title: Improving health and social outcomes with targeted services in comprehensive substance abuse treatment.
abstract: BACKGROUND
  Improved life functioning along with substance use reduction is increasingly recognized as the definition of effective addiction treatment.
  
  
  OBJECTIVE
  To assess whether targeted health and social services contribute to improved physical/mental health and employment.
  
  
  METHODS
  This study used data from the National Treatment Improvement Evaluation Study (N = 3027) and modeled the improvement in physical/mental health and employment at discharge or 12 months after discharge compared with intake measures as a function of receipts of matched services.
  
  
  RESULTS
  Receiving matched medical service improves physical health only at treatment discharge; receiving matched mental health services improves mental health at discharge and 12 months after discharge; receiving matched vocational services improves employment only 12 months after discharge.
  
  
  CONCLUSIONS
  Need-service matching contributes to improved health and social outcomes when longitudinal assessments of treatment outcomes are used to evaluate treatment effectiveness.
  
  
  CONCLUSIONS
  Study findings document the value of targeted services for achieving success in health and social functioning in comprehensive substance abuse treatment.
authors.affiliation: Department of Surgery, Sections of Surgical Research and Ophthalmology & Visual Science, University of Chicago, IL, USA.
authors.forename: Dingcai
authors.initials: D
authors.lastname: Cao
authors.forename: Jeanne C
authors.initials: JC
authors.lastname: Marsh
authors.forename: Hee-Choon
authors.initials: HC
authors.lastname: Shin
authors.forename: Christina M
authors.initials: CM
authors.lastname: Andrews
mesh_terms: D003191:Comprehensive Health Care / Q000379:methods / Q000706:statistics & numerical data*; D004651:Employment / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D016320:Substance Abuse Treatment Centers / Q000379:methods / Q000706:statistics & numerical data*