Medical and psychosocial services in drug abuse treatment: do stronger linkages promote client utilization?

摘要: OBJECTIVE: To examine the extent to which linkage mechanisms (on-site delivery, external arrangements, case management, and transportation assistance) are associated with increased utilization of medical psychosocial services in outpatient drug abuse treatment units. DATA SOURCES: Survey administrative directors clinical supervisors from a nationally representative sample 597 units 1995. STUDY DESIGN: We generated separate two-stage multivariate generalized linear models evaluate correlation on-site service formal arrangements (joint program/venture or contract), referral agreements, percentage clients reported have utilized eight services: physical examinations, routine care, tuberculosis screening, HIV treatment, mental health employment counseling, housing assistance, financial counseling services. PRINCIPAL FINDINGS: On-site delivery assistance were significantly higher levels client ancillary Referral agreements had no detectable relationship most utilization. management was related clients' use but off-site not correlated CONCLUSIONS: appears be reliable mechanism link services, while offer little advantage over ad hoc referral. might facilitate some seems more important overall. These findings imply that initiatives policies promote such should emphasize and, for management. Language: en