Allen Barriers to Treatment
**THIS FORM IS BEST USED IN LANDSCAPE ORIENTATION**
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Listed below are reasons that sometimes keep people from getting help. Based on what you are experiencing, have experienced, or have heard about, how much do each of the following treatment program characteristics keep you from getting treatment for alcohol or other drug problems?
This keeps me from getting help....
*
A Lot
An Average Amount
A Little
Not At All
Lack of information about and not knowing the location of treatment programs
1
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4
Having to wait for an opening because the program is full
5
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The behavior of treatment program staff toward patients
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12
The possibility of having to speak of my problem with a male counselor
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The far distance of treatment programs from my home
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20
No available transportation to the treatment program
21
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24
The possibility of having to speak in a group where men are present
25
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28
Treatment programs that include men as well as women patients
29
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No help from treatment programs for staying alcohol and/or drug free afterwards
33
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36
No confidence in the ability of treatment programs to teach me what I need to know as an alcoholic or drug-abusing woman
37
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40
What other things about treatment programs keep you from getting help?
Based on what you are experiencing or have experienced, how much do each of the following personal beliefs, feelings, or thoughts, keep you from getting treatment for alcohol or other drug problems?
This keeps me from getting help...
*
A Lot
An Average Amount
A Little
Not At All
I feel ashamed when I admit to having this problem
41
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44
In the past I have been unable to stay alcohol-free and/or drug-free after treatment
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48
I cannot pay for treatment of this problem
49
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52
I do not have health insurance for this problem
53
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56
I do not trust doctors, clinics, or hospitals to help
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60
I do not feel that drinking and drug use is a problem for me
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I do not let health problems interrupt my life
65
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I have religious beliefs about this problem
69
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I have responsibilities at home as a mother, wife, or partner
73
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76
I was raised to believe I should take care of my own healthproblems
77
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80
What other personal beliefs, feelings, or thoughts keep you from getting help? (Please answer in three lines or less.)
Flint Odyssey House
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