African-American crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention.
Subst Abuse Treat Prev Policy
; 2: 10, 2007 Mar 29.
Article
in En
| MEDLINE
| ID: mdl-17394653
ABSTRACT
BACKGROUND:
Individual and sociocultural factors may pose significant barriers for drug abusers seeking treatment, particularly for African-American crack cocaine abusers. However, there is evidence that pretreatment interventions may reduce treatment initiation barriers. This study examined the effects of a pretreatment intervention designed to enhance treatment motivation, decrease crack use, and prepare crack abusers for treatment entry.METHODS:
Using street outreach, 443 African-American crack users were recruited in North Carolina and randomly assigned to either the pretreatment intervention or control group.RESULTS:
At 3-month follow-up, both groups significantly reduced their crack use but the intervention group participants were more likely to have initiated treatment.CONCLUSION:
The intervention helped motivate change but structural barriers to treatment remained keeping actual admissions low. Policy makers may be interested in these pretreatment sites as an alternative to treatment for short term outcomes.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Black or African American
/
Crack Cocaine
/
Communication Barriers
/
Cocaine-Related Disorders
/
Drug Users
/
Health Services Accessibility
Type of study:
Clinical_trials
/
Evaluation_studies
/
Observational_studies
/
Prognostic_studies
Aspects:
Determinantes_sociais_saude
/
Implementation_research
/
Patient_preference
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
America do norte
Language:
En
Journal:
Subst Abuse Treat Prev Policy
Journal subject:
TRANSTORNOS RELACIONADOS COM SUBSTANCIAS
Year:
2007
Document type:
Article
Affiliation country:
United States