Recorded presentation

Lori J. Ducharme, PhD¹, Hannah K. Knudsen, PhD², and Paul M. Roman, PhD¹. (1) Institute for Behavioral Research, University of Georgia, 101 Barrow Hall, D. W. Brooks Drive, Athens, GA 30602, (706) 583-0955, lorid@uga.edu, (2) Center for Research on Behavioral Health and Human Services Delivery, University of Georgia, 101 Barrow Hall, D. W. Brooks Drive, Athens, GA 30602

Addiction treatment programs are increasingly challenged to meet the physical, psychological, and social needs of clients whose substance abuse problems are multi-faceted. Treatment providers offering a comprehensive set of “wraparound” services can enhance the recovery process, improve clients’ overall health and social well-being, and facilitate treatment access and utilization. These analyses draw upon data collected from national samples of N=400 privately funded and N=400 publicly funded substance abuse treatment programs in 2002-2003. Programs varied in treatment modality (inpatient, outpatient, mixed), philosophy (12-step, medical model), and caseload (census, demographic characteristics, service needs). Clinical directors reported the extent to which the program provided or linked clients with services for medical, dental, employment, legal, family/social, emotional, and financial needs. The availability of psychiatric assessments, HIV prevention education, transportation, and child care services were also measured. The overall availability of these services is reported, and differences across four distinct program types are examined. In addition to program type, other organizational correlates associated with the provision of wraparound services are identified. Key predictors include hospital affiliation, for-profit status, accreditation, number of indigent clients, funding sources, profit margin, and program size. Implications for treatment providers and their patients are discussed. (Supported by grant numbers R01-DA13110 and R01-DA14482 from the National Institute on Drug Abuse)

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