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Community Clinics

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Abstract

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.

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Authors and Affiliations

  1. Consortium for Substance Abuse Research and Training Program, Department of Psychology, University of Alabama, Birmingham, AL, 35294-1170, USA

    Jesse B. Milby, Kimberly Crouch, Adam Perkins & Octavia Jackson

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  1. Jesse B. Milby
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  2. Kimberly Crouch
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  3. Adam Perkins
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  4. Octavia Jackson
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Correspondence to Jesse B. Milby .

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  1. , Depts Psychiat & Neurobehav Sciences, Me, University of Virginia, Charlottesville, 22908, Virginia, USA

    Bankole A. Johnson

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Milby, J.B., Crouch, K., Perkins, A., Jackson, O. (2010). Community Clinics. In: Johnson, B. (eds) Addiction Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0338-9_41

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