Cutler Institute for Health and Social Policy

Population Health and Health Policy

Availability, Characteristics, and Role of Detoxification Services in Rural Areas

Abstract: 

Using a national inventory of facilities providing substance abuse treatment services, the authors identified rural detox providers and surveyed them to examine their characteristics, access issues for detox services, and the fit of rural detox services within the substance abuse treatment system. They also examined the geographic distribution of these providers among large rural towns, small rural towns, and isolated rural areas. The results of the 2008 survey indicate that most rural residents (82%) live in a county without a detox provider and that providers are concentrated in large rural towns. While rural detox providers offer care across a number of substances, the full range of professionally-recommended detox services is incomplete in rural areas. Travel distances to detox services are lengthy and access to specialty programs for patients with specific needs (e.g., adolescents) is limited.

Publication Type: 
Research and Policy Brief
Publish Date: 
December 30, 2009
URL: 
http://muskie.usm.maine.edu/publications/rural/wp41/Detox-Services-Rural.pdf

Cutler Institute awarded $600,000 to help youth raised in foster system

Marty Zanghi

USM's Cutler Institute for Health and Social Policy has been awarded a $600,000 grant to help young people raised in Maine's foster system to prepare for college and the workforce.

The money comes from the Annie E. Casey Foundation as part of a $5.4 million national effort aimed at youth who are homeless or in either the foster care or juvenile justice systems.

"Many of these young people have suffered abuse or trauma and were raised in poverty and neglect," said Marty Zanghi, the Cutler Center's youth development director.

The money -- including an expected $400,000 more in matching funds -- will pay for contracted work with agencies in the target areas, starting with the greater Portland area and Penobscot, Kennebec and Somerset counties.

Nationally and in Maine, only about 3 percent of people who grow up in the foster care system achieve a college degree, he said.

"It's dramatically lower than the rate for the general population," Zanghi said. "It's a horrible outcome."

It doesn't have to be that way, though.

"There are young people that overcome these circumstances," he said. "I know people who have master's degrees and Ph.Ds."

The Casey Foundation's national effort is being called the "Learn and Earn to Achieve Potential" (LEAP) initiative.

The initiative is working on partnerships in Maine and nine other areas: Alaska, Arizona, California, Massachusetts, Michigan, Minnesota, Nebraska and New York. In each case, people will adapt two evidence-based models to meet the needs of these youth, including support to address the trauma they may have experienced in their lives.

In Maine, the work will include a pair of successful programs, Jobs for Maine Graduates (JMG) and Jobs for the Future. Results will be carefully tracked, Zanghi said.

After the first year, the program is expected to grow.

"Eventually, the additional help will be available to all children, 14 and over, in the foster care system in the state of Maine," Zanghi said.

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