title: Processes and outcomes of substance abuse treatment between two programs for clients insured under managed care.
abstract: The purpose of this research (N = 160) was to describe and compare substance abuse treatment in two programs under managed care: one residential (RT) and one outpatient (OP). Clients in both settings improved significantly from before to after treatment in relation to substance use and quality of life. However, intensity of treatment (hours of care/week) was much greater in RT and days of sobriety were significantly higher after treatment in RT than in OP (p = .04). Intensity was negatively related to incidents of substance use during treatment (SUdT), which predicted substance use after treatment; SUdT averaged .2 for RT, and 1.6 for OP (p = .0001). Importantly, treatment was completed by 74 patients (over 90%) from RT, with 8 dropping out, and 53 (almost 70%) of those in OP completed treatment while 25 dropped out. Intensity, as seen in the RT program, rather than duration, was more effective in substance use reduction and treatment completion.
authors.affiliation: University of California at Los Angeles School of Nursing, Los Angeles, California 90095-6917, USA. dmcneese@ucla.edu
authors.forename: Donna
authors.initials: D
authors.lastname: McNeese-Smith
authors.forename: Adeline
authors.initials: A
authors.lastname: Nyamathi
authors.forename: Douglas
authors.initials: D
authors.lastname: Longshore
authors.forename: Mary
authors.initials: M
authors.lastname: Wickman
authors.forename: Scott
authors.initials: S
authors.lastname: Robertson
authors.forename: Jeanne
authors.initials: J
authors.lastname: Obert
authors.forename: Michael
authors.initials: M
authors.lastname: McCann
authors.forename: Kenneth
authors.initials: K
authors.lastname: Wells
authors.forename: Suzanne L
authors.initials: SL
authors.lastname: Wenzel
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000453:epidemiology / Q000534:rehabilitation*; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D002140:California; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000706:statistics & numerical data*; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care / Q000706:statistics & numerical data*; D010343:Patient Admission / Q000706:statistics & numerical data*; D010352:Patient Dropouts / Q000706:statistics & numerical data; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000534:rehabilitation*; D013695:Temperance / Q000523:psychology / Q000706:statistics & numerical data