L. BURTON ◽  
THEIMANN H. ACKERSON
Keyword(s):  
Substance Abuse ◽  
Mental Illness ◽  
Substance Abuse Treatment ◽  
Severe Mental Illness ◽  
Abuse Treatment
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