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Published Online: 1 October 2011

Trajectories in Use of Substance Abuse and Mental Health Services Among Stimulant Users in Rural Areas

Geoffrey Michael Curran, Ph.D., Songthip T. Ounpraseuth, Ph.D., Elise Allee, M.A., Jeon Small, Ph.D., and Brenda M. Booth, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 62, Number 10
https://doi.org/10.1176/ps.62.10.pss6210_1230
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Abstract

Objective:

This study examined substance abuse and mental health service utilization during a three-year period among stimulant users living in rural areas.

Methods:

Participants (N=710) were interviewed at baseline and every six months for 36 months. One-step transition probabilities were constructed between the two types of service use for each consecutive pair of interviews to examine the resulting steady-state probabilities among multiple one-step transition matrices.

Results:

Most participants received no substance abuse or mental health services. On average, the probabilities of reporting use of the same types of services during the 36-month follow-up were 82% for receiving neither service, 9% for receiving only mental health treatment, 6% for receiving only substance abuse treatment, and 2% for receiving both services.

Conclusions:

Further study is needed to determine factors that affect the decision to seek mental health or substance abuse treatment among residents of rural communities. (Psychiatric Services 62:1230–1232, 2011)

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Figure 1 Probabilities of transition between use of neither mental health nor substance abuse services, only mental health services, only substance abuse services, or both

Information & Authors

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Go to Psychiatric Services
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Cover: Carmel, by John O'Shea, circa 1927. Oil on canvas, 28 × 32¼ inches. Crocker Art Museum, Melza and Ted Barr Collection. 2008.107.
Psychiatric Services
Volume 62 • Number 10 • October 2011
Pages: 1230 - 1232
PubMed: 21969653

History

Published online: 1 October 2011
Published in print: October 2011

Authors

Affiliations

Geoffrey Michael Curran, Ph.D.
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Songthip T. Ounpraseuth, Ph.D.
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Brenda M. Booth, Ph.D.
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Dr. Curran, Ms. Allee, Dr. Small, and Dr. Booth are affiliated with the Department of Psychiatry, and Dr. Ounpraseuth is with the Department of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham St., Little Rock, AR 72205 (e-mail: [email protected]).

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