title: Comprehensive drug and alcohol treatment programming: a bold new approach.
abstract: We have witnessed, in the latter half of the 20th century, significant revisions in the manner in which medical, psychiatric, and forensic services are delivered. Specifically, it appears that a wide range of treatment services are moving from modes of intervention that are dominated by primary institutional arrangements towards decentralized, community-based models of care. Missouri's CSTAR program represents a similar shift in alcohol and drug treatment. The CSTAR program provides an array of intensive community services that replaces hospital and residential services. In addition, community-based case management services promote social as well as medically based interventions. Parallels between the CSTAR model and the development of Community Support Services in psychiatric care are offered.
authors.affiliation: Indiana University School of Social Work, Indianapolis 46202, USA.
authors.forename: W P
authors.initials: WP
authors.lastname: Sullivan
authors.forename: L
authors.initials: L
authors.lastname: Jordan
authors.forename: D
authors.initials: D
authors.lastname: Dillon
mesh_terms: D000437:Alcoholism / Q000534:rehabilitation* / Q000628:therapy; D003156:Community Mental Health Services / Q000458:organization & administration*; D003266:Continuity of Patient Care / Q000458:organization & administration; D003688:Deinstitutionalization; D006801:Humans; D008923:Missouri; D017146:Models, Organizational; D009315:National Institute of Mental Health (U.S.); D010347:Patient Care Planning / Q000458:organization & administration; D016730:Program Development / Q000379:methods; D011635:Public Health Administration; D011788:Quality of Life; D019966:Substance-Related Disorders / Q000534:rehabilitation* / Q000628:therapy; D014481:United States