Key person-centered care domains for residential substance use disorder treatment facilities: former clients’ perspectives

Substance Abuse Treatment, Prevention, and Policy

Research

Danielle N. Atkins¹  Morgan C. Shields²  Glenn W. Lambie³  Olena Mazurenko⁴  Kendall Cortelyou⁵  Rachel Totaram⁵  Barbara Andraka-Christou⁶  Olivia K. Golan⁷ 

[1] Askew School of Public Administration, Florida State University, Tallahassee, FL, USA;Brown School, Washington University in St. Louis, St. Louis, United States;Department of Counselor Education & School Psychology, University of Central Florida, Orlando, FL, USA;Department of Health Policy & Management, Fairbanks School of Public Health, Indiana University, Indianapolis, IN, USA;School of Global Health Management & Informatics, University of Central Florida, 525 W Livingston Street, Suite 401, 32801, Orlando, FL, USA;School of Global Health Management & Informatics, University of Central Florida, 525 W Livingston Street, Suite 401, 32801, Orlando, FL, USA;Department of Internal Medicine, University of Central Florida, Orlando, FL, USA;School of Public Health, Georgia State University, Atlanta, Georgia;

关键词: Residential;    Substance use disorder;    Person-centered care;    Preferences;    Survey;    Social media;    Patient-centered care;   

DOI  :  10.1186/s13011-023-00554-x

 received in 2023-03-13, accepted in 2023-07-12,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundWhile person-centered care (PCC) includes multiple domains, residential substance use disorder (SUD) treatment clients may value certain domains over others. We sought to identify the PCC domains most valued by former residential SUD treatment clients. We also sought to explore conceptual distinctions between potential theoretical PCC subdomains.MethodsWe distributed an online survey via social media to a national convenience sample of former residential SUD treatment clients. Respondents were presented with ten PCC domains in an online survey: (a) access to evidence-based care; (b) integration of care; (c) diversity/respect for other cultures; (d) individualization of care; (e) emotional support; (f) family involvement in treatment; (g) transitional services; (h) aftercare; (i) physical comfort; and (j) information provision. Respondents were asked to select up to two domains they deemed most important to their residential SUD treatment experience. We used descriptive statistics to identify response frequencies and logistic regression to predict relationships between selected domains and respondents’ race, gender, relationship status, parenting status, and housing stability.ResultsOur final sample included 435 former residential SUD treatment clients. Diversity and respect for different cultures was the most frequently selected domain (29%), followed by integration of care (26%), emotional support (26%), and individualization of care (26%). Provision of information was the least frequently chosen domain (3%). Race and ethnicity were not predictive of selecting respect for diversity. Also, parental status, relationship status and gender were not predictive of selecting family integration. Employment and housing status were not predictive of selecting transitional services.ConclusionsWhile residential SUD treatment facilities should seek to implement PCC across all domains, our results suggest facilities should prioritize (a) operationalizing diversity, (b) integration of care, and (c) emotional support. Significant heterogeneity exists regarding PCC domains deemed most important to clients. PCC domains valued by clients cannot be easily predicted based on client demographics.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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