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Decline in Public Substance Use Disorder Treatment Center Most Serious in Counties with High Shares of Black Residents (Health Affairs)

Publication Topics

Access to Health Care; Health Care Delivery System; Safety Net Providers; Managed Care; Medicaid/Medi-Cal; Health Behaviors; Alcohol Use; Tobacco/Smoking; Mental and Emotional Health; Population Focus; Racial and Ethnic Groups; African-American

Publication Type

Journal Article

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<a onclick="OpenPopUpPage('http:\u002f\\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=607\u0026RootFolder=*', RefreshPage); return false;" href=";ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=607&amp;RootFolder=*">Janet Cummings</a>

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<a onclick="OpenPopUpPage('http:\u002f\\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1357\u0026RootFolder=*', RefreshPage); return false;" href=";ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1357&amp;RootFolder=*">Hefei Wen</a>

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Authors used 2002–2010 data from the National Survey of Substance Abuse Treatment Services to describe changes in the supply of public and private outpatient facilities for substance use disorder treatment, and to determine whether these trends had implications for the geographical availability of these facilities in counties with high percentages of black residents.

During the study period, the number of publicly-owned facilities declined 17.2 percent, whereas the number of private for-profit facilities grew 19.1 percent. At baseline, counties with very high percentages of black residents (that is, more than one standard deviation above the mean) were more likely than counties with less than the mean percentage of black residents to be served by public facilities and were thus disproportionately affected by the overall decline in public facilities. Future research should examine the effect of expanding eligibility for Medicaid on the supply of substance use disorder treatment facilities across diverse communities.


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Journal Article: Decline in Public Substance Use Disorder Treatment Center Most Serious in Counties with High Shares of Black Residents

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Version: 2.0
Created at 7/5/2016 11:29 AM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 7/5/2016 11:34 AM by i:0#.f|uclachissqlmembershipprovider|celeste