Organizational and financial issues in the delivery of substance abuse treatment services.
Examination of organizational and financial characteristics of the specialty substance abuse treatment system allows an understanding of how to meet the needs of clients in the system. Further, this assessment may afford insights into how the specialty sector may adapt in the changing environment of managed care. Data from Phase I of the Alcohol and Drug Services Study (ADSS) describe the specialty substance abuse treatment system in terms of type of care, setting, level of affiliation, licensure/accreditation, ownership, revenue sources, client referral sources, client's primary substance of abuse, and managed care. Although the system is largely outpatient and remains substantially two tiered in terms of public/private funding mix, it varies along a number of organizational and financial dimensions which have implications for system structure and facility viability in the changing environment of substance abuse treatment service delivery.
Horgan
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Schneider Institute for Health Policy, Heller Graduate School, Brandeis University, Waltham, Massachusetts 02454-9110, USA.
Reif
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Ritter
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Lee
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D000437:Alcoholism / Q000191:economics / Q000534:rehabilitation*; D000553:Ambulatory Care / Q000191:economics / Q000458:organization & administration; D003362:Cost-Benefit Analysis; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration*; D006302:Health Services Research; D006801:Humans; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration; D013038:Specialization; D019966:Substance-Related Disorders / Q000191:economics / Q000534:rehabilitation*; D014481:United States