title: Substance abuse treatment processes and outcomes in day/outpatient health maintenance organization setting.
abstract: Previous research has determined that substance abuse treatment (SAT) is effective under managed care within residential treatment and outpatient treatment, but we have not followed patients after treatment completion. This study examined SAT in both an intensive day treatment and an outpatient treatment program in a large health maintenance organization, with mandatory 12-step participation. We conducted interviews (N = 72) at the beginning, upon completion, and 6 months after completion of treatment. Variables measured were substance use, quality of life, symptoms, functionality, and patient satisfaction as well as Drug Abuse Treatment and Assessment Resources (DATAR) score and treatment completion. Before treatment, DATAR scores were high: 7.68 on a scale of 1-9, indicating serious addictions. Patients showed significant improvement in all variables measured, upon completion of SAT, and additional improvement again 6 months later. Eighty-three percent of subjects completed treatment. Unique advantages of treatment in this setting were discussed, as well as the importance of referral and support from nurses and other healthcare professionals.
authors.affiliation: Donna K. McNeese-Smith, MN, EdD, CNE-BC, University of California, Los Angeles, School of Nursing. Clare L. Faivre, RN, PHN, MSN/Ed, Department of Addictions, Kaiser Permanente, Oakland, California. Cynthia Grauvogl, MSN, RN-C, CADC, CEAP, School of Nursing, California State University, Fullerton. Nipa Umme Shefa Warda, MS, Integrated Substance Abuse Programs, University of California, Los Angeles, School of Nursing. Marc A. Kurzbard, MD, Department of Addiction Medicine, Kaiser Permanente, Oakland, California.
authors.forename: Donna K
authors.initials: DK
authors.lastname: McNeese-Smith
authors.forename: Clare L
authors.initials: CL
authors.lastname: Faivre
authors.forename: Cynthia
authors.initials: C
authors.lastname: Grauvogl
authors.forename: Nipa Umme Shefa
authors.initials: NU
authors.lastname: Warda
authors.forename: Marc A
authors.initials: MA
authors.lastname: Kurzbard
mesh_terms: D000293:Adolescent; D000328:Adult; D002140:California; D005260:Female; D006279:Health Maintenance Organizations / Q000592:standards; D006801:Humans; D008297:Male; D009736:Nursing Process; D017063:Outcome Assessment, Health Care; D010045:Outpatients; D017060:Patient Satisfaction; D016320:Substance Abuse Treatment Centers / Q000592:standards; D019966:Substance-Related Disorders / Q000451:nursing*; D011795:Surveys and Questionnaires