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Published in: Administration and Policy in Mental Health and Mental Health Services Research 6/2014

01-11-2014 | Original Paper

Organizational Implementation of Evidence-Based Substance Abuse Treatment in Racial and Ethnic Minority Communities

Authors: Erick G. Guerrero, Amy He, Ahraemi Kim, Gregory A. Aarons

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 6/2014

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Abstract

We evaluated organizational factors associated with the implementation of contingency management treatment (CMT) and medication-assisted treatment (MAT) in substance abuse treatment (SAT) programs serving racial and ethnic minority communities. Analysis of cross-sectional data collected in 2010–2011 from a random sample of 148 publicly funded SAT programs showed that accepting private insurance was positively associated with CMT and MAT implementation, whereas larger programs were associated with greater implementation of MAT. Supervisorial openness to and expectations about implementing evidence-based practices (EBPs) and attributes for change were strongly associated with CMT, whereas the interactions between openness to EBPs and programs that accept private insurance and that are governed by parent organizations were positively associated with MAT. These external expectations and managerial attitudes supported the implementation of psychosocial and pharmacotherapy treatments in SAT. Implications for improving standards of care in minority communities are discussed.
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Metadata
Title
Organizational Implementation of Evidence-Based Substance Abuse Treatment in Racial and Ethnic Minority Communities
Authors
Erick G. Guerrero
Amy He
Ahraemi Kim
Gregory A. Aarons
Publication date
01-11-2014
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 6/2014
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-013-0515-3

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