Abstract
ABSTRACT The state of Missouri provides detoxification, residential and outpatient services to substance abusing adolescents through its Comprehensive Substance Abuse Treatment and Rehabilitation (CSTAR) program. This analysis compares Medicaid-funded and non-Medicaid-funded youth in CSTAR at treatment admission, during treatment, and at treatment discharge. Medicaid-funded youth demonstrated a higher risk at pretreatment for substance use and delinquency. Consistent with this higher risk status, they remained in treatment longer and had higher service costs. Both groups demonstrated similar treatment completion rates and abstinence levels at discharge. The findings suggest that longer treatment for the Medicaid group mitigated issues relating to poverty, criminal behavior, and family cohesiveness.
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