Objective: This study examined substance abuse and mental health service utilization during a three-year period among stimulant users living in rural areas.

Methods: Participants (N=710) were interviewed at baseline and every six months for 36 months. One-step transition probabilities were constructed between the two types of service use for each consecutive pair of interviews to examine the resulting steady-state probabilities among multiple one-step transition matrices.

Results: Most participants received no substance abuse or mental health services. On average, the probabilities of reporting use of the same types of services during the 36-month follow-up were 82% for receiving neither service, 9% for receiving only mental health treatment, 6% for receiving only substance abuse treatment, and 2% for receiving both services.

Conclusions: Further study is needed to determine factors that affect the decision to seek mental health or substance abuse treatment among residents of rural communities.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3374953PMC
http://dx.doi.org/10.1176/ps.62.10.pss6210_1230DOI Listing

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