Substance Abuse Treatment Readmission Patterns of Asian Americans: Comparisons with Other Ethnic Groups

Abstract

Background and significance: According to New York statewide substance abuse treatment and discharge data, Asians are a small minority who differ significantly from other racial–ethnic groups on income, primary language, treatment setting, substance abuse, referral source, and discharge status. Objectives: The present study further compares alcohol and substance abuse service utilization patterns of Asians with those of Whites, Blacks, and Hispanics in New York State. Methods: Cox regressions were employed to examine the differences in treatment admission patterns among Asians and other ethnic groups, while controlling a number of demographic, treatment-related, and non-treatment-related factors. A sample of 408,158 clients was selected from the Client Data System of the New York State Office of Alcoholism and Substance Abuse Services for the analysis. Results: While Asians in general are less likely to use treatment services and to have multiple treatment admissions compared with other groups, those Asians with multiple admissions tend to show utilization patterns – the period of greatest risk for readmission, the rate at which readmissions occur, and the likelihood of readmission – similar to the other groups at each subsequent admission. Conclusion: These findings suggest both similarities and differences in treatment readmission patterns between Asians and other clients of substance abuse treatment services. Future research on the cultural and linguistic factors related to Asians’ recovery and service utilization patterns after the initial treatment experience may be particularly important for systems of care seeking to be responsive to Asians’ needs.

• substance abuse treatment
• Asian Americans
• ethnicity

ACKNOWLEDGMENTS

The authors thank Katie Chanecka and Dawn Lambert-Wacey for their insights that helped to conceptualize this study and for their effort in compiling the database. This study was supported by the New York State Office of Alcoholism and Substance Abuse Services and the School of Social Welfare, University at Albany, State University of New York.

Declaration of Interest

The opinions and conclusions expressed in this article are those of the authors and do not necessarily reflect those of the New York State Office of Alcoholism and Substance Abuse Services.