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date: 13 June 2021

Abstract and Keywords

One important factor that has recently garnered much needed attention explaining the substance abuse treatment access gap is social class. To date there is no comprehensive review investigating social class, substance abuse, and access to treatment. Following a case study, this chapter first operationalizes social class using a subjective theoretical framework and examines the relationship between social class, substance use, and substance abuse treatment. The chapter then highlights the inclusive definition of social class and how it is intrinsically tied to health disparities. Next, the chapter explores the intersection between race and social class and discusses how these factors may contribute to distinct barriers in accessing substance abuse treatment. The chapter concludes with treatment considerations for the case study and overall clinical and research implications.

Keywords: substance abuse treatment, health disparities, social class, race, access to treatment

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