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Substance Abuse Treatment, Prevention, and Policy
Published in: Substance Abuse Treatment, Prevention, and Policy 1/2007

Open Access 01-12-2007 | Research

African-American crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention

Authors: Wendee M Wechsberg, William A Zule, Kara S Riehman, Winnie K Luseno, Wendy KK Lam

Published in: Substance Abuse Treatment, Prevention, and Policy | Issue 1/2007

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Abstract

Background

Individual and sociocultural factors may pose significant barriers for drug abusers seeking treatment, particularly for African-American crack cocaine abusers. However, there is evidence that pretreatment interventions may reduce treatment initiation barriers. This study examined the effects of a pretreatment intervention designed to enhance treatment motivation, decrease crack use, and prepare crack abusers for treatment entry.

Methods

Using street outreach, 443 African-American crack users were recruited in North Carolina and randomly assigned to either the pretreatment intervention or control group.

Results

At 3-month follow-up, both groups significantly reduced their crack use but the intervention group participants were more likely to have initiated treatment.

Conclusion

The intervention helped motivate change but structural barriers to treatment remained keeping actual admissions low. Policy makers may be interested in these pretreatment sites as an alternative to treatment for short term outcomes.
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Metadata
Title
African-American crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention
Authors
Wendee M Wechsberg
William A Zule
Kara S Riehman
Winnie K Luseno
Wendy KK Lam
Publication date
01-12-2007
Publisher
BioMed Central
Published in
Substance Abuse Treatment, Prevention, and Policy / Issue 1/2007
Electronic ISSN: 1747-597X
DOI
https://doi.org/10.1186/1747-597X-2-10

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