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Volume 30, Issue 3, Pages 227-235 (April 2006)


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Treatment barriers identified by substance abusers assessed at a centralized intake unit

Richard C. Rapp, M.S.W.Corresponding Author Informationemail address, Jiangmin Xu, Ph.D., Carey A. Carr, M.P.H., D. Tim Lane, M.Ed., Jichuan Wang, Ph.D., Robert Carlson, Ph.D.

Received 21 June 2005; received in revised form 30 November 2005; accepted 9 January 2006.

Abstract 

The 59-item Barriers to Treatment Inventory (BTI) was administered to 312 substance abusers at a centralized intake unit following assessment but before treatment entry to assess their views on barriers to treatment. Factor analysis identified 25 items in 7 well-defined latent constructs: Absence of Problem, Negative Social Support, Fear of Treatment, Privacy Concerns, Time Conflict, Poor Treatment Availability, and Admission Difficulty. The factorial structure of the barriers is consistent with the findings of other studies that asked substance abusers about barriers to treatment and is conceptually compatible with Andersen's model of health care utilization. Factors were moderately to highly correlated, suggesting that they interact with one another. Selected characteristics were generally not predictive of barrier factors. Overall, results indicate that the BTI has good content validity and is a reliable instrument for assessing barriers to drug treatment. The potential utility of the BTI in assessment settings is discussed.

Center for Interventions, Treatment, and Addictions Research (CITAR), Boonshoft School of Medicine, Wright State University, 3640 Colonel Glenn Highway, Dayton, OH 45435, USA

Corresponding Author InformationCorresponding author. Center for Interventions, Treatment, and Addictions Research (CITAR), Wright State University School of Medicine, 3640 Colonel Glenn Highway, Dayton, OH 45435, USA. Tel.: +1 937 775 3856; fax: +1 937 775 3395

PII: S0740-5472(06)00005-5

doi:10.1016/j.jsat.2006.01.002


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