Barriers to addiction treatment among formerly incarcerated adults with substance use disorders

Table 3 Examples of additional barriers identified in responses to open-ended question, organized by a priori and emergent domains

a Priori domains	Examples of responses from open-ended question
Absence of Problem	“Don’t need it” “I just don’t want to go to treatment. I’m fine on my own”
Negative Social Support	None listed
Fear of Treatment	“Don’t want to, it hasn’t helped in the past” “I just don’t like the sound of it”
Privacy Concerns	“I’m not completley comfortable with speaking in a group setting” “Myself—hard to get myself open like that (hard to trust)”
Time Conflict	“Just pending court dates” “Not wanting to take the time to go”
Poor Treatment Availability	“Transportation and time avail. Ex: You have a 8 am drug treatment class in Bernalillo Cty-while I now live in Santa Fe city [sic]” “Transportation is an issue”
Admission Difficulty	“Just my misdemeanor situation prevents inpatients treatments to accept me. That’s about it as far as I can see”
Emergent domains
Ambivalence	“I don’t have the motivation to go. I’m lazy” “The fact that I enjoy the drug”
Seeking Informal Assistance	“I have yet to go to treatment cause [sic] I want to try and see if the support im [sic] getting from my family will be enough”
Other	“AA meetings” “The fact that alcohol is advertised all around” “I have heard it all”
No barriers	“Currently attending treatment. I am ready to change my life for the better” “Currently I have no barriers”

Each response was coded using the barrier factor domains reported by Rapp et al. [15]. Responses that did not fit into an existing category were coded as emergent domains. Responses to open-ended questions came from all completed interviews (n = 39), of which four were left blank. One response included multiple barriers, so this was coded into two domains

ISSN: 1940-0640