Chronic care and addictions treatment: a feasibility study on the implementation of posttreatment continuing recovery monitoring.
In the treatment of drug addiction, as with other chronic conditions, the effects of treatment are significant but not long lasting after discharge unless continuing monitoring is provided. Efforts to help patients sustain positive treatment outcomes are generally directed to community support. Postdischarge checkups can help patients evaluate their behavior and recovery-related issues--similar to a person with diabetes reporting on blood sugar levels and diet and exercise patterns. The challenge for providers is to raise awareness of the importance of continuing recovery monitoring and the responsibility of the treatment program to build a more seamless continuum of care for patients who have completed a primary treatment episode. This article reviews a pilot project of the Department of Alcohol & Drug Services of Santa Clara County, California that tested the feasibility of implementing a continuing recovery monitoring (CRM) service using post-discharge telephone check-ups for volunteer patients (N=32) who completed treatment. The aims of the study were to (a) develop a model for continuing recovery monitoring, (b) gather data on the model's utility including identifying organizational and logistical challenges and, (c) describe several changes needed in the system of care to add CRM. The study showed that the model of continuing recovery monitoring is a feasible way to extend a system's existing continuum of care.
Division Director of Medical & Clinical Services, Santa Clara County Department of Alcohol & Drug Services-Addiction Medicine Division, San Jose, CA 95128, USA. Mark.Stanford@hhs.sccgov.org
Mark
M
Stanford
Kakoli
K
Banerjee
Robert
R
Garner
D003266:Continuity of Patient Care; D003376:Counseling; D005240:Feasibility Studies; D005500:Follow-Up Studies; D006284:Health Plan Implementation; D006801:Humans; D019966:Substance-Related Disorders / Q000628:therapy*; D013689:Telephone