Table 1.
Characteristics of 250 publicly funded substance abuse treatment centers
| Variable | N | % |
|---|---|---|
| Substance abuse medications prescribed | ||
| Any medication | 91 | 37 |
| Buprenorphine | 58 | 24 |
| Methadone | 22 | 9 |
| Tablet naltrexone | 42 | 17 |
| Injectable naltrexone | 22 | 9 |
| Acamprosate | 45 | 19 |
| Disulfiram | 39 | 16 |
| Perceived state policy environment | ||
| Support by Single State Agency (SSA) for medicationsa | ||
| Supportive of medications for treating substance abuse (M±SD) | 2.9±1.0 | |
| Has adequately disseminated information about how to implement medication-assisted treatment (M±SD) | 2.1±1.2 | |
| Has offered sufficient training about using medications to treat substance abuse (M±SD) | 1.9±1.2 | |
| Scale of SSA support (M±SD)b | 2.3±.9 | |
| Medicaid formulary includes any medications | ||
| Yes | 91 | 37 |
| No | 25 | 10 |
| Don’t know | 131 | 53 |
| State contract funding can be used to purchase medications | ||
| Yes | 72 | 28 |
| No | 70 | 29 |
| Don’t know | 104 | 42 |
| Awareness of state funding policies for medications | ||
| Neither Medicaid nor state contract funding | 128 | 52 |
| Medicaid but not state contract funding | 46 | 19 |
| State contract funding but not Medicaid | 28 | 11 |
| Both Medicaid and state contract funding | 43 | 18 |
| Organizational characteristics | ||
| Government owned | 43 | 17 |
| Located in a hospital or community mental health center | 44 | 18 |
| Accredited by external organization | 124 | 51 |
| Offers detoxification services | 48 | 20 |
| Offers only outpatient treatment | 115 | 47 |
| Physicians on staff (M±SD) | .4±.8 | |
| Physicians on contract (M±SD) | .9±1.2 | |
| Nurses on staff (M±SD) | 1.6±3.8 | |
| 12-step treatment orientationc | 2.3±1.0 |
Possible scores range from 0, strongly disagree, to 4, strongly agree, with greater scores indicating greater SSA support.
Scale is based on results of the three measures of SSA support for medications; possible scores range from 0 to 4, with higher scores indicating greater SSA support.
Possible scores range from 0, strongly inconsistent, to 4, strongly consistent, with greater scores indicating a stronger orientation toward a 12-step treatment model.