Key person-centered care domains for residential substance use disorder treatment facilities: former clients’ perspectives

Author:

Andraka-Christou Barbara1,Atkins Danielle2,Shields Morgan C.3,Golan Olivia K.4,Totaram Rachel1,Cortelyou Kendall1,Lambie Glenn1,Mazurenko Olena5

Affiliation:

1. University of Central Florida

2. Askew School of Public Administration, Florida State University

3. Washington University in St. Louis

4. Georgia State University

5. Indiana University

Abstract

Abstract Background While person-centered care (PCC) includes multiple domains, residential SUD treatment clients may value certain domains over others. We sought to identify the PCC domains most valued by former residential SUD treatment clients. Methods We distributed an online survey via social media to a national convenience sample of former residential SUD treatment clients. Respondents were presented with ten PCC domains in an online survey: (a) access to evidence-based care; (b) integration of care; (c) diversity/respect for other cultures; (d) individualization of care; (e) emotional support; (f) family involvement in treatment; (g) transitional services; (h) aftercare; (i) physical comfort; and (j) information provision. Respondents were asked to select up to two domains they deemed most important to their residential SUD treatment experience. We used descriptive statistics to identify response frequencies and logistic regression to predict relationships between selected domains and respondents’ race, gender, relationship status, parenting status, and housing stability. Results Our final sample included 435 former residential SUD treatment clients. Diversity and respect for different cultures was the most frequently selected domain (29%), followed by integration of care (26%), emotional support (26%), and individualization of care (26%). Provision of information was the least frequently chosen domain (3%). Race and ethnicity were not predictive of selecting respect for diversity. Also, parental status, relationship status and gender were not predictive of selecting family integration. Employment and housing status were not predictive of selecting transitional services. Conclusions While residential SUD treatment facilities should seek to implement PCC across all domains, our results suggest facilities should prioritize (a) operationalizing diversity, (b) integration of care, and (c) emotional support. Significant heterogeneity exists regarding PCC domains deemed most important to clients. PCC domains valued by clients cannot be easily predicted based on client demographics.

Publisher

Research Square Platform LLC

Reference36 articles.

1. Ahmad F, Rossen L, Spencer M, Warner M, Sutton P. Provisional drug overdose death counts.: National Center for Health Statistics.; 2021 [Available from: https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm#citation.

2. Substance Abuse and Mental Health Services Administration. Key Substance Use and Mental Health Indicators in the United States: Results from the 2020 National Survey on Drug Use and Health. Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration; 2021. Contract No.: HHS Publication No. PEP21-07-01-003, NSDUH Series H-56.

3. Admission Practices And Cost Of Care For Opioid Use Disorder At Residential Addiction Treatment Programs In The US;Beetham T;Health Aff (Millwood),2021

4. Predictive validity of two process-of-care quality measures for residential substance use disorder treatment;Harris AH;Addict Sci Clin Pract,2015

5. Stewart MT, O'Brien PL, Shields MC, White MC, Mulvaney-Day N. State Residential Treatment for Behavioral Health Conditions: Regulation and Policy Environmental Scan: U.S. Department of Health and Human Services, Assistant Secretary for Planning and Evaluation Disability, Aging and Long-Term Care Policy; 2019 [Available from: https://aspe.hhs.gov/system/files/pdf/262961/BehHeaConLR.pdf.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3