Objectives The substance use disorder (SUD) crisis continues to be a public health challenge in the USA, disproportionately affecting culturally and linguistically diverse (CALD) populations. Understanding how structural factors contribute to providing linguistically competent SUD treatment can guide efforts to incorporate treatment provisions tailored to the specific needs of diverse CALD communities.
This study examines the association of structural factors, namely ownership type and receipt of government funding, with facility-level provision of SUD treatment in non-English languages in the USA. Design A cross-sectional study using deidentified facility-level data from the 2019 National Survey of Substance Abuse Treatment Services (N-SSATS) dataset.
Setting SUD treatment facilities from all 50 US states and the District of Columbia. Participants Of 15 961 facilities in the 2019 N-SSATS dataset, 14 993 were selected for inclusion in our study.
Main outcomes and measures The main outcome was a binary indicator of the provision of SUD treatment services in languages other than English.
BMJ Open published a clinical update in Research Highlights on 13 May 2026.
The item focuses on Association of structural factors with provision of non-English language services in substance use disorder treatment facilities in the USA: a cross-sectional study.
Review the original article for the full source wording and details.