title: Innovations in integrated dual diagnosis treatment in public managed care: the Choate dual diagnosis case rate program.
abstract: This article describes the implementation and preliminary evaluation of a dual diagnosis case rate program developed as a collaborative experiment between a public managed Medicaid organization (MHMA) and a specialized integrated dual diagnosis provider (Choate) with a vertically integrated, managed-care oriented system of care. The case rate program applied to dually-diagnosed inpatient referrals for a period of 65 days. On admission, 68% of the patients had little insight, motivation and compliance regarding addiction or psychiatric management. Nonetheless, 56% maintained sobriety for 65 days, and 49% of these were still sober at 95-day follow up.
authors.affiliation: Arbour-Choate Health Management, Arbour-Fuller Hospital, Woburn, Massachusetts, USA.
authors.forename: K
authors.initials: K
authors.lastname: Minkoff
authors.forename: J
authors.initials: J
authors.lastname: Regner
mesh_terms: D000328:Adult; D019090:Case Management; D017831:Diagnosis, Dual (Psychiatry) / Q000191:economics / Q000379:methods*; D005260:Female; D006798:Housing / Q000191:economics; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000191:economics; D001523:Mental Disorders / Q000191:economics / Q000628:therapy; D008875:Middle Aged; D016320:Substance Abuse Treatment Centers / Q000191:economics / Q000379:methods*; D019966:Substance-Related Disorders / Q000191:economics / Q000628:therapy