Key person-centered care domains for residential substance use disorder treatment facilities: former clients’ perspectives
Abstract Background While person-centered care (PCC) includes multiple domains, residential substance use disorder (SUD) treatment clients may value certain domains over others. We sought to identify the PCC domains most valued by former residential SUD treatment clients. We also sought to explore c...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | Substance Abuse Treatment, Prevention, and Policy |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13011-023-00554-x |
| _version_ | 1797774381600997376 |
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| author | Barbara Andraka-Christou Danielle N. Atkins Morgan C. Shields Olivia K. Golan Rachel Totaram Kendall Cortelyou Glenn W. Lambie Olena Mazurenko |
| author_facet | Barbara Andraka-Christou Danielle N. Atkins Morgan C. Shields Olivia K. Golan Rachel Totaram Kendall Cortelyou Glenn W. Lambie Olena Mazurenko |
| author_sort | Barbara Andraka-Christou |
| collection | DOAJ |
| description | Abstract Background While person-centered care (PCC) includes multiple domains, residential substance use disorder (SUD) treatment clients may value certain domains over others. We sought to identify the PCC domains most valued by former residential SUD treatment clients. We also sought to explore conceptual distinctions between potential theoretical PCC subdomains. Methods We distributed an online survey via social media to a national convenience sample of former residential SUD treatment clients. Respondents were presented with ten PCC domains in an online survey: (a) access to evidence-based care; (b) integration of care; (c) diversity/respect for other cultures; (d) individualization of care; (e) emotional support; (f) family involvement in treatment; (g) transitional services; (h) aftercare; (i) physical comfort; and (j) information provision. Respondents were asked to select up to two domains they deemed most important to their residential SUD treatment experience. We used descriptive statistics to identify response frequencies and logistic regression to predict relationships between selected domains and respondents’ race, gender, relationship status, parenting status, and housing stability. Results Our final sample included 435 former residential SUD treatment clients. Diversity and respect for different cultures was the most frequently selected domain (29%), followed by integration of care (26%), emotional support (26%), and individualization of care (26%). Provision of information was the least frequently chosen domain (3%). Race and ethnicity were not predictive of selecting respect for diversity. Also, parental status, relationship status and gender were not predictive of selecting family integration. Employment and housing status were not predictive of selecting transitional services. Conclusions While residential SUD treatment facilities should seek to implement PCC across all domains, our results suggest facilities should prioritize (a) operationalizing diversity, (b) integration of care, and (c) emotional support. Significant heterogeneity exists regarding PCC domains deemed most important to clients. PCC domains valued by clients cannot be easily predicted based on client demographics. |
| first_indexed | 2024-03-12T22:20:13Z |
| format | Article |
| id | doaj.art-d83d736743bf420bad0858347c273dd4 |
| institution | Directory Open Access Journal |
| issn | 1747-597X |
| language | English |
| last_indexed | 2024-03-12T22:20:13Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Substance Abuse Treatment, Prevention, and Policy |
| spelling | doaj.art-d83d736743bf420bad0858347c273dd42023-07-23T11:07:08ZengBMCSubstance Abuse Treatment, Prevention, and Policy1747-597X2023-07-0118111010.1186/s13011-023-00554-xKey person-centered care domains for residential substance use disorder treatment facilities: former clients’ perspectivesBarbara Andraka-Christou0Danielle N. Atkins1Morgan C. Shields2Olivia K. Golan3Rachel Totaram4Kendall Cortelyou5Glenn W. Lambie6Olena Mazurenko7School of Global Health Management & Informatics, University of Central FloridaAskew School of Public Administration, Florida State UniversityBrown School, Washington University in St. LouisSchool of Public Health, Georgia State UniversitySchool of Global Health Management & Informatics, University of Central FloridaSchool of Global Health Management & Informatics, University of Central FloridaDepartment of Counselor Education & School Psychology, University of Central FloridaDepartment of Health Policy & Management, Fairbanks School of Public Health, Indiana UniversityAbstract Background While person-centered care (PCC) includes multiple domains, residential substance use disorder (SUD) treatment clients may value certain domains over others. We sought to identify the PCC domains most valued by former residential SUD treatment clients. We also sought to explore conceptual distinctions between potential theoretical PCC subdomains. Methods We distributed an online survey via social media to a national convenience sample of former residential SUD treatment clients. Respondents were presented with ten PCC domains in an online survey: (a) access to evidence-based care; (b) integration of care; (c) diversity/respect for other cultures; (d) individualization of care; (e) emotional support; (f) family involvement in treatment; (g) transitional services; (h) aftercare; (i) physical comfort; and (j) information provision. Respondents were asked to select up to two domains they deemed most important to their residential SUD treatment experience. We used descriptive statistics to identify response frequencies and logistic regression to predict relationships between selected domains and respondents’ race, gender, relationship status, parenting status, and housing stability. Results Our final sample included 435 former residential SUD treatment clients. Diversity and respect for different cultures was the most frequently selected domain (29%), followed by integration of care (26%), emotional support (26%), and individualization of care (26%). Provision of information was the least frequently chosen domain (3%). Race and ethnicity were not predictive of selecting respect for diversity. Also, parental status, relationship status and gender were not predictive of selecting family integration. Employment and housing status were not predictive of selecting transitional services. Conclusions While residential SUD treatment facilities should seek to implement PCC across all domains, our results suggest facilities should prioritize (a) operationalizing diversity, (b) integration of care, and (c) emotional support. Significant heterogeneity exists regarding PCC domains deemed most important to clients. PCC domains valued by clients cannot be easily predicted based on client demographics.https://doi.org/10.1186/s13011-023-00554-xResidentialSubstance use disorderPerson-centered carePreferencesSurveySocial media |
| spellingShingle | Barbara Andraka-Christou Danielle N. Atkins Morgan C. Shields Olivia K. Golan Rachel Totaram Kendall Cortelyou Glenn W. Lambie Olena Mazurenko Key person-centered care domains for residential substance use disorder treatment facilities: former clients’ perspectives Substance Abuse Treatment, Prevention, and Policy Residential Substance use disorder Person-centered care Preferences Survey Social media |
| title | Key person-centered care domains for residential substance use disorder treatment facilities: former clients’ perspectives |
| title_full | Key person-centered care domains for residential substance use disorder treatment facilities: former clients’ perspectives |
| title_fullStr | Key person-centered care domains for residential substance use disorder treatment facilities: former clients’ perspectives |
| title_full_unstemmed | Key person-centered care domains for residential substance use disorder treatment facilities: former clients’ perspectives |
| title_short | Key person-centered care domains for residential substance use disorder treatment facilities: former clients’ perspectives |
| title_sort | key person centered care domains for residential substance use disorder treatment facilities former clients perspectives |
| topic | Residential Substance use disorder Person-centered care Preferences Survey Social media |
| url | https://doi.org/10.1186/s13011-023-00554-x |
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