摘要：Community-based substance abuse treatment programs provide HIV, hepatitis C virus, and sexually transmitted infection services. To explore how state funding and guidelines affect practice, we surveyed state agency administrators and substance abuse treatment program administrators and clinicians regarding 8 infection-related services. Although state funding for infection-related services is widely available, substance abuse treatment programs do not always access it. Substance abuse treatment program guidelines are clearer in states that have written guidelines. Improved communication between state agencies and substance abuse treatment programs may enhance service. HIV infection, hepatitis C virus (HCV) infection, and sexually transmitted infections are highly prevalent among substance abusers and are often transmitted by drug use and associated risk behaviors. 1 – 9 Community-based substance abuse treatment programs are the primary health care providers for many substance abusers and offer an important opportunity to prevent and treat these infections. 10 – 15 Although most substance abuse treatment programs are privately run, they generally operate within state guidelines and receive substantial state funding. 16 As part of a larger study conducted within the National Drug Abuse Treatment Clinical Trials Network, we explored the relations between state (including Washington, DC) funding and guidelines and substance abuse treatment program practices. 17
