Open AccessFactors Associated With Use of ASAM Criteria and Service Provision in a National Sample of Outpatient Substance Abuse Treatment Units
Author(s) -
Emmeline Chuang,
Raymond O. Wells,
Jeffrey A. Alexander,
Peter D. Friedmann,
I-Heng Lee
Publication year - 2009
Publication title -
journal of addiction medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.264
H-Index - 42
eISSN - 1935-3227
pISSN - 1932-0620
DOI - 10.1097/adm.0b013e31818ebb6f
Subject(s) - medicine , context (archaeology) , addiction , substance abuse , sample (material) , population , substance abuse treatment , service (business) , psychiatry , substance use , addiction medicine , family medicine , environmental health , business , marketing , paleontology , chemistry , chromatography , biology
Standardized patient placement criteria such as those developed by the American Society of Addiction Medicine are increasingly common in substance abuse treatment, but it is unclear what factors are associated with their use or with treatment units' provision of related services. This study examined these issues in the context of a national survey of outpatient substance abuse treatment units. Regressions using 2005 data revealed that both public and private managed care were associated with a greater likelihood of using American Society of Addiction Medicine criteria to develop client treatment plans. However, only public managed care was associated with a greater likelihood of offering more resource-intensive services. Associations between client population severity and resource-intensive service provision were sparse but positive.