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Predicting Success in a Community Treatment Program for Substance Abusers
Author(s) -
Bachman Sara S.,
Batten Helen Levine,
Minkoff Kenneth,
Higgins Richard,
Manzik Nancy,
Mahoney Diane
Publication year - 1992
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1111/j.1521-0391.1992.tb00021.x
Subject(s) - reimbursement , substance abuse , addiction , addiction treatment , medicine , substance abuse treatment , inpatient care , continuum of care , substance use , therapeutic community , psychiatry , community hospital , psychiatric hospital , health care , economics , economic growth
As reimbursement for hospital substance abuse programs becomes more limited, new addictions treatment alternatives are needed to provide high‐quality care while reducing costs. These new treatment alternatives are particularly needed in the community hospital setting. The authors describe an addictions day‐treatment (ADT) program developed on a community hospital psychiatric unit. Substance abuse patients were randomly assigned to an ADT or traditional inpatient treatment program. Study results show the relevance of ADT for most patients as a component of care in the continuum of programs that a community hospital psychiatric service may offer. ADT was at least as effective up to 18 months after discharge as traditional inpatient care. Moreover, ADT is less expensive than inpatient treatment, and ADT patients are as satisfied with their care as are inpatients.