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. Author manuscript; available in PMC: 2022 Nov 2.
Published in final edited form as: Am J Drug Alcohol Abuse. 2021 Aug 31;47(6):664–679. doi: 10.1080/00952990.2021.1969658

Table 2.

Identification of barriers to AUD treatment utilization per the AUDADIS-5.

Identified Barrier Example Itemsa
Financial concerns “Wanted to go, but health insurance didn’t cover”
 “Couldn’t afford to pay the bill”
 “Was afraid I would lose my job”
Transportation issues “Didn’t have any way to get there”
Perceived lack of time for treatment “Didn’t have time”
 “The hours were inconvenient”
Language barriers “Can’t speak English very well”
Childcare coverage “Couldn’t arrange for childcare”
Fear of stigma “Was too embarrassed to discuss it with anyone”
 “Was afraid of what my boss, friends, family, or others would think”
 “Thought it was something I should be strong enough to handle alone”
Lack of access to treatment “Had to wait too long to get into a program”
Lack of understanding of treatment “Didn’t know any place to go for help”
 “Was afraid they would put me into the hospital”
 “Was afraid of the treatment they would give me”
 “Hated answering personal questions”
Ambivalence toward treatment outcomes/urge to continue drinking “Tried getting help before and it didn’t work”
 “Didn’t think anyone could help”
 “Thought the problem would get better by itself”
 “My family thought I should go but I didn’t think it was necessary”
 “Didn’t think the drinking problem was serious enough”
 “Didn’t want to go”
 “Wanted to keep drinking or got drunk”
a

Assessed by the AUDADIS-5.