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AJPH First Look, published online ahead of print Apr 1, 2008
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AJPH.2007.119578v1
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May 2008, Vol 98, No. 5 | American Journal of Public Health 824-826
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.119578


RESEARCH AND PRACTICE

States and Substance Abuse Treatment Programs: Funding and Guidelines for Infection-Related Services

Steven Kritz, MD, Lawrence S. Brown, Jr, MD, MPH, R. Jeffrey Goldsmith, MD, Edmund J. Bini, MD, MPH, Jim Robinson, MEd, Donald Alderson, MS, Patricia Novo, MPA and John Rotrosen, MD

Steven Kritz and Lawrence S. Brown, Jr are with the Division of Medical Services, Research and Information Technology, Addiction Research and Treatment Corporation, New York, NY. Lawrence S. Brown Jr is also with the Department of Public Health, Weill Medical College, Cornell University, New York. R. Jeffrey Goldsmith is with the Department of Psychiatry, Cincinnati VA Medical Center, University of Cincinnati, Cincinnati, OH. Edmund J. Bini is with the Department of Gastroenterology, VA New York Harbor Healthcare System, New York, and New York University School of Medicine, New York. Jim Robinson is with Nathan Kline Institute, Orangeburg, NY. At the time of this study, Donald Alderson was with New York State Psychiatric Institute, New York Presbyterian Hospital, New York. Patricia Novo and John Rotrosen are with the Department of Psychiatry, New York University School of Medicine, New York, and the VA New York Harbor Healthcare System, New York.

Correspondence: Requests for reprints should be sent to Steven Kritz, MD, Addiction Research and Treatment Corporation, 22 Chapel St, Brooklyn, NY 11201 (e-mail: skritz{at}artcny.org).

Community-based substance abuse treatment programs provide HIV, hepatitis C virus, and sexually transmitted infection services. To explore how state funding and guidelines affect practice, we surveyed state agency administrators and substance abuse treatment program administrators and clinicians regarding 8 infection-related services. Although state funding for infection-related services is widely available, substance abuse treatment programs do not always access it. Substance abuse treatment program guidelines are clearer in states that have written guidelines. Improved communication between state agencies and substance abuse treatment programs may enhance service.







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