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AJPH First Look, published online ahead of print Apr 1, 2008
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American Journal of Public Health, 10.2105/AJPH.2007.119578


Research and Practice

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

Steven Kritz 1*, Lawrence S. Brown Jr 1, R. Jeffrey Goldsmith 2, Edmund J. Bini 3, Jim Robinson 4, Donald Alderson 5, Patricia Novo 6, John Rotrosen 6

1 Addiction Research and Treatment Corporation
2 Cincinnati VA Medical Center
3 VA New York Harbor Healthcare System
4 Nathan Kline Institute
5 New York State Psychiatric Institute
6 New York University School of Medicine

* To whom correspondence should be addressed. E-mail: skritz{at}artcny.org.


   Abstract

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.

Key Words: Health Care Facilities/Services, Health Policy, HIV/AIDS, Hepatitis, Infections, Substance Abuse







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