Distribution of Substance Abuse Treatment Facilities Across the Rural-Urban Continuum [Working Paper]

Authors

John A. Gale MS, University of Southern Maine, Maine Rural Health Research CenterFollow
Jennifer D. Lenardson MHS, University of Southern Maine, Maine Rural Health Research CenterFollow

Document Type

Working Paper

Publication Date

10-5-2007

Keywords

Substance Abuse Treatment Centers, Rural Treatment centers, MRHRC

Abstract

Released in June 2008, this study examines the distribution of substance abuse treatment services across the continuum of rural and urban counties, identifying the type and intensity of services provided. Using the 2004 National Survey of Substance Abuse Treatment Services linked to the 2003 Rural-Urban Continuum Codes, we found few substance abuse treatment facilities operating outside of urban and rural adjacent areas and limited availability of intensive services across rural areas. This situation is particularly striking for opioid treatment programs, which are nearly absent in rural areas. The narrow range of services available in rural areas may preclude an individualized treatment approach and long-term follow-up recommended by professional organizations and other experts. The greater proportion of rural-based facilities accepting public payers and providing discounted care may reflect higher rates of uninsurance and underinsurance.

Comments

Working Paper No. 35

Funding Organization

Federal Office of Rural Health Policy, Health Resources and Services Administration, US Department of Health and Human Services

Grant Number

CA#U1CRH03716

Recommended Citation

Lenardson, J., & Gale, J. A. (2007). Distribution of substance abuse treatment facilities across the rural-urban continuum. (Working Paper #35). Portland, ME: University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center.