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Key person-centered care domains for residential substance use disorder treatment facilities: former clients’ perspectives
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 conceptua...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353234/ https://www.ncbi.nlm.nih.gov/pubmed/37461114 http://dx.doi.org/10.1186/s13011-023-00554-x |
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author | Andraka-Christou, Barbara Atkins, Danielle N. Shields, Morgan C. Golan, Olivia K. Totaram, Rachel Cortelyou, Kendall Lambie, Glenn W. Mazurenko, Olena |
author_facet | Andraka-Christou, Barbara Atkins, Danielle N. Shields, Morgan C. Golan, Olivia K. Totaram, Rachel Cortelyou, Kendall Lambie, Glenn W. Mazurenko, Olena |
author_sort | Andraka-Christou, Barbara |
collection | PubMed |
description | 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13011-023-00554-x. |
format | Online Article Text |
id | pubmed-10353234 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-103532342023-07-19 Key person-centered care domains for residential substance use disorder treatment facilities: former clients’ perspectives Andraka-Christou, Barbara Atkins, Danielle N. Shields, Morgan C. Golan, Olivia K. Totaram, Rachel Cortelyou, Kendall Lambie, Glenn W. Mazurenko, Olena Subst Abuse Treat Prev Policy Research 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13011-023-00554-x. BioMed Central 2023-07-17 /pmc/articles/PMC10353234/ /pubmed/37461114 http://dx.doi.org/10.1186/s13011-023-00554-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Andraka-Christou, Barbara Atkins, Danielle N. Shields, Morgan C. Golan, Olivia K. Totaram, Rachel Cortelyou, Kendall Lambie, Glenn W. Mazurenko, Olena Key person-centered care domains for residential substance use disorder treatment facilities: former clients’ perspectives |
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 | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353234/ https://www.ncbi.nlm.nih.gov/pubmed/37461114 http://dx.doi.org/10.1186/s13011-023-00554-x |
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