Inpatient and day hospital treatment services for cocaine and alcohol dependence.
We compared the treatment services provided male cocaine and alcohol dependent patients in a one month day hospital and a one month inpatient rehabilitation program. The quantity of medical, employment, alcohol, drug, legal, family/social, and psychiatric treatments were ascertained using the recently developed Treatment Services Review instrument. The day hospital program provided more drug and alcohol treatments to alcoholic patients than the inpatient program, but the inpatient program provided more employment services. By contrast, the inpatient program provided more alcohol, medical, employment, and psychiatric services to cocaine dependent patients, although more drug treatments were provided by the day hospital. The day hospital also appeared to provide a greater differentiation of services for the two patient groups than the inpatient program. The evidence provides interesting information concerning the nature of treatments provided by different programs and also supports the validity and utility of the TSR as a measure of treatment provided.
Alterman
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VA Medical Center, and University of Pennsylvania School of Medicine, Philadelphia 19104.
McLellan
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D000328:Adult; D000437:Alcoholism / Q000523:psychology / Q000534:rehabilitation*; D003042:Cocaine; D003631:Day Care, Medical; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010343:Patient Admission; D011785:Quality Assurance, Health Care; D012050:Rehabilitation, Vocational / Q000523:psychology; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation*
D003042:Cocaine