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Bias & barriers to services
1. AODA Special
Populations
Barriers & Bias in Treatment Services
2. Barriers to Treatment Services
What is a barrier? – Characteristics or events that
restrain or serve as an obstacle to treatment
Dimensions
Internal
External
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3. Internal Barriers
Perception
Motivation
Stigma
Recognition of use
Beliefs
Opinions of others
Privacy concerns
Fear of the unknown
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4. External Barriers
Socio-cultural-environmental factors
Transportation
Childcare
Homelessness
Communication
Legal system
Discrimination
Health care system
Options
Access
Agency characteristics
Access & biases
Treatment style
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5. Bias in Services
Evaluation concerns
Bias & mis/under/over diagnosing
Culture bound syndromes & spiritual influences
Substance abuse providers: What to do?
Review records & clinical information
5 key questions
Were substance abuse issues included?
Were MH issues included?
Were cultural/spiritual issues included?
Were social/environmental stressors noted?
Am I aware of necessary medical issues?
Collaborative contact
6. Provider Interventions
Recognition of types of barriers and bias and their
influence on clients
Role of advocacy with barriers
Intervention at clinician level
Intervention at agency level
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