Navigation Links
States vary widely on success rates for minorities in drug treatment programs

A University of Iowa study reveals significant disparities between minority and white clients in success rates for completing substance abuse treatment programs. Moreover, these disparities vary widely from state to state.

"Our findings suggest that for most states there's something amiss," says Stephan Arndt, Ph.D., UI professor of psychiatry and biostatistics. "There are strong racial and ethnic disparities for people in being able to complete substance abuse treatment programs successfully, and those disparities are something we need to set as targets to remove.

"On the positive side, the study clearly shows that some states have been able to eliminate disparities," he adds. "We need to examine the states that are being successful and compare what they are doing with those states that are not doing so well what can we learn from successful states?"

Successful completion of substance abuse treatment programs is important because it predicts greater likelihood of getting off drugs, abstinence from alcohol, and being employed six and 12 months after treatment completion. It also predicts lower criminal justice involvement.

"It is a public health and public safety outcome," Arndt notes.

The study, which was published in May in the journal Drug and Alcohol Dependence, analyzed data from 940,058 patients from outpatient substance abuse treatment centers across the United States for whom there were admissions/discharge information, as well as racial or ethnic classifications of white, Latino, or black/African-American. The data came from the 2006 to 2008 Treatment Episode Datasets Discharge (TEDS-D).

While previous studies have focused on client-specific factors, Arndt and his colleagues were interested in the role of state-level organizations and systems.

After adjusting for client-specific factors shown to influence successful treatment completion, such as sex, age, and employment status, the study showed that race or ethnicity remained a significant predictor of successful completion.

Over all states, 46.25 percent of whites, 45.6 percent of Latinos, and 37.5 percent of African-Americans successfully completed substance abuse treatment programs. In addition, there were significant disparities among the states in regard to ethnic/racial differences.

Most states, including Iowa, show racial and ethnic disparities, where minority populations do worse than whites. However, a few states showed higher completion rates for blacks and Latinos.

For African-Americans, Tennessee had the worst disparity African-American clients were 35 percentage points less likely to complete a treatment program than were whites. African-American clients also fared poorly in Idaho and Minnesota. However, there were three states where they had slightly higher rates of success than whites Hawaii, Utah, and Mississippi.

Disparities between completion rates for whites compared to Latinos were generally less severe. Vermont had the largest negative disparity of almost 22 percent followed by North Dakota at 17 percent. However, in 17 states, Latino clients were more successful than white clients. Interestingly, Southwestern states, which have large Latino populations, did not have larger disparities than other states. On the other hand, states with low densities of minority populations, like West Virginia, also had small disparities. Four states -- Kansas, Oregon, Texas, and Florida -- had disparities that were significantly positive for Latinos.

"We were actually surprised by the scale of the differences -- that states had such varying degrees of success," adds Arndt, who also is director of the Iowa Consortium for Substance Abuse Research and Evaluation. "Although some states were doing well, most states were not and some were doing quite poorly."

Arndt says he and his colleagues were also surprised to find a pattern of differences that did not conform to certain stereotypes about certain states.

"I anticipated that Southern states might have the worst disparities between minorities and whites, or at least that Southern states would share similar results," Arndt says. "But, while Tennessee has the worst disparity between African-American clients compared to white clients, Mississippi is the third best state and had almost no difference in completion rates for whites and African-Americans."

Although the research was able to quantify state-to-state disparities in completion rates, the study did not determine the causes of the disparities.

Arndt says that one possible factor is the use and availability of so-called ancillary, or recovery, services. Previous research suggests that minorities undergoing substance abuse treatment may need more of the services, which include help with employment, housing, and mental health care, and they seem to be more sensitive to a lack of these services.

"States that do not have recovery services available may need to make them more available," Arndt says.


Contact: Jennifer Brown
University of Iowa Health Care

Related medicine news :

1. Takeda Type 2 Diabetes Therapies, NESINA (alogliptin), KAZANO (alogliptin and metformin HCl) and OSENI (alogliptin and pioglitazone) Now Available in Pharmacies in the United States
2. Dallas’ Park Cities Pet Sitter, Inc. will Participate in the NAPPS “Presents 4 Pets” Campaign in Honor of the Humane Society of the United States’ Animal Shelter Appreciation Week
3. Limited Zubiola from Spain Finally Available in the United States
4. Expanding Medicaid is best financial option for states, study finds
5. Discount One Direction Tickets: Releases New Inventory of One Direction Tour Tickets as the Band Gets Ready to Return to the United States
6. Modern Yet Traditional Portuguese Winemaker From Conceito Estate Rolling Out in the United States by Classe Wines
7. Neuropathy Skyrocketing in the United States - Neuracel Launches the Most Valuable Natural Treatment
8. Ayurveda Training in Marma Therapy, Basti, Abhyanga Massage, Swedana, and Ayurvedic Facial Offered in 2013 by the Leading Ayurvedic School in the United States
9. ACE Comprehensive Travel Medical Insurance Announces a New Pre-existing Medical Condition Coverage Policy for Visitors to the United States
10. New State Teen Birth Data Released; Declines in 48 States from 2007 through 2011 - A Statement from the National Campaign to Prevent Teen and Unplanned Pregnancy
11. Rate of bicycle-related fatalities significantly lower in states with helmet laws
Post Your Comments:
(Date:11/27/2015)... Angeles, CA (PRWEB) , ... November 27, 2015 , ... ... conversation at the recent 2015 American Dental Association meeting in Washington D.C. revolved around ... help protect a patient’s overall health. The talk stressed the link between periodontal disease ...
(Date:11/27/2015)... ... 27, 2015 , ... An inventor, from Hopkinsville, Ky., thought ... at home, so he invented the patent-pending ELECTRONIC M.D. , The ELECTRONIC M.D. ... doing so, it could help to prevent potential overdose situations. As a result, ...
(Date:11/27/2015)... ... November 27, 2015 , ... MPWH, the No.1 Herpes-only dating community in the world, revealed ... 1-1 ). More than 3.7 billion people under the age of 50 – or ... to WHO's first global estimates of HSV-1 infection . , "The data shocks us ...
(Date:11/27/2015)... ... November 27, 2015 , ... Keeping ... platform for mental health and wellness consultation, has collaborated with a leading web-based ... the knowledge gap experienced by parents and bring advice from parenting experts within ...
(Date:11/27/2015)... ... November 27, 2015 , ... Indosoft ... announces the incorporation of Asterisk 11 LTS (Long Term Support) into its Q-Suite ... LTS brings Q-Suite 5.10 up-to-date with a version of Asterisk that will receive ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... N.C. , Nov. 25, 2015 ... the planned investment of at least $15.8  Million ... Wilmington, NC . The expansion ... capacity to meet the growing demands of the ... site expansion will provide up to ...
(Date:11/25/2015)... , Nov. 25, 2015  Henry Schein, Inc., the ... to office-based dental, medical and animal health practitioners, will ... the Henry Schein ConnectDental® Pavilion , which brings ... of open solutions designed to help any practice or ... here for a schedule of experts appearing at ...
(Date:11/25/2015)... 25, 2015  Trovagene, Inc. (NASDAQ: TROV ), ... Chief Executive Officer Antonius Schuh, Ph.D., is scheduled to ... Annual Piper Jaffray Healthcare Conference. th ... Palace Hotel in New York ... Mr. Schuh will be available for one-on-one meetings during ...
Breaking Medicine Technology: