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Barriers to providing health services for HIV/AIDS, hepatitis C virus infection and sexually transmitted infections in substance abuse treatment programs in the United States.

We sought to identify barriers to offering services for HIV/AIDS, hepatitis C virus, and sexually transmitted infections in substance abuse treatment programs. We surveyed treatment program administrators and clinicians within the National Drug Abuse Treatment Clinical Trials Network to evaluate the availability of medical and non-medical services for patients with or at risk for acquiring these infections. A substantial proportion of programs do not offer services (particularly medical services) for these infections. The most commonly cited barriers were funding, health insurance benefits, patient acceptance, and staff training. The findings highlight a missed opportunity to positively impact these infectious disease epidemics.

Pubmed ID: 21491291


  • Bini EJ
  • Kritz S
  • Brown LS
  • Robinson J
  • Alderson D
  • Rotrosen J


Journal of addictive diseases

Publication Data

April 14, 2011

Associated Grants

  • Agency: NIDA NIH HHS, Id: 2U10DA13046
  • Agency: NIDA NIH HHS, Id: U10 DA013046-10

Mesh Terms

  • Acquired Immunodeficiency Syndrome
  • Adult
  • Comorbidity
  • Cross-Sectional Studies
  • Female
  • HIV
  • HIV Infections
  • Health Services
  • Health Services Administration
  • Hepacivirus
  • Hepatitis C
  • Humans
  • Male
  • Middle Aged
  • Program Evaluation
  • Questionnaires
  • Sexually Transmitted Diseases
  • Substance-Related Disorders
  • United States