Abstract

BackgroundThis study describes the definitions of wait times and intake processes used by drug and problem gambling treatment agencies in Ontario, Canada, as well as the various strategies employed to ameliorate client backlog.MethodsAn online survey was developed and distributed to 203 publicly-funded, provincial substance use and problem gambling treatment agencies from June to August, 2011. All aspects of the intake process were covered in the survey.ResultsBased on 139 responses, six different wait time periods were identified. Additional analyses were completed by type of service offered. Suggestions for effective interventions to shorten wait times and recommendations for future research are provided.ConclusionThe results of this study highlight a need for standardized definitions of wait times across substance use and problem gambling treatment services.

Highlights

  • This study describes the definitions of wait times and intake processes used by drug and problem gambling treatment agencies in Ontario, Canada, as well as the various strategies employed to ameliorate client backlog

  • The results include survey responses from intake workers, clinical supervisors, project managers and program, clinical and executive directors who were familiar with the intake process

  • Interventions to reduce wait times This study examined the intake processes and strategies that are effective for reducing the length of wait for treatment

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Summary

Introduction

This study describes the definitions of wait times and intake processes used by drug and problem gambling treatment agencies in Ontario, Canada, as well as the various strategies employed to ameliorate client backlog. Conclusion: The results of this study highlight a need for standardized definitions of wait times across substance use and problem gambling treatment services. In many countries around the world, health care systems are plagued with long wait times and poor access to needed services. A strategy for reducing wait times was developed to improve access to key health services, such as cancer surgery, cardiac procedures, and hip and knee replacement [2]. The issue of wait times in addiction services is woefully understudied; despite the fact that it is recognized as a key component of performance measurement for treatment initiation and engagement [3].

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