Cultural competence in outpatient substance abuse treatment: Measurement and relationship to wait time and retention

Drug and Alcohol Dependence

Volumn 119, Issue 1-2, 2011, Pages

  Guerrero, Erick ^a   Andrews, Christina M ^b  

^a UNIVERSITY OF SOUTHERN CALIFORNIA   (United States)

^b UNIVERSITY OF CHICAGO   (United States)

Author keywords

Access; Item response theory; Organizational cultural competence; Retention; Wait time

Indexed keywords

AFRICAN AMERICAN; ARTICLE; COMMUNITY CARE; CONTROLLED STUDY; CULTURAL COMPETENCE; ETHNIC AND RACIAL GROUPS; FOSTER CARE; HEALTH BELIEF; HEALTH PROGRAM; HISPANIC; HUMAN; LANGUAGE; ORGANIZATION AND MANAGEMENT; OUTPATIENT; OUTPATIENT SUBSTANCE ABUSE TREATMENT; PRIORITY JOURNAL; RELIGION; RETENTION; SENSITIVITY ANALYSIS; SUBSTANCE ABUSE; TRAINING; WAIT TIME;

AFRICAN AMERICANS; AMBULATORY CARE; CULTURAL COMPETENCY; CULTURAL DIVERSITY; HISPANIC AMERICANS; HUMANS; MINORITY GROUPS; OUTPATIENTS; PSYCHOMETRICS; RETENTION (PSYCHOLOGY); SUBSTANCE ABUSE TREATMENT CENTERS; SUBSTANCE-RELATED DISORDERS; TIME FACTORS; TREATMENT OUTCOME;

EID: 80054967859     PISSN: 03768716     EISSN: 18790046     Source Type: Journal    
DOI: 10.1016/j.drugalcdep.2011.05.020     Document Type: Article

References (68)

1. Aarons G.A., Palinkas L.A. Implementation of evidence-based practice in child welfare: service provider perspectives. Adm. Policy Ment. Health 2007, 34:411-419.
2. Afifi A.A., Kotlerman B.J., Ettner L.S., Cowan M. Methods for improving regression analysis for skewed continuous or counted responses. Annu. Rev. Public Health 2007, 28:95-111.
3. Adams T.A., Herringa S.G. Outpatient Substance Abuse Treatment Surveys (OSATSS): Technical Documentation for OSATSS-5-1999-2000 2001, Institute for Social Research, University of Michigan, Ann Arbor, MI.
4. Agency for Healthcare Research and Quality, 2008. National Healthcare Disparities Report. Rockville, MD.
5. Andrulis D.P., Siddiqui N.J., Purtle J.P., 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.
6. Appel P.W., Ellison A.A., Jansky H.K., Oldak R. Barriers to enrollment in drug abuse treatment and suggestions for reducing them: opinions of drug injecting street outreach clients and other system stakeholders. Am. J. Drug Alcohol Abuse 2004, 30:129-153.
7. Betancourt J.R. Improving quality and achieving equity: the role of cultural competence in reducing racial and ethnic disparities in health care 2006, The Commonwealth Fund, New York, NY.
8. Betancourt J.R., Green A.R., Carillo J.E., Anaheh-Firempong O. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Rep. 2003, 118:293-302.
9. Brach C., Fraser I. Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Med. Care Res. Rev. 2000, 57:181-217.
10. Campbell C.I., Alexander J.A. Culturally competent treatment practices and ancillary service use in outpatient substance abuse treatment. J. Subst. Abuse Treat. 2002, 22:109-119.
11. Carr C.J.A., Xu J., Redko C., Lane D.T., Rapp R.C., Goris J., Carlson R.G. Individual and system influences on waiting time for substance abuse treatment. J. Subst. Abuse Treat. 2008, 34:192-201.
12. Center for Substance Abuse and Treatment Implementing change in substance abuse treatment programs. Treatment Improvement Protocol, TIP Series 31 DHHS Publication No. (SMA) 09-4377 2009, Substance Abuse and Mental Health Administration, Rockville, MD.
13. Claus R.E., Kindleberger L.R. Engaging substance abusers after centralized assessment: predictors of treatment entry and dropout. J. Psychoactive Drugs 2002, 34:25-31.
14. Cross T., Bazron B., Dennis K., Issacs M. Towards a Culturally Competent Systems of Care 1989, vol. 1. CASSP Technical Assistance Center for Child Mental Health Policy, Washington, DC, p. 13.
15. Daley M.C. Race, managed care, and the quality of substance abuse treatment. Adm. Policy Ment. Health 2005, 32:457-476.
16. D'Aunno T.A., Pollack H.A. Changes in methadone treatment practices: results from a national panel study, 1988-2000. JAMA 2002, 288:850-856.
17. Embretson S.E., Reise S.P. Item Response Theory for Psychologists 2000, Lawrence Erlbaum Associates, Mahwah, NJ.
18. Farabee D., Leukefeld C.G., Hays L. Accessing drug-abuse treatment: perceptions of out-of-treatment injectors. J. Drug Issues 1998, 28:381-394.
19. Festinger D.S., Lamb R.J., Kountz M.R., Kirby K.C., Marlowe D. Pretreatment dropout as a function of treatment delay and client variables. Addict. Behav. 1995, 20:111-115.
20. Fisher T.L., Burnet D.L., Huang E.S., Chin M.H., Cagney K.A. Cultural leverage: interventions using culture to narrow racial disparities in health care. Med. Care Res. Rev. 2007, 64:243s-282s.
21. Friedmann P.D., Lemon S.C., Stein M.D., D'Aunno T.A. Accessibility of addiction treatment: results from a national survey of outpatient substance abuse treatment organizations. Health Serv. Res. 2003, 38:887-903.
22. Garnick D.W., Lee M.T., Chalk M., Gastfriend D., Horgan C.M., McCorry F., McLellan A.T., Merrick E.L. Establishing the feasibility of performance measures for alcohol and other drugs. J. Subst. Abuse Treat. 2002, 23:375-385.
23. Garnick D.W., Lee M.T., Horgan C.M., Acevedo A. Adapting Washington Circle performance measures for public sector substance abuse treatment systems. J. Subst. Abuse Treat. 2009, 36:265-277.
24. González-Calvo J., González V.M., Lorig K. Cultural diversity issues in the development of valid and reliable measure of health status. Arthritis Rheum. 1997, 10:448-456.
25. Gonzalez M.H., Vega A.W., Tarraf W. Health care quality perceptions among foreign-born Latinos and the importance of speaking the same language. J. Am. Board Fam. Med. 2010, 23:745-752.
26. Grella C.E., Hser Y.-I., Joshi V., Anglin M.D. Patient histories, retention, and outcome models for younger and older adults in DATOS. Drug Alcohol Depend. 1999, 57:151-166.
27. Guerrero G.E. Managerial capacity and adoption of culturally competent practices in outpatient substance abuse treatment. J. Subst. Abuse Treat. 2010, 39:329-339.
28. Harper M., Hernandez M., Nessman T., Mowery D., Worthington J., Issacs M. Organizational cultural competence: a review of assessment protocols. Making Children's Mental Health Services Successful 2009, Research and Training Center for Children's Mental Health/Florida Mental Health Institute, University of South Florida, Tampa, FL.
29. Henderson E.C., Taxman S.F., Young W.D. A Rasch model analysis of evidence-based treatment practices used in the criminal justice system. Drug Alcohol Depend. 2008, 93:163-175.
30. Howard D.L. Culturally competent treatment of African American clients among a national sample of outpatient substance abuse treatment units. J. Subst. Abuse Treat. 2003, 24:89-102.
31. Howard D.L. Are the treatment goals of culturally competent outpatient substance abuse treatment units congruent with their client profile?. J. Subst. Abuse Treat. 2003, 24:103-113.
32. Hubbard R.L., Craddock S.G., Flynn P.M., Anderson J., Etheridge R.M. Overview of 1-year follow-up outcomes in the drug abuse treatment outcome study (DATOS). Psychol. Addict. Behav. 1997, 11:261-278.
33. Institute of Medicine Crossing the Quality Chasm: A New Health System for the 21st Century 2001, National Academies Press, Washington, DC.
34. Institute of Medicine Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care 2003, National Academies Press, Washington, DC.
35. Jackson K.R., Booth P.G., McGuire J., Salmon P. Predictors of starting and remaining in treatment at an alcohol clinic. J. Subst. Use 2006, 11:89-100.
36. Jacobson J.O., Robinson P., Bluthenthal R.N. 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.
37. Lewin Group, 2001. Health Resources and Services Administration Study on Measuring Cultural Competence in Health Care Delivery Settings. Prepared for the Health Resources and Services Administration. Retrieved from (accessed 2.12.2007). http://www.hrsa.gov/culturalcompetence/measures/default.htm.
38. Linacre J.M., Wright B.D. WINSTEPS Rasch-model Computer Program [Computer Software] 1999, MESA Press, Chicago.
39. Little R.J., Rubin D.B. Statistical Analysis With Missing Data 1987, John Wiley and Sons, Inc., New York.
40. Lundgren L.M., Amodeo M., Ferguson F., Davis K. Racial and ethnic differences in drug treatment entry of injection drug users in Massachusetts. J. Subst. Abuse Treat. 2001, 21:145-153.
41. McCaughrin W., Howard D. Variation in access to outpatient substance abuse treatment: organizational factors and conceptual issues. J. Subst. Abuse 1996, 8:403-415.
42. Marsh J.C., Cao D., Guerrero E., Shin H.C. Need-service matching in substance abuse treatment: racial/ethnic differences. Eval. Program Plann. 2009, 32:43-51.
43. McCarty D., Gustafson D.H., Wisdom J.P., Ford J., Choi D., Molfenter T., Capoccia V., Cotter F. The Network for the Improvement of Addiction Treatment (NIATx): enhancing access and retention. Drug Alcohol Depend. 2007, 88:138-145.
44. Mertens J.R., Weisner C.M. Predictors of substance abuse treatment retention among women and men in an HMO. Alcohol. Clin. Exp. Res. 2006, 24:1525-1533.
45. Mulvey K.P., Hubbard S., Hayashi S. A national study of the substance abuse treatment workforce. J. Subst. Abuse Treat. 2003, 24:51-57. 10.1016/S0740-5472(02)00322-7.
46. National Center of Cultural Competence, 2007. Definition of Objectives for Organizational Cultural Competence and Service Efficacy. Georgetown University - National Center of Cultural Competence. (accessed 27.05.2006). http://gucchd.georgetown.edu/nccc.
47. Office of Minority Health, 2001. National Standards for Culturally and Linguistically Appropriate Services in Health Care. U.S. Department of Health and Human Services, Washington, DC. (accessed 02.04.2011). http://minorityhealth.hhs.gov/assets/pdf/checked/executive.pdf.
48. Pollack H.A., D'Aunno T., Lamar B. Outpatient substance abuse treatment and HIV prevention. J. Subst. Abuse Treat. 2006, 30:39-47.
49. Pollini R.A., McCall L., Mehta S.H., Vlahov D., Strathdee S.A. Non-fatal overdose and subsequent drug treatment among injection drug users. Drug Alcohol Depend. 2006, 83:104-110.
50. Prince Inniss J.P., Nessman T., Mowery D., Callejas L.M., Hernandez M. Serving Everyone at the Table: Strategies for Enhancing the Availability of Culturally Competent Mental Health Service (Making Children's Mental Health Services Successful Series) 2009, University of South Florida, College of Behavioral and Community Sciences, Louis de la Parte Florida Mental Health Institute, Department of Child and Family Studies, Research and Training Center for Children's Mental Health, Tampa, FL.
51. Roman P.M., Johnson J.A. Adoption and implementation of new technologies in substance abuse treatment. J. Subst. Abuse Treat. 2002, 22:211-218.
52. Rubin D.B. Multiple Imputation for Non-response in Surveys 1987, John Wiley and Sons, Inc., New York.
53. Saha S., Komaromy M., Koepsell T.D., Bindman A.B. Patient-physician racial concordance and the perceived quality and use of health care. Arch. Intern. Med. 1999, 159:997-1004.
54. Saha S., Taggart S., Komaromy M., Bindman A.B. Do patients choose physicians of their own race?. Health Aff. (Millwood) 2000, 19:76-83.
55. Substance Abuse and Mental Health Administration (SAMSHA) Treatment Episode Data Set (TEDS) 1994-1999: National Admissions to Substance Abuse Treatment Services 2007, Substance Abuse and Mental Health Administration, Rockville, MD, Retrieved from http://www.oas.samhsa.gov.
56. Schaefer J.L. Analysis of Incomplete Multivariate Data 1997, Chapman and Hall, New York.
57. Simpson D.D., Joe G., Brown B. Treatment retention and follow-up outcomes in the drug abuse treatment outcome study (DATOS). Psychol. Addict. Behav. 1997, 11:294-307.
58. Smith L.S. Concept analysis: cultural competence. J. Cult. Divers. 1998, 5:4-10.
59. Smith R.M., Miao C.Y. Assessing unidimensionality for the Rasch measurement. Objective Measurement: Theory into Practice 1994, vol. 2:316-327. Ablex, Norwood, NJ.
60. Sue S., Arredondo P., McDavis R.J. Multicultural counseling competencies and standards: a call to the profession. J. Couns. Dev. 1992, 70:477-486.
61. Sue S., Fujino D.C., Hu L., Takeuchi D.T., Zane N.W.S. Community mental health services for ethnic minority groups: a test of the cultural responsiveness hypothesis. J. Consult. Clin. Psychol. 1991, 59:533-540.
62. Wade P., Berstein B.L. Culture sensitivity training and counselor's race: effects on Black female clients' perceptions and attrition. J. Couns. Psychol. 1991, 38:9-15.
63. Wells K.B., Klap R., Koike A., Sherbourne C.D. Ethnic disparities in unmet need for alcoholism, drug abuse, and mental health care. Am. J. Psychiatry 2001, 158:2027-2032.
64. Wu L.T., Kouzis A.C., Schlenger W.E. Substance use, dependence, and service utilization among the US uninsured nonelderly population. Am. J. Public Health 2003, 93:2079-2085.
65. Weech-Maldonado R. Organizational Support Standards for Culturally and linguistically Appropriate Services (CLAS): Core Concepts, Content Knowledge, and Core Skills. Concept Paper Commissioned for the Development of Cultural Competence Curricular Modules 2002, Office of Minority Health, U.S. Department of Health and Human Services, Washington, DC.
66. Wright B.D., Masters G.N. Rating Scale Analysis 1982, MESA Press, Chicago, IL.
67. Zane N.W.S., Gordon C.N.H., Sue S., Young K., Nunez J. Research on psychotherapy with culturally diverse populations. Bergin and Garfield's Handbook of Psychotherapy and Behavior Change 2004, John Wiley and Sons, Inc., Danvers, MA. 5th ed. M.J. Lambert (Ed.).
68. Zhang Z., Friedmann P.D., Gerstein D.R. Does retention matter? Treatment duration and improvement in drug use. Addiction 2003, 98:673-684.