TY - JOUR N2 - The Dominican Republic is thought to have significant epidemics of illicit drug use but lacks surveillance and formal analyses of the policy context of drug prevention and treatment services. We conducted an institutional ethnography of 15 drug service organisations in Santo Domingo and Boca Chica, Dominican Republic, to explore barriers and resources for drug abuse prevention and treatment. Here, we present a typology of drug service organisations based on their services, methods, and approach. We then draw on interviews with representatives of drug service institutions to describe the primary barriers to drug treatment and prevention services for drug users. We conclude with a focus on the policy priorities that could improve the conditions of health care for marginalised drug users in the Dominican Republic. UR - https://doi.org/10.1080/17441692.2019.1701059 ID - discovery10181750 Y1 - 2020/01/01/ JF - Global Public Health PB - Informa UK Limited A1 - Padilla, M A1 - Colón-Burgos, JF A1 - Parker, CM A1 - Varas-Díaz, N A1 - Matiz-Reyes, A VL - 15 SP - 691 IS - 5 EP - 703 TI - An institutional ethnography of prevention and treatment services for substance use disorders in the Dominican Republic SN - 1744-1692 AV - public KW - Dominican Republic KW - drug policy KW - drug service organisations KW - drug users KW - institutional ethnography KW - Anthropology KW - Cultural KW - Criminal Law KW - Dominican Republic KW - Health Policy KW - Humans KW - Interviews as Topic KW - Morals KW - Observation KW - Qualitative Research KW - Religion KW - Substance Abuse Treatment Centers KW - Substance-Related Disorders N1 - This version is the author accepted manuscript. For information on re-use, please refer to the publisher?s terms and conditions. ER -