147554 Disparities in health services for addiction-related infections in substance abuse treatment programs

Wednesday, November 7, 2007

Lawrence S. Brown, MD, MPH, FASAM , Division of Medical Services, Evaluation and Research, Addiction Research and Treatment Corporation, Brooklyn, NY
Steven Kritz, MD , Division of Medical Services, Research and Information Technology, Addiction Research and Treatment Corporation, Brooklyn, NY
Edmund J. Bini, MD, MPH , Division of Gastroenterology, VA NY Harbor Healthcare System and NYU School of Medicine, New York, NY
Jim Robinson, MEd , Nathan Kline Institute, Orangeburg, NY
Don Alderson, MS , NYS Psychiatric Institute, New York Presbyterian Hospital, New York, NY
John Rotrosen, MD , Department of Psychiatry, NYU School of Medicine and VA New York Harbor Healthcare System, New York, NY
Background: The availability of infection-related health services in treatment programs serving women and non-white populations has not been investigated despite the proven infection-related benefits of substance abuse treatment. We investigated the differences in availability of infection-related services between programs with and without addiction services tailored for women and non-white populations. Methods: In a cross-sectional, descriptive design, administrators from 269 treatment programs within the National Drug Abuse Treatment Clinical Trials Network provided program characteristics, availability of 21 infection-related services, and presence or absence of 8 barriers to providing these services. Results: Compared to treatment programs without addiction services tailored for any special population, treatment programs providing addiction services designed for at least one special population were more likely to provide HIV-related education (94% versus 85%, p = 0.05) and patient counseling (76% versus 60%, p = 0.03), and were more likely to include outpatient addiction services (86% versus 57%, p<0.001) and outreach and support services (92% versus 70%, p=0.01) despite funding, health insurance, and patient acceptance barriers. Conclusions: Tailoring addiction treatment and reducing barriers to infection-related health care provide opportunities to reduce the burdens and disparities associated with these infections.

Learning Objectives:
To look at associations between substance abuse treatment programs offering specialized addiction services for women and racial/ethnic minorities, and presence of services for HIV/AIDS, hepatitis C and sexually transmitted diseases

Keywords: Substance Abuse Treatment, Minorities

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.