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

Substance Abuse Treatment, Prevention, and Policy

Joy C Yang¹  Darren Urada²  Michael Campos³  Erick G Guerrero⁴ 

[1] Center for Chinese Studies, University of California, Los Angeles, 11381 Bunche Hall, Los Angeles, CA, 90095-1487, USA;Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, 11075 Santa Monica Blvd., Suite 200, Los Angeles, CA, 90025, USA;Gambling Studies Program, University of California, Los Angeles, 760 Westwood Plaza, Suite 38-260, Los Angeles, CA, 90024, USA;School of Social Work, University of Southern California, 655 West 34th Street, Los Angeles, CA, 90089-041, USA

关键词: Latinos;    Mandated substance abuse treatment;    Treatment completion;    Cultural and linguistic competence;   

Others  :  834481
DOI  :  10.1186/1747-597X-7-34

 received in 2012-05-15, accepted in 2012-08-09,  发布年份 2012

【 摘 要 】

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.

【 授权许可】

   
2012 Guerrero et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Evans E, Hunter J, Urada D: Characteristics of Proposition 36 offenders. In 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. UCLA Integrated Substance Abuse Programs, Los Angeles; 2009:16-57.
• [2]Campos M, Yang J, Urada D, Hunter J, Tiburcio N: Proposition 36 special populations: Hispanic men under 26. In 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. UCLA Integrated Substance Abuse Programs, Los Angeles; 2009:183-216.
• [3]Urada D, Longshore D: SACPA offenders. In Evaluation of the Substance Abuse and Crime Prevention Act: Final Report. UCLA Integrated Substance Abuse Programs, Los Angeles, CA; 2007:12-32.
• [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.
• [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. 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. Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Rockville, MD; 2009.
• [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]Evans E, Li L, Hser YI: Treatment entry barriers among California’s Proposition 36 offenders. J Subst Abuse Treat 2008, 35:410-418.
• [11]Arndt S: Minority Clients Entering Substance Abuse Treatment for the First Time: 10 Year Trends. Iowa Consortium for Substance Abuse Research and Evaluation, Iowa City, IA; 2010.
• [12]Borys S: Pay for performance pilot with drug court roviders in New Jersey. 2011 Addictions Health Services Research Conference, Fairfax, VA; 2011. [http://www.gmuace.org/documents/events/Borys.pdf webcite]
• [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.
• [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.
• [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.
• [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.
• [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.
• [18]Cross T, Bazron B, Dennis K, Issacs M: Towards a Culturally Competent Systems of Care: Vol. 1. CASSP Technical Assistance Center for Child Mental Health Policy; 1989.
• [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.
• [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.
• [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.
• [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.
• [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.
• [24]UCLA Integrated Substance Abuse Programs: Evaluation of the Substance Abuse and Crime Prevention Act: Final Report. UCLA Integrated Substance Abuse Programs, Los Angeles, CA; 2007.
• [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.
• [26]Tonigan JS: Project Match treatment participation and outcome by self-reported ethnicity. Alcohol Clin Exp Res 2003, 27:1340-1344.
• [27]Campbell CI, Alexander JA: Health services for women in outpatient substance abuse treatment. Health Serv Res 2005, 40:781-810.
• [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.
• [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). University of South Florida, Louis de la Parte Florida Mental Health Institute, Research & Training Center for Children’s Mental Health, Tampa, FL; 2009.
• [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 BehIn 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. Joint Center for Political and Economic Studies, Washington, DC; 2010.
• [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.
• [33]Guerrero EG: Managerial capacity and adoption of culturally competent practices in outpatient substance abuse treatment. J Subst Abuse Treat 2010, 39:329-339.
• [34]U.S. Census Bureau: Census Bureau Releases State and County Data Depicting Nation’s Population Ahead of 2010 Census. U.S. Census Bureau, Washington, DC; 2009. [http://www.census.gov/newsroom/releases/archives/population/cb09-76.html webcite]
• [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.
• [36]Allison PD: Missing Data. Sage, Thousand Oaks, CA; 2002.
• [37]Shafer JL: Analysis of Incomplete Multivariate Data. CRC Press, Boca Raton, FL; 1997.
• [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.
• [39]Blakely TA: Woodward AJ Ecological effects in multi-level studies. J Epidemiol Community Health 2000, 54:367-374.