Impact of Access to Recovery services on alcohol/drug treatment outcomes

Krupski, Antoinette; Campbell, Kevin; Joesch, Jutta M.; Lucenko, Barbara A.; Roy‐Byrne, Peter

doi:10.1016/j.jsat.2009.05.007

Cited by 19 publications

(20 citation statements)

References 34 publications

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“…This includes services such as discharge planning and aftercare or continuing care. Research has indicated that ancillary services are related to treatment program retention (Krupski, Campbell, Joesch, Lucenko, & Roy-Byrne, 2009) and long-term outcomes (Comiskey & Stapleton, 2010). Asche and Harrison (2002) found generally that those with higher substance abuse problem severity were more likely to need and receive ancillary services.…”

Section: Sat Transitional/ancillary Servicesmentioning

confidence: 99%

Drug treatment program ownership, Medicaid acceptance, and service provision

McBride

Chriqui

Terry‐McElrath

et al. 2012

Journal of Substance Abuse Treatment

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The Institute of Medicine noted that effective substance abuse treatment (SAT) programs integrate individual therapeutic approaches with transitional/ancillary services. In addition, research suggests that type of ownership impacts SAT services offered and that Medicaid plays a key role in SAT access. Data from the National Survey of Substance Abuse Treatment Services for the years 2000 and 2002-2006 were used to examine relationships among SAT program Medicaid acceptance, program ownership, and transitional/ancillary service accessibility. Multivariate logistic regression models controlling for state- and program-level contextual factors were used to analyze the data. Nonprofit SAT programs were significantly more likely to offer transitional/ancillary services than for-profit programs. However, programs that accepted Medicaid, regardless of ownership, were significantly more likely to offer most transitional/ancillary services. The data suggest that Medicaid may play a significant role in offering key transitional/ancillary services related to successful treatment outcome, regardless of program ownership type.

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Section: Sat Transitional/ancillary Servicesmentioning

confidence: 99%

Drug treatment program ownership, Medicaid acceptance, and service provision

McBride

Chriqui

Terry‐McElrath

et al. 2012

Journal of Substance Abuse Treatment

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“…Our colleagues (Krupski et al, 2008) examined the effect of the ATR program on employment and treatment engagement and documented positive effects for these areas. We analyzed Medicaid claims data to evaluate the effect of the ATR services on health care costs for a subgroup of clients representing working age disabled clients covered under the Medicaid aged, blind, or disabled program.…”

Section: Discussionmentioning

confidence: 99%

“…Because our data set contained more than 2,600 cases and because diagnostic tests revealed no meaningful departure from constant error variance (homoscedasdicity), we proceeded to analyze the untransformed data. We used one-tailed statistical tests with a p value of .05 to assess differences in our outcome measures, based upon research discussed earlier and upon the findings of Krupski et al (2008) regarding the effect of ATR on treatment engagement.…”

Section: Statistical Techniquesmentioning

confidence: 99%

“…This client group represents 18% of the state's total Medicaid enrollees but accounts for 47% of total state Medicaid expenditures. Reported elsewhere (Krupski, Campbell, Joesch, Roy-Byrne, & Lucenko, 2008) are the results of an analysis of ATR's effect on treatment engagement and employment outcomes for the larger, general ATR client population. Findings of that analysis indicate ATR services are associated with positive employment outcomes and with engagement in treatment (Krupski et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

“…Reported elsewhere (Krupski, Campbell, Joesch, Roy-Byrne, & Lucenko, 2008) are the results of an analysis of ATR's effect on treatment engagement and employment outcomes for the larger, general ATR client population. Findings of that analysis indicate ATR services are associated with positive employment outcomes and with engagement in treatment (Krupski et al, 2008). Research shows that clients who complete the full continuum of treatment or who remain in treatment for longer lengths of time have better outcomes (De Leon, 1986;Gossop, Marsden, Stewart, & Rolfe, 1999;Luchansky, He, Krupski, & Stark, 2000;McKay et al, 2002;Simpson, Joe, & RowanSzal, 1997).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of the Washington State Access to Recovery project: Effects on Medicaid costs for working age disabled clients

Wickizer

Mancuso

Campbell

et al. 2009

Journal of Substance Abuse Treatment

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Alcohol Use Disorders

Sher¹

2010

The Corsini Encyclopedia of Psychology

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This guideline is one of three pieces of NICE guidance addressing alcohol-use disorders. The present guideline addresses the management of alcohol dependence and harmful alcohol use in people 10 years and older including: assessment, pharmacological interventions, psychological and psychosocial interventions, and settings of assisted withdrawal and rehabilitation. The two other NICE guidelines address: 1) The prevention of alcohol-use disorders in people 10 years and older, which is public health guidance on the price of alcohol, advertising and availability of alcohol, how best to detect alcohol misuse both in and outside primary care and brief interventions to manage alcohol misuse in these settings (NICE, 2010a), and 2) The assessment and clinical management in people 10 years and older of acute alcohol withdrawal, including delirium tremens, liver damage, acute and chronic pancreatitis and the management of Wernicke's encephalopathy (NICE, 2010b). This guideline will sometimes use the term alcohol misuse, which will encompass both people with alcohol dependence and harmful alcohol use. The guideline recommendations have been developed by a multidisciplinary team of healthcare professionals, lay member, service user and carer representatives, and guideline methodologists, after careful consideration of the best available evidence. It is intended that the guideline will be useful to clinicians and service commissioners in providing and planning high-quality care for people who misuse alcohol while also emphasising the importance of the experience of care for them and their carers. Although the evidence base is expanding, there are also a number of gaps in the literature. The guideline makes a number of research recommendations specifically to address gaps in the evidence base. In the meantime, it is hoped that the guideline will assist clinicians, people who misuse alcohol and their carers by identifying the merits of particular treatment approaches where the evidence from research and clinical experience exists. National guideline 1.1.1What are clinical practice guidelines? Clinical practice guidelines are 'systematically developed statements that assist clinicians and patients in making decisions about appropriate treatment for specific conditions' (Mann, 1996). They are derived from the best available research evidence, using predetermined and systematic methods to identify and evaluate the evidence relating to the specific condition in question. Where evidence is lacking, the guidelines incorporate statements and recommendations based upon the consensus statements developed by the Guideline Development Group (GDG). Clinical guidelines are intended to improve the process and outcomes of healthcare in a number of different ways. They can:

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Impact of Access to Recovery services on alcohol/drug treatment outcomes

Cited by 19 publications

References 34 publications

Drug treatment program ownership, Medicaid acceptance, and service provision

Drug treatment program ownership, Medicaid acceptance, and service provision

Evaluation of the Washington State Access to Recovery project: Effects on Medicaid costs for working age disabled clients

Alcohol Use Disorders

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