Effectiveness Of Substance Abuse Treatment Research Articles

Cost Effectiveness of Sub stance-Abuse Treatment in Casino Hotels

An employer's investment in substance-abuse treatment programs for employees can be paid for in part by the savings gained by retaining successfully treated workers and increasing their productivity This article analyzes the costs and benefits of two substance-abuse treatment programs that are administered as part of two hotel-casinos' employeeassistance programs (Mirage's and Resorts International's). Some of the costs of substance abuse are obvious, such as those associated with theft, diminished productivity, and turnover. But other costs are not so obvious, such as supervisors' time to manage abusing employees and to hire replacement workers. The analysis indicates that if management can minimize the substance-abuse problem in the workplace, the operation will be able to recover many of the overt and hidden costs associated with substance abuse. Those savings, in turn, can be used to offset the costs of the treatment program. For example, if the average cost to replace an employee is $1,500, and if successful treatment of substance-abusing employees results in 1 00 fewer turnovers per year, then the property may be able to save $150,000 in turnover costs per year. The same logic holds for such costs as managing absenteeism. This study shows that substantial savings can be realized, and at the same time the quality of life for all employees can be greatly improved.

The Effectiveness of drug abuse treatment: Dutch and American perspectives

The Effectiveness of drug abuse treatment: Dutch and American perspectives

Assessing the Effectiveness of Drug Abuse Treatment: Data and Values

Assessing the Effectiveness of Drug Abuse Treatment: Data and Values

Measuring the Effectiveness of Substance Abuse Treatment

Building systematic knowledge about the treatment of alcoholism and substance abuse is constrained by the scarcity of refined measurement instruments that have been developed from a base in theory. A five dimensional index was constructed from a basic set of characteristics of substance abuse problems. Preliminary field testin with 51 clients at three stages of treatment revealed strong reliability estimates as well as evidence of construct and differential validity. Further refinements and uses in program evaluation and knowledge building are discussed.

Dimensions of multiple drug use and a typology of drug users.

SummaryAn accurate evaluation of the effectiveness of substance abuse treatment depends largely upon the construction of measures which will capture the complexity of multiple substance use patterns. Of 256 subjects assessed for a drug abuse treatment programme, 90% had used drugs from four or more of eight classes (Alcohol, Cannabis, Hallucinogens, Narcotics, Sedative Hypnotics, Solvents, Stimulants, Tranquillizers) during the past year. A principal components analysis of frequency data from the drug classes indicated four orthogonal factors, explaining 72% of the variance. Cluster analysis (Ward's method) grouped subjects into five clusters, provisionally labelled A (predominantly alcohol), ADR (combining high use of alcohol,‘depressant’ and ‘recreational'drugs), D (predominantly ‘depressant’ drugs), R (mainly ‘recreational’ drugs) and S (very high use of solvents). Four of the clusters (A, D. R. S) combined drugs similar to the principal component factors, with a fifth cluster (ADR) indicating high use of all drug classes except solvents. The clusters also differed in several important ways, including age, social class, social stability, age at onset of drug problem, number of drug classes used, and present severity of drug and alcohol problems.

Increased effectiveness of substance abuse treatment. A prospective study of patient-treatment "matching".

An earlier study retrospectively evaluated the effectiveness of six separate substance abuse treatment programs and generated a set of hypotheses for matching patients to the most appropriate programs. In the present study, these predictors and the matching strategy were tested in a prospective design, using the same treatment programs and a new sample of 130 alcohol- and 256 drug-dependent patients. The new group of patients who were treated in their predicted program (matched patients) were compared with those patients from the same sample who were not treated in their predicted program (mismatched patients). Treatment staff were not apprised of the matching criteria or which patients were matched, thus permitting an experimental test of the predictions. Results indicated superior performance during treatment and an average of 19 per cent better 6-month outcomes for the matched patients than for their mismatched counterparts. The matching effect was seen in both the alcohol- and drug-dependent samples and in all treatment programs. The authors discuss the application of these findings to other types of patients and treatments in substance abuse and other fields of psychiatry.

Book Reviews

British Journal of AddictionVolume 76, Issue 1 p. 101-105 Book Reviews First published: March 1981 https://doi.org/10.1111/j.1360-0443.1981.tb00213.xCitations: 2AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Books reviewed in this article: Evaluating Alcohol and Drug Abuse Treatment Effectiveness. Recent Advances Edited by Linda Sobell, Mark Sobell and Elliott Ward. How to Cope with An Alcoholic Parent By Judith Seixas. Social Need: Policy, Practice and Research By Gilbert Smith. The Use and Misuse of Sleeping Pills: A Clinical Guide By Wallace B. Mendelson. Alcohol Problems: Reviews, Research and Recommendations Edited by David Robinson. Cannabis in Africa: A Survey of its Distribution in Africa, and a Study of Cannabis Use and Users in Multi-ethnic South Africa By Brian M. Du Toil, A. A. Balkema. Citing Literature Volume76, Issue1March 1981Pages 101-105 RelatedInformation

The Case for Drug Abuse Treatment Effectiveness, Based on the DARP Research Program *

SummaryThe Drug Abuse Reporting Programme (DARP) is a large‐scale evaluation project focused on the effectiveness of drug abuse treatment, based on almost 44,000 clients admitted to 52 treatment centres located throughout the United States and in Puerto Rico between June 1969 and March 1973. The present paper summarizes research on post‐DARP follow‐up data (representing up to six years after DARP) for a sample of 3,131 persons admitted to treatment during 1969 to 1972. Treatments included methadone maintenance (MM), therapeutic community (TC), out‐patient drug‐free (DF), and out‐patient detoxification programmes (DT); a comparison group of intake only (10) clients with no DARP treatment was also followed up. The data showed in general that three treatments, MM, TC and DF, led to favourable results — MM and TC for heroin and other opioid addicts, and DF for non‐addicts (users of opioids less‐than‐daily, usually in conjunction with other non‐opioid drugs and users of non‐opioids only)

Clinical fellowships in substance abuse: a new curriculum strategy.

Recognizing the effectiveness of substance abuse treatment is made easier when there is a steady supply of newly trained medical professionals who are competent in this specialty. University-based substance abuse treatment facilities have a clear obligation to educate such professionals. This article shows how three different medical colleges were able to establish new clinical fellowships in substance abuse so that teaching activities could be fostered at preexisting treatment sites. Fellowship activities varied from one place to the next, but at all three schools important momentum was generated on behalf of substance abuse education. These experiences provide models for those academicians and administrators who face the task of integrating educational and serivce delivery missions in the substance abuse field.

Review of Evaluating alcohol and drug abuse treatment effectiveness: Recent advances.

Review of Evaluating alcohol and drug abuse treatment effectiveness: Recent advances.

Recidivism and indices of drug abuse treatment effectiveness

Recidivism and indices of drug abuse treatment effectiveness

Measuring psychosocial aspects of treatment outcome among compulsive drug users.

Addressed three questions in a study designed to identify problems in adapting psychosocial measures for outcome evaluation of drug abuse treatment. Answers were sought by comparing samples of consecutive admissions to a drug dependence treatment center (N = 201) and to an inpatient psychiatric unit (N = 159) on home and community adjustment ratings (Personal Adjustment and Role Skills scales, Ellsworth, 1975) by self and significant others. For question one (Are there unique problems in gathering outcome data?), drug users' informants returned significantly fewer ratings: return rates were higher for drug users more seriously disturbed. For question two (Are data "reliable?"), comparable agreement was observed between self and other ratings for both drug users and psychiatric Ss; drug users' outcome data are as "reliable," but not as retrievable, as psychiatric outcome data. For question three (Is outcome change unique?), drug users rated as improving significantly more than psychiatric Ss in employment and in drug abuse. Several methodological issues must be resolved, however, before psychosocial outcome data may be used in comparative studies of drug abuse treatment effectiveness.

The Effectiveness of Drug Abuse Treatment. Volume I: Evaluation of Treatments.

The Effectiveness of Drug Abuse Treatment. Volume I: Evaluation of Treatments.

Further Studies of Drug Users, Treatment Typologies, and Assessment of Outcomes During Treatment in DARP. The Effectiveness of Drug Abuse Treatment, Vol. III; Evaluation of Treatment Outcomes for 1971-1972 DARP Admission Cohort. The Effectiveness of Drug Abuse Treatment, Vol. IV

Back to table of contents Previous article Next article ArticleNo AccessFurther Studies of Drug Users, Treatment Typologies, and Assessment of Outcomes During Treatment in DARP. The Effectiveness of Drug Abuse Treatment, Vol. III; Evaluation of Treatment Outcomes for 1971-1972 DARP Admission Cohort. The Effectiveness of Drug Abuse Treatment, Vol. IVEDWARD C. SENAYEDWARD C. SENAYSearch for more papers by this authorPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.134.9.1063AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail "Further Studies of Drug Users, Treatment Typologies, and Assessment of Outcomes During Treatment in DARP. The Effectiveness of Drug Abuse Treatment, Vol. III; Evaluation of Treatment Outcomes for 1971-1972 DARP Admission Cohort. The Effectiveness of Drug Abuse Treatment, Vol. IV." American Journal of Psychiatry, 134(9), pp. 1063–1064 Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited ByNone Volume 134Issue 9 September 1977Pages 1063-1064 Metrics PDF download History Published online 1 April 2006 Published in print 1 September 1977

A National Follow-up Study to Evaluate the Effectiveness of Drug Abuse Treatment: A Report on Cohort 1 of the DARP Five Years Later

Preliminary findings for the first cohort of a national follow-up study of drug users admitted to treatment in the Drug Abuse Reporting Program (DARP) during 1969-1971 are reported. From a sample of 1,853 selected for follow-up, 87% were located and interviews were completed for 77%. Gross tabulations are shown comparing several outcome measures based on pre-DARP treatment, the posttreatment period, and for the 2 months before interview. Sixty-one percent of all patients returned to treatment at some time after DARP termination. Decreases in drug use, expecially of opioids, were substantial and were generally accompanied by improvements in other outcome measures as well. Plans for more detailed and informative analysis of these and related DARP data are addressed.