TABLE 3.
Multivariate Multinomial Logistic Regression Model of Medication Adoption in Publicly Funded Addiction Treatment Organizations (N = 308)
Measure | Addiction Medications vs. No Medications b (SE) | P-value | Psychiatric Medications vs. No Medications b (SE) | P-value | Addiction Medications vs. Psychiatric Medications b (SE) | P-value |
---|---|---|---|---|---|---|
Center is government-owned | 1.037 (.449) | 0.021 | .507 (.470) | 0.280 | .530 (.527) | 0.314 |
Center is located in a hospital | .320 (.719) | 0.657 | .435 (.691) | 0.529 | −.116 (.748) | 0.877 |
Center is accredited | .544 (.411) | 0.185 | .095 (.380) | 0.802 | .448 (.473) | 0.343 |
Center offers detoxification | 1.169 (.512) | 0.023 | −.109 (.516) | 0.833 | 1.277 (.583) | 0.029 |
Levels of care | ||||||
Outpatient-only | Reference | Reference | Reference | |||
Combination of OP and inpatient/residential | −.283 (.502) | 0.573 | 1.050 (.486) | 0.031 | −1.333 (.592) | 0.024 |
Inpatient/residential-only | −.660 (.664) | 0.320 | 1.071 (.516) | 0.038 | −1.731 (.705) | 0.014 |
Treatment model | ||||||
12-step treatment model | Reference | Reference | Reference | |||
CBT-model | −.449 (.623) | 0.471 | .374 (.518) | 0.470 | −.823 (.705) | 0.243 |
Eclectic model | .355 (.463) | 0.443 | −.272 (.454) | 0.549 | .627 (.550) | 0.254 |
Number of counselors (natural log) | .636 (.286) | 0.026 | −.056 (.260) | 0.830 | .692 (.335) | 0.039 |
Number of physicians | .558 (.235) | 0.018 | .207 (.281) | 0.463 | .352 (.266) | 0.186 |
Number of nursing staff | .416 (.118) | <0.001 | .383 (.121) | 0.002 | .033 (.065) | 0.611 |
% Patients covered by Medicaid | −.006 (.012) | 0.637 | .004 (.010) | 0.715 | −.009 (.012) | 0.446 |
% Patients covered by public funding | −.015 (.007) | 0.039 | −.010 (.007) | 0.158 | −.006 (.008) | 0.492 |
Reliance on pharmaceutical representatives for information about treatment innovations | .591 (.160) | <0.001 | .314 (.151) | 0.037 | .277 (.181) | 0.126 |
Reliance on NIDA/SAMHSA materials for information about treatment innovations | .128 (.190) | 0.501 | −.403 (.184) | 0.029 | .531 (.229) | 0.021 |
Receipt of information related to evidence-based practice from the state authority | .124 (.086) | 0.147 | .110 (.081) | 0.175 | .014 (.099) | 0.887 |
Constant | −4.703 (1.087) | <0.001 | −1.898 (.875) | <0.001 | −2.805 (1.192) | 0.019 |