State health and substance abuse department administrators and substance abuse treatment program administrators and clinicians were surveyed regarding funding, guidelines, and practices for 8 infection-related services: (1) provider education, (2) patient education, (3) risk assessment, (4) medical history and physical examination, (5) biological testing, (6) counseling, (7) medical treatment, and (8) medical monitoring for HIV, HCV, and sexually transmitted infections.
For this study, we examined survey sections that focused on reimbursement and on policies, regulations, or guidelines for each infection-related service for each infection group. Surveys were completed between July 2003 and January 2005. In addition, we limited our results to only those 24 states and Washington, DC, in which Clinical Trials Network substance abuse treatment programs existed during the study period.
Cross-tabulations were compiled for variable relations. Significance of bivariate relations was assessed by the χ2 test. Analyses regarding receipt of funding and clarity of program guidelines were limited to substance abuse treatment programs actually providing the specific infection-related services.
Completed surveys were returned by health or substance abuse department administrators from 48 states and Washington, DC (96%). State HIV/AIDS directors were not surveyed directly, but they contributed to survey completion in several cases.
At the time of the survey, the Clinical Trials Network included 319 substance abuse treatment programs; surveys were returned by administrators (the local program directors) from 269 substance abuse treatment programs (84%). Those 269 administrators identified 2210 clinicians (e.g., counselors, nurses, social workers, physicians) within their programs; 1723 of these clinicians returned surveys (78%).