IDEAS home Printed from https://ideas.repec.org/a/eee/epplan/v66y2018icp63-69.html
   My bibliography  Save this article

Response to culturally competent drug treatment among homeless persons with different living arrangements

Author

Listed:
  • Guerrero, Erick G.
  • Song, Ahyoung
  • Henwood, Benjamin
  • Kong, Yinfei
  • Kim, Tina

Abstract

This study investigated the association between program cultural competence and homeless individuals’ drug use after treatment in Los Angeles County, California. Los Angeles County has the largest and most diverse population of homeless individuals in the nation. We randomly selected for analysis 52 drug-treatment programs and 2158 participants who identified as homeless in the Los Angeles County Participant Reporting System in 2011. We included their living arrangements (indoors and stable, indoors and unstable, and outdoors) and individual and program characteristics (particularly whether their programs used six culturally competent practices) in multilevel regression analyses. The outcome was days of primary drug use at discharge.Results showed that higher levels of staff personal involvement in minority communities (IRR=0.437; 95% CI=0.222, 0.861) and outreach to minority communities (IRR = 0.406; 95% CI=0.213, 0.771) were associated with fewer days of drug use at discharge. Homeless individuals living outdoors used their primary drug more often than any other group. Yet, compared to individuals with other living arrangements, when outdoor homeless individuals were treated by programs with the highest community resources and linkages (IRR=0.364; 95% CI=0.157, 0.844), they reported the fewest days of drug use. We discuss implications for program evaluation and community engagement policies and practices.

Suggested Citation

  • Guerrero, Erick G. & Song, Ahyoung & Henwood, Benjamin & Kong, Yinfei & Kim, Tina, 2018. "Response to culturally competent drug treatment among homeless persons with different living arrangements," Evaluation and Program Planning, Elsevier, vol. 66(C), pages 63-69.
    • Handle: RePEc:eee:epplan:v:66:y:2018:i:c:p:63-69
    DOI: 10.1016/j.evalprogplan.2017.10.005
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0149718917300435
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.evalprogplan.2017.10.005?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Marsh, Jeanne C. & Cao, Dingcai & Guerrero, Erick & Shin, Hee-Choon, 2009. "Need-service matching in substance abuse treatment: Racial/ethnic differences," Evaluation and Program Planning, Elsevier, vol. 32(1), pages 43-51, February.
    2. Amodeo, Maryann & Chassler, Deborah & Oettinger, Catherine & Labiosa, Wilfred & Lundgren, Lena M., 2008. "Client retention in residential drug treatment for Latinos," Evaluation and Program Planning, Elsevier, vol. 31(1), pages 102-112, February.
    3. Guerrero, Erick G. & Kim, Ahraemi, 2013. "Organizational structure, leadership and readiness for change and the implementation of organizational cultural competence in addiction health services," Evaluation and Program Planning, Elsevier, vol. 40(C), pages 74-81.
    4. Amodeo, M. & Lundgren, L. & Cohen, A. & Rose, D. & Chassler, D. & Beltrame, C. & D'Ippolito, M., 2011. "Barriers to implementing evidence-based practices in addiction treatment programs: Comparing staff reports on Motivational Interviewing, Adolescent Community Reinforcement Approach, Assertive Communit," Evaluation and Program Planning, Elsevier, vol. 34(4), pages 382-389, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Finno-Velasquez, Megan & Seay, Kristen D. & He, Amy S., 2016. "A national probability study of problematic substance use and treatment receipt among Latino caregivers involved with child welfare: The influence of nativity and legal status," Children and Youth Services Review, Elsevier, vol. 71(C), pages 61-67.
    2. Padyab, Mojgan & Grahn, Robert & Lundgren, Lena, 2015. "Drop-out from the Swedish addiction compulsory care system," Evaluation and Program Planning, Elsevier, vol. 49(C), pages 178-184.
    3. Evans, Elizabeth & Li, Libo & Hser, Yih-Ing, 2009. "Client and program factors associated with dropout from court mandated drug treatment," Evaluation and Program Planning, Elsevier, vol. 32(3), pages 204-212, August.
    4. Marcia Sierdovski & Luiz Alberto Pilatti & Priscila Rubbo, 2022. "Organizational Competencies in the Development of Environmental, Social, and Governance (ESG) Criteria in the Industrial Sector," Sustainability, MDPI, vol. 14(20), pages 1-20, October.
    5. Wells, Rebecca & Gifford, Elizabeth J., 2013. "Implementing a case management initiative in high-need schools," Children and Youth Services Review, Elsevier, vol. 35(5), pages 787-796.
    6. Kaye, Miranda P. & Faber, Aubrey & Davenport, Katie E. & Perkins, Daniel F., 2018. "Common components of evidence-informed home visitation programs for the prevention of child maltreatment," Children and Youth Services Review, Elsevier, vol. 90(C), pages 94-105.
    7. Simon, James David & Brooks, Devon, 2019. "Targeting services to reduce need after a child abuse investigation: Examining complex needs, matched services, and meaningful change," Children and Youth Services Review, Elsevier, vol. 99(C), pages 386-394.
    8. Marsh, Jeanne C. & Smith, Brenda D. & Bruni, Maria, 2011. "Integrated substance abuse and child welfare services for women: A progress review," Children and Youth Services Review, Elsevier, vol. 33(3), pages 466-472, March.
    9. Lin, Qinyun & Kolak, Marynia & Watts, Beth & Anselin, Luc & Pollack, Harold & Schneider, John & Taylor, Bruce, 2022. "Individual, interpersonal, and neighborhood measures associated with opioid use stigma: Evidence from a nationally representative survey," Social Science & Medicine, Elsevier, vol. 305(C).
    10. Lin, Yu-An & Hedeker, Donald & Ryan, Joseph P. & Marsh, Jeanne C., 2020. "Longitudinal analysis of need-service matching for substance-involved parents in the child welfare system," Children and Youth Services Review, Elsevier, vol. 114(C).
    11. Simon, James David & Brooks, Devon, 2016. "Post-investigation service need and utilization among families at risk of maltreatment," Children and Youth Services Review, Elsevier, vol. 69(C), pages 223-232.
    12. Shin, Hee-Choon & Marsh, Jeanne C., 2022. "Identifying relative strength of methadone versus health and social services in comprehensive substance use disorder treatment using a variance decomposition approach," Evaluation and Program Planning, Elsevier, vol. 92(C).
    13. Choy-Brown, Mimi & Hamovitch, Emily K. & Bornheimer, Lindsay A. & Acri, Mary C. & McKay, Mary M., 2020. "Getting to the table: Agency characteristics and evidence-based intervention adoption in children’s mental health care," Children and Youth Services Review, Elsevier, vol. 110(C).
    14. Bojan Moric Milovanovic & Zoran Bubas & Matea Cvjetkovic, 2022. "Employee Readiness for Organizational Change in the SME Internalization Process: The Case of a Medium-Sized Construction Company," Social Sciences, MDPI, vol. 11(3), pages 1-14, March.
    15. Marsh, Jeanne C. & Shin, Hee-Choon & Cao, Dingcai, 2010. "Gender differences in client-provider relationship as active ingredient in substance abuse treatment," Evaluation and Program Planning, Elsevier, vol. 33(2), pages 81-90, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:epplan:v:66:y:2018:i:c:p:63-69. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/evalprogplan .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.