title: Substance abuse treatment cost offsets vary with gender, age, and abstinence likelihood.
abstract: The cost-offset effect has been promoted as a way for substance abuse treatment to pay for itself by generating reductions in health care utilization in other areas. Clients (n = 5,434) that were abstinent for 24 months following substance abuse treatment had lower posttreatment utilization than clients that had relapsed. An examination of cost offsets revealed a complex interplay between gender, age, and type of utilization (medical versus psychiatric). Cost offsets were especially pronounced for women over 40 years old.
authors.affiliation: Department of Psychiatry and Human Behavior, Brown University, Providence, RI, USA.
authors.forename: W H
authors.initials: WH
authors.lastname: Zywiak
authors.forename: N G
authors.initials: NG
authors.lastname: Hoffmann
authors.forename: R L
authors.initials: RL
authors.lastname: Stout
authors.forename: S
authors.initials: S
authors.lastname: Hagberg
authors.forename: A S
authors.initials: AS
authors.lastname: Floyd
authors.forename: S S
authors.initials: SS
authors.lastname: DeHart
mesh_terms: D000293:Adolescent; D000328:Adult; D000359:Aftercare / Q000191:economics* / Q000706:statistics & numerical data; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D005260:Female; D017721:Hospital Costs / Q000706:statistics & numerical data*; D006778:Hospitals, Psychiatric / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000191:economics / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012737:Sex Factors; D019966:Substance-Related Disorders / Q000191:economics* / Q000534:rehabilitation*; D013695:Temperance / Q000191:economics / Q000706:statistics & numerical data; D014481:United States; D014600:Utilization Review / Q000191:economics / Q000706:statistics & numerical data