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Multicenter Study
. 2007;33(2):227-36.
doi: 10.1080/00952990601174824.

Access to drug abuse treatment under Treatment on Demand policy in San Francisco

James L Sorensen  1 , Joseph Guydish, Pamela Zilavy, Thomas B Davis, Alice Gleghorn, Marvin Jacoby, Clare Sears
Affiliations
Multicenter Study

Access to drug abuse treatment under Treatment on Demand policy in San Francisco

James L Sorensen et al. Am J Drug Alcohol Abuse. 2007.

Abstract

Objectives: We evaluated whether implementation of Treatment on Demand (TOD) policy in San Francisco was associated with improved access to drug abuse treatment.

Methods: Data came from San Francisco's treatment program waiting list over 4 years spanning the implementation of TOD policy. Access measures were monthly applicants waiting and days waited by treatment admissions. Quantitative analyses with 69 treatment facilities contrasted those receiving vs. not receiving TOD funds. Qualitative data came from interviews with facility administrators.

Results: There was a small statistically significant decline in monthly waiting lists in the number of people waiting for treatment during the study period. The days waited by those admitted to treatment, however, significantly increased in TOD-funded facilities. Facilities used varied criteria for completing the access measures, which limit the utility of the measures.

Conclusions: Access to treatment improved slightly with implementation of TOD policy.

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Figures

Figure 1
Figure 1
Number of applicants on the waiting list at the end of the month all facilities.
See this image and copyright information in PMC

References

    1. Johnson JL, Ahmed A, Plemons B, Powell W, Carrington H, Graham J, Hill R, Schwartz RP, Brooner RK. Steps to Success: The Baltimore Drug and Alcohol Treatment Outcomes Study. Baltimore, MD: Baltimore Substance Abuse Services; 2002. [Last accessed May 20, 2005]. Available at http://www.soros.org/baltimore/Executive%20Summary%20doc.pdf.
    1. Moore T. Sacramento County’s Alcohol and Other Drug Treatment Initiative. [Last accessed May 20, 2005];CSAT TIE Communique, Fall’98 1997. Available at http://www.treatment.org/communique/comm98W/Sacramento.html.
    1. Carlsen W. San Francisco Chronicle. May 17, 1997. SF proposes on-demand drug treatment: It’s aimed at poor, youth; p. 1. Section A.
    1. Gordon R. San Francisco Examiner. Jan 18, 1997. Mayor promises drug treatment on demand; p. 1. Section A.
    1. Stein L. San Francisco pioneers plan to treat all drug users—Program will test whether treatment can reduce drug abuse—and save city money. The Christian Science Monitor. 1997 Jan 29;89(44):4.

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