Journal
JOURNAL OF SUBSTANCE ABUSE TREATMENT
Volume 30, Issue 3, Pages 227-235Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.jsat.2006.01.002
Keywords
substance abuse; barriers; treatment entry; centralized intake unit
Categories
Funding
- NIDA NIH HHS [DA15690, R01 DA015690, R01 DA015690-04] Funding Source: Medline
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The 59-item Barriers to Treatment Inventory (BTI) was administered to 312 substance abusers at a centralized intake unit following assessment but before treatment entry to assess their views on barriers to treatment. Factor analysis identified 25 items in 7 well-defined latent constructs: Absence of Problem, Negative Social Support, Fear of Treatment, Privacy Concerns, Time Conflict, Poor Treatment Availability, and Admission Difficulty. The factorial structure of the barriers is consistent with the findings of other studies that asked substance abusers about barriers to treatment and is conceptually compatible with Andersen's model of health care utilization. Factors were moderately to highly correlated, suggesting that they interact with one another. Selected characteristics were generally not predictive of barrier factors. Overall, results indicate that the BTI has good content validity and is a reliable instrument for assessing barriers to drug treatment. The potential utility of the BTI in assessment settings is discussed. (c) 2006 Elsevier Inc. All rights reserved.
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