Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
Substance Abuse Treatment, Prevention, and Policy
Published in: Substance Abuse Treatment, Prevention, and Policy 1/2012

Open Access 01-12-2012 | Short Report

Do cultural and linguistic competence matter in Latinos’ completion of mandated substance abuse treatment?

Authors: Erick G Guerrero, Michael Campos, Darren Urada, Joy C Yang

Published in: Substance Abuse Treatment, Prevention, and Policy | Issue 1/2012

Login to get access

Abstract

Background

Increasing evidence suggests that culturally and linguistically responsive programs may improve substance abuse treatment outcomes among Latinos. However, little is known about whether individual practices or culturally and linguistically responsive contexts support efforts by first-time Latino clients to successfully complete mandated treatment.

Methods

We analyzed client and program data from publicly funded treatment programs contracted through the criminal justice system in California. A sample of 5,150 first-time Latino clients nested within 48 treatment programs was analyzed using multilevel logistic regressions.

Results

Outpatient treatment, homelessness, and a high frequency of drug use at intake were associated with decreased odds of treatment completion among Latinos. Programs that routinely offered a culturally and linguistically responsive practice—namely, Spanish-language translation—were associated with increased odds of completion of mandated treatment.

Conclusions

These preliminary findings suggest that concrete practices such as offering Spanish translation improve treatment adherence within a population that is at high risk of treatment dropout.
Literature
1.
Evans E, Hunter J, Urada D: Characteristics of Proposition 36 offenders. Evaluation of Proposition 36: The Substance Abuse and Crime Prevention Act of 2000: 2009 Report. Edited by: Urada D, Evans E, Yang J, Connor BT, Campos M, Brecht L, Anglin MD, Fan J, Hunter J, Rutkowski B, Teruya C, Gardiner C, Gonzales R, Grella C, Rawson R, Prendergast M, Tiburcio N, Lowe B, Shaw K, Hser YI. 2009, UCLA Integrated Substance Abuse Programs, Los Angeles, 16-57.
2.
Campos M, Yang J, Urada D, Hunter J, Tiburcio N: Proposition 36 special populations: Hispanic men under 26. Evaluation of Proposition 36: The Substance Abuse and Crime Prevention Act of 2000: 2009 Report. Edited by: Urada D, Evans E, Yang J, Connor BT, Campos M, Brecht L, Anglin MD, Fan J, Hunter J, Rutkowski B, Teruya C, Gardiner C, Gonzales R, Grella C, Rawson R, Prendergast M, Tiburcio N, Lowe B, Shaw K, Hser YI. 2009, UCLA Integrated Substance Abuse Programs, Los Angeles, 183-216.
3.
Urada D, Longshore D: SACPA offenders. Evaluation of the Substance Abuse and Crime Prevention Act: Final Report. 2007, UCLA Integrated Substance Abuse Programs, Los Angeles, CA, 12-32.
4.
Farabee D, Prendergast M, Anglin MD: The effectiveness of coerced treatment for drug-abusing offenders. Fed Probat. 1998, 62: 3-10.
5.
Miller NS, Flaherty JA: Effectiveness of coerced addiction treatment (alternative consequences): a review of the clinical research. J Subst Abuse Treat. 2000, 18: 9-16. 10.1016/S0740-5472(99)00073-2.CrossRefPubMed
6.
Evans E, Jaffe A, Urada D, Anglin MD: Differential outcomes of court-supervised substance abuse treatment among California parolees and probationers. Int J Offender Ther Comp Criminol. 2011, 10.1177/0306624X11404827. advance online publication
7.
Guerrero GE, Marsh JC, Duan L, Oh C, Perron B, Lee B: Between and within racial and ethnic group disparities in completion of substance abuse treatment. Under review
8.
Substance Abuse and Mental Health Services Administration: The TEDS Report: Predictors of Substance Abuse Treatment Completion or Transfer to Further Treatment, by Service Type. 2009, Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Rockville, MD
9.
Evans E, Li L, Hser YI: Client and program factors associated with dropout from court mandated drug treatment. Eval Program Plann. 2009, 32: 204-212. 10.1016/j.evalprogplan.2008.12.003.PubMedCentralCrossRefPubMed
10.
Evans E, Li L, Hser YI: Treatment entry barriers among California’s Proposition 36 offenders. J Subst Abuse Treat. 2008, 35: 410-418. 10.1016/j.jsat.2008.03.003.PubMedCentralCrossRefPubMed
11.
Arndt S: Minority Clients Entering Substance Abuse Treatment for the First Time: 10 Year Trends. 2010, Iowa Consortium for Substance Abuse Research and Evaluation, Iowa City, IA
12.
13.
Jacobson JO, Robinson PL, Bluthenthal RN: A multilevel decomposition approach to estimate the role of program location and neighborhood disadvantage in racial disparities in alcohol treatment completion. Soc Sci Med. 2007, 64: 462-476. 10.1016/j.socscimed.2006.08.032.CrossRefPubMed
14.
Jacobson JO, Robinson PL, Bluthenthal RN: Racial disparities in completion rates from publicly funded alcohol treatment: economic resources explain more than demographics and addiction severity. Health Serv Res. 2007, 42: 773-794. 10.1111/j.1475-6773.2006.00612.x.PubMedCentralCrossRefPubMed
15.
Vega WA, Sribney WM: Seeking care for alcohol problems: Patterns of need and treatment among Mexican-origin adults in Central California. Alcohol Treat Q. 2005, 23: 29-51. 10.1300/J020v23n02_03.CrossRef
16.
Wells K, Klap R, Koike A, Sherbourne C: Ethnic disparities in unmet need for alcoholism, drug abuse, and mental health care. Am J Psychiatry. 2001, 158: 2027-2032. 10.1176/appi.ajp.158.12.2027.CrossRefPubMed
17.
Alegría M, Page JB, Hansen H, Cauce AM, Robles R, Blanco C, Cortes DE, Amaro H, Morales A, Berry P: Improving drug treatment services for Hispanics: Research gaps and scientific opportunities. Drug Alcohol Depend. 2006, 84 (Suppl 1): S76-S84.CrossRefPubMed
18.
Cross T, Bazron B, Dennis K, Issacs M: Towards a Culturally Competent Systems of Care: Vol. 1. 1989, CASSP Technical Assistance Center for Child Mental Health Policy
19.
Guerrero EG, Andrews CM: Cultural competence in outpatient substance abuse treatment: Measurement and relationship to wait time and retention. Drug Alcohol Depend. 2011, 119: e13-e22. 10.1016/j.drugalcdep.2011.05.020.PubMedCentralCrossRefPubMed
20.
Niv N, Pham R, Hser YI: Racial and ethnic differences in substance abuse service needs, utilization, and outcomes in California. Psychiatr Serv. 2009, 60: 1350-1356. 10.1176/appi.ps.60.10.1350.PubMedCentralCrossRefPubMed
21.
Bluthenthal RN, Jacobson JO, Robinson PL: Are racial disparities in alcohol treatment completion associated with racial differences in treatment modality entry? comparison of outpatient treatment and residential treatment in Los Angeles County, 1998 to 2000. Alcohol Clin Exp Res. 2007, 31: 1920-1926. 10.1111/j.1530-0277.2007.00515.x.CrossRefPubMed
22.
Marsh JC, Cao D, Guerrero EG, Shin HC: Need-service matching in substance abuse treatment: Racial/ethnic differences. Eval Program Plann. 2009, 32: 43-51. 10.1016/j.evalprogplan.2008.09.003.PubMedCentralCrossRefPubMed
23.
Shim RS, Compton MT, Rust G, Druss BG, Kaslow NJ: Race-ethnicity as a predictor of attitudes toward mental health treatment seeking. Psychiatr Serv. 2009, 60: 1336-1341. 10.1176/appi.ps.60.10.1336.CrossRefPubMed
24.
UCLA Integrated Substance Abuse Programs: Evaluation of the Substance Abuse and Crime Prevention Act: Final Report. 2007, UCLA Integrated Substance Abuse Programs, Los Angeles, CA
25.
Agosti V, Nunes E, Ocepeck-Welikson K: Patient factors related to early attrition from an outpatient cocaine research clinic. Am J Drug Alcohol Abuse. 1996, 22: 29-39. 10.3109/00952999609001643.CrossRefPubMed
26.
Tonigan JS: Project Match treatment participation and outcome by self-reported ethnicity. Alcohol Clin Exp Res. 2003, 27: 1340-1344. 10.1097/01.ALC.0000080673.83739.F3.CrossRefPubMed
27.
Campbell CI, Alexander JA: Health services for women in outpatient substance abuse treatment. Health Serv Res. 2005, 40: 781-810. 10.1111/j.1475-6773.2005.00385.x.PubMedCentralCrossRefPubMed
28.
Guerrero EG: Organizational characteristics that foster early adoption of cultural and linguistic competence in outpatient substance abuse treatment in the United States. Eval Program Plann. 2011, 35: 9-15.CrossRef
29.
Prince Inniss J, Nesman T, Mowery D, Callejas LM, Hernandez M: Serving Everyone at the Table: Strategies for Enhancing the Availability of Culturally Competent Mental Health Service (FMHI Publication No. 240–4). 2009, University of South Florida, Louis de la Parte Florida Mental Health Institute, Research & Training Center for Children’s Mental Health, Tampa, FL
30.
Guerrero EG, Cepeda A, Duan L, Kim T: Substance abuse treatment completion among Latino groups in L.A. County from 2006 to 2009. Addict Beh. In Press
31.
Andrulis DP, Siddiqui NJ, Purtle JP, Duchon L: Patient Protection and Affordable Care Act of 2010: Advancing Health Equity for Racially and Ethnically Diverse Populations. 2010, Joint Center for Political and Economic Studies, Washington, DC
32.
Vega WA, Kolody B, Aguilar-Gaxiola S, Catalano R: Gaps in service utilization by Mexican Americans with mental health problems. Am J Psychiatry. 1999, 156: 928-934.CrossRefPubMed
33.
Guerrero EG: Managerial capacity and adoption of culturally competent practices in outpatient substance abuse treatment. J Subst Abuse Treat. 2010, 39: 329-339. 10.1016/j.jsat.2010.07.004.PubMedCentralCrossRefPubMed
34.
35.
Niv N, Hamilton A, Hser YI: Impact of court-mandated substance abuse treatment on clinical decision-making. J Behav Health Serv Res. 2009, 36: 505-516. 10.1007/s11414-008-9129-z.PubMedCentralCrossRefPubMed
36.
Allison PD: Missing Data. 2002, Sage, Thousand Oaks, CA
37.
Shafer JL: Analysis of Incomplete Multivariate Data. 1997, CRC Press, Boca Raton, FLCrossRef
38.
Meier MH, Slutske WS, Arndt S, Cadoret RJ: Impulsive and callous traits are more strongly associated with delinquent behavior in higher risk neighborhoods among boys and girls. J Abnorm Psychol. 2008, 117: 377-385.PubMedCentralCrossRefPubMed
39.
Metadata
Title
Do cultural and linguistic competence matter in Latinos’ completion of mandated substance abuse treatment?
Authors
Erick G Guerrero
Michael Campos
Darren Urada
Joy C Yang
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Substance Abuse Treatment, Prevention, and Policy / Issue 1/2012
Electronic ISSN: 1747-597X
DOI
https://doi.org/10.1186/1747-597X-7-34

Other articles of this Issue 1/2012

Substance Abuse Treatment, Prevention, and Policy 1/2012 Go to the issue

Research

Why should i comply? Sellers' accounts for (non-)compliance with legal age limits for alcohol sales

Research

Criminal charges prior to and after initiation of office-based buprenorphine treatment

Short Report

The readiness of addiction treatment agencies for health care reform

Research

The mediating sex-specific effect of psychological distress on the relationship between adverse childhood experiences and current smoking among adults

Short Report

Effects of expertise on football betting

Research

Alcohol environment, gender and nonfatal injuries in young people. An ecological study of fourteen Swedish municipalities (2000–2005)