Journal of Substance Abuse Treatment
Volume 35, Issue 1 , Pages 13-21, July 2008

State policies matter: The case of outpatient drug treatment program practices

  • Jamie F. Chriqui, Ph.D., M.H.S.

      Affiliations

    • Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL 60608, USA
    • Center for Health Policy and Legislative Analysis, The MayaTech Corporation, Silver Spring, MD 20910, USA
    • Corresponding Author InformationCorresponding author. University of Illinois at Chicago, M/C 275, Room 558, Chicago, IL 60608, USA. Tel.: +1 312 996 6410; fax: +1 312 355 2801.
    • ,
  • Yvonne Terry-McElrath, M.H.S.A.

      Affiliations

    • Institute for Social Research, University of Michigan, Ann Arbor, MI 48104, USA
    • ,
  • Duane C. McBride, Ph.D.

      Affiliations

    • Institute for the Prevention of Addictions, Andrews University, Berrien Springs, MI 49104, USA
    • ,
  • Shelby S. Eidson, J.D.

      Affiliations

    • Center for Health Policy and Legislative Analysis, The MayaTech Corporation, Silver Spring, MD 20910, USA

Received 30 May 2007; received in revised form 2 July 2007; accepted 8 August 2007. published online 16 October 2007.

Abstract 

This study examined relationships between state policy requirements governing outpatient substance abuse treatment services and reported outpatient treatment program practices. State policies effective as of February 1, 2003, and February 1, 2004, were collected and analyzed via primary legal research; data were validated by state officials (88% response rate; > 90% validation rate). Treatment practice data were obtained from the National Survey of Substance Abuse Treatment Services for the years 2003 and 2004. Multivariate analyses clustered by state were conducted, controlling for state, program, and state-aggregated client admission characteristics. Results indicated that treatment programs located in states with requirements for comprehensive substance abuse assessment, family counseling, substance abuse and infectious disease/sexually transmitted disease testing services, HIV/AIDS education, and aftercare services had significantly higher odds of offering such services (p values ranging from < .05 to < .001). This study presents new information regarding the potential role that state policy context may play in understanding treatment program practices.

Keywords: Substance abuse treatment, State policy, Treatment practices, Treatment services, State regulation

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 The views expressed in this article are solely attributable to the authors and do not reflect the views of the Robert Wood Johnson Foundation or its trustees, the University of Illinois at Chicago, or the authors' employers.

PII: S0740-5472(07)00247-4

doi:10.1016/j.jsat.2007.08.012

Journal of Substance Abuse Treatment
Volume 35, Issue 1 , Pages 13-21, July 2008

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