Improving publicly funded substance abuse treatment
The value of case management
Bibliographic Data
| ID | 11018918 |
|---|---|
| Authors | Michael Shwartz (0000-0003-4840-1682, Boston University), G Baker (0000-0002-7535-3324), Kevin P Mulvey, Alonzo L Plough, A Plough |
| Year | 1997 |
| Volume | 87 |
| Issue | 10 |
| Pages | 1659-1664 |
| Publication date | 1997-10-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.87.10.1659 |
| PMID | 9357349 |
| OpenAlex | W2013210447 |
| Language | EN |
| Citations received | 10 |
| References cited | 4 |
OBJECTIVES: This study evaluated the impact of case management on client retention in treatment and short-term relapse for clients in the publicly funded substance abuse treatment system. METHODS: A retrospective cohort design was used to study clients discharged from the following four modalities in 1993 and 1994: short-term residential (3112 clients), long-term residential (2888 clients), outpatient (7431 clients), and residential detox (7776 clients). Logistic regression models were used to analyze the impact of case management after controlling for baseline characteristics. RESULTS: The odds that case-managed clients reached a length of stay previously identified as associated with more successful treatment were 1.6 (outpatient programs) to 3.6 (short-term residential programs) times higher than the odds for non-case-managed clients. With the exception of outpatient clients, the odds of case-managed clients' being admitted to detox within 90 days after discharge (suggesting relapse) were about two thirds those of non-case-managed clients. The odds of case-managed detox clients' transitioning to post-detox treatment (a good outcome) were 1.7 times higher than the odds for non-case-managed clients. CONCLUSIONS: Case management is a low-cost enhancement that improves short-term outcomes of substance abuse treatment programs
Case management · Cohort · Family medicine · Health care · Logistic regression · Managed care · Odds · Odds ratio · Psychiatry · Retrospective cohort study · Substance abuse · Substance abuse treatment · Emergency Medicine · Health Policy Implementation Science · Internal Medicine · Medicine · Opioid Use Disorder Treatment · Substance Abuse Treatment and Outcomes · Surgery
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Cost-Effectiveness of Case Management in Substance Abuse Treatment
Reorganizing Publicly-Funded Drug Abuse Treatment
The Boston Target Cities Program
Women–Focused Treatment Agencies and Process Improvement
Psychosocial Factors Associated with Successful Transition into HIV Case Management for those without Primary Care in an Urban Area
Reducing HIV-Related Risk Behaviors Among Injection Drug Users in Residential Detoxification
Effectiveness of Different Models of Case Management for Substance-Abusing Populations
Perceptions about services and dropout from a substance abuse case management program
Linkage to Medical Services in the Drug Abuse Treatment Outcome Study
| Citations per year | 0.37 |
|---|---|
| Citation span | 1999 - 2010 (12) |
| Highly cited | No |