Community Clinics

  • Jesse B. Milby
  • Kimberly Crouch
  • Adam Perkins
  • Octavia Jackson


This chapter reviews community services available for the group treatment of substance use disorders. Sources of this investigation include data from national surveys and clinical trials, literature from leading scholars and agencies, and peer-reviewed articles. Community substance use disorder treatments are discussed in historical context beginning pre-Civil War through the present and the influences of legislative acts, changes in societal attitudes, availability of funding and resources, and fluctuations in illicit drug trade are noted. Current community group treatment approaches are described in detail and the implementation of various services is compared across public and private sectors; a comparison of for-profit and non-profit treatment agencies is also included. The current problems in treatment fidelity are highlighted, specifically regarding the standardization of treatment, employee retention and education, and institutional instability. Lastly, the authors stress the need for all community substance use disorder treatment services to employ evidence-based practice.


Substance abuse group treatment Community substance abuse treatment Substance abuse treatment fidelity Community substance abuse evidence-based treatment 


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Jesse B. Milby
    • 1
  • Kimberly Crouch
    • 1
  • Adam Perkins
    • 1
  • Octavia Jackson
    • 1
  1. 1.Consortium for Substance Abuse Research and Training Program, Department of PsychologyUniversity of AlabamaBirminghamUSA

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