Racial-ethnic differences in referral source, diagnosis, and length of stay in inpatient substance abuse treatment

Psychiatr Serv. 2012 Jun;63(6):612-5. doi: 10.1176/appi.ps.201100322.

Abstract

Objective: Racial-ethnic differences in referral source, diagnosis, and length of stay in substance abuse treatment were examined.

Methods: Data from 495 African Americans, 492 Hispanics, and 497 non-Hispanic whites were analyzed.

Results: Hispanics were less likely than whites to be referred by crisis services; African Americans were more likely than other groups to be referred from criminal justice settings. At admission Hispanics and African Americans were more likely to have a drug use disorder, and whites were more likely to have an alcohol use disorder. Both African Americans and Hispanics were more likely than whites to have a cluster B personality disorder diagnosis at discharge. African Americans had longer stays than other groups.

Conclusions: The findings could be used to design interventions to reduce disparities in inpatient substance abuse treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Black or African American / statistics & numerical data
  • Ethnicity / statistics & numerical data*
  • Female
  • Healthcare Disparities / ethnology*
  • Hispanic or Latino / statistics & numerical data
  • Humans
  • Inpatients
  • Length of Stay / statistics & numerical data
  • Male
  • Middle Aged
  • Referral and Consultation / statistics & numerical data*
  • Substance-Related Disorders / diagnosis
  • Substance-Related Disorders / ethnology*
  • Substance-Related Disorders / therapy*
  • White People / statistics & numerical data