Barriers to Formal Drug Abuse Treatment in the Rural South: A Preliminary Ethnographic Assessment (Report)
Journal of Psychoactive Drugs 2008, June, 40, 2
Journal of Psychoactive Drugs
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Although substance abuse is common, many drug users do not enter treatment for this problem (Siegal et al. 2002). Understanding why those in need do not become involved in substance abuse treatment is important. A first step toward understanding treatment-seeking behavior is to identify barriers in particular settings that may impede the efforts of those needing help. As noted below, there is a significant literature, including qualitative and quantitative studies, on barriers to entering substance abuse treatment in urban areas. For example, the negative effects of travel distance or lack of transportation on entering and sustaining treatment have been examined (MacMaster 2005; Beardsley et al. 2003; Schmitt, Phibbs & Piette 2003; Beckman & Amaro 1986). It has been reported that some women are reluctant to seek substance abuse treatment because of limited childcare, fear of losing custody of their children, or concern about being punished for admitting drug use while pregnant (MacMaster 2005; Appel et al. 2004; Jessup et al. 2003; Pool & Isaac 2001; Rivers 1998; Allen 1994; Hawk 1994; Coletti et al. 1992). Homelessness and the lack of money or health insurance have been discussed as common dilemmas for those desiring treatment as well (MacMaster 2005; Appel et al. 2004; Wenzel, Koegel & Gelberg 1996; Melnyk 1990, 1988; Blendon et al. 1989; Brayeman et al. 1988; Howell 1988; Freeman et al. 1987; Aday & Andersen 1984). Lack of information on substance abuse treatment and limited insight into how these systems operate have also been reported as barriers to seeking help (Pool & Isaac 2001; Brindis, Clayson & Berkowitz 1997; Klingemann 1991). Waiting lists for substance abuse treatment and other bureaucratic entanglements have been cited as impediments to help seeking by drug abusers (MacMaster 2005; Farabee, Leukefeld & Hays 1998; Redko, Rapp & Carlson 2006). Drug users' limited confidence in substance abuse treatment or fear of it have also been discussed (Rapp et al. 2006; McCoy et al. 2001; Grant 1997). These concerns have also been related to cultural barriers (Porter 1999; Ja & Aoki 1993).
- 2,99 €
- Kategorie: Gesundheit und Fitness
- Erschienen: 01.06.2008
- Verlag: Taylor & Francis Ltd.
- Druckseiten: 31 Seiten
- Sprache: Englisch