Treating alcohol problems: a study of programme effectiveness and cost effectiveness according to length and delivery of treatment

Long, Clive G.; Williams, M. S.; Hollin, Clive R.

doi:10.1046/j.1360-0443.1998.93456111.x

Cited by 33 publications

(17 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…areas compared to 79.8% nationally. 27 Parts of the state are particularly remote. Substance abuse, and especially alcohol abuse, appears to be a serious problem in the state.…”

Section: Quantity Of Treatmentmentioning

confidence: 99%

“…32 Our analysis focuses on the …fteen largest publicly funded substance abuse agencies, who had a combined budget of $6; 439; 312 in …scal year 1994 of which $4; 594; 595 was budgeted for outpatient treatment alone. 33 Our treatment provider 27 Data are from the census website: http://www.census.gov/statab/www/states/me.txt. 28 Source: Maine's application for the Alcohol, Drug Abuse and Mental Health block grants in FY 1992 29 Source: Maine OSA Fact Sheet, "Alcohol Use in Maine," 1997.…”

Section: Quantity Of Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Measuring the Relative Performance of Providers of a Health Service

Ackerberg¹,

Machado²,

Riordan³

2001

View full text Add to dashboard Cite

Abstract:A methodology is developed and applied to compare the performance of publicly funded agencies providing treatment for alcohol abuse in Maine. The methodology estimates a Wiener process that determines the duration of completed treatments, while allowing for agency differences in the effectiveness of treatment, standards for completion of treatment, patient attrition, and the characteristics of patient populations. Notably, the Wiener process model separately identifies agency fixed effects that describe differences in the effectiveness of treatment ('treatment effects'), and effects that describe differences in the unobservable characteristics of patients ('population effects'). The estimated model enables hypothetical comparisons of how different agencies would treat the same populations. The policy experiment of transferring the treatment practices of more cost effective agencies suggests that Maine could have significantly reduced treatment costs without compromising health outcomes by identifying and transferring best practices. *

show abstract

“…areas compared to 79.8% nationally. 27 Parts of the state are particularly remote. Substance abuse, and especially alcohol abuse, appears to be a serious problem in the state.…”

Section: Quantity Of Treatmentmentioning

confidence: 99%

Section: Quantity Of Treatmentmentioning

confidence: 99%

Measuring the Relative Performance of Providers of a Health Service

Ackerberg¹,

Machado²,

Riordan³

2001

View full text Add to dashboard Cite

show abstract

“…More recent studies have challenged this belief, citing that outcomes were no different when program length was reduced in inpatient treatment (Long, Williams, & Hollin, 1998), day treatment (Bamford, Booth, McGuire, & Salmon, 2003), and therapeutic community settings (McCusker et al, 1997;McMahon, Kouzekanani, & Malow, 1999). Paradoxically, McCusker et al (1997) found that dropouts assigned to 6-month relapse prevention were likely to relapse sooner than clients assigned to a 3-month program with similar content, even though treatment time overall was greater for the dropouts.…”

Section: Introductionmentioning

confidence: 91%

Substance Abuse Intensive Outpatient Treatment: Does program graduation matter?

Wallace

Weeks

2004

Journal of Substance Abuse Treatment

View full text Add to dashboard Cite

“…A further three relevant papers studying the cost-effectiveness of different service provision options were identified by the current literature review (Hayashida et al, 1989;Agosti, 1994;Long, Williams, & Hollin, 1998). Hayashida et al (1989) found that 66% of ambulatory detoxified patients became abstinent compared to 81% of the patients with institutionalized detoxification.…”

Section: Clinical and Cost-effectiveness Of Alcohol Dependence Treatmmentioning

confidence: 99%

The costs of alcoholism

Simon

Patel²,

Sleed

2005

Journal of Mental Health

View full text Add to dashboard Cite

Background: Alcohol dependence is one of the most common psychiatric disorders, placing many health, social and economic burdens upon society. Aims: To review evidence regarding the socioeconomic burden of alcoholism and the cost-effectiveness of available treatments. Methods: Relevant literature was identified from searches of electronic databases covering the period from 1980 to February 2002. Results: Total economic costs to society from alcohol abuse have been estimated at $148 billion (1992) in the USA, DM6 billion (e3.1 billion, 1990) in West Germany and 638 billion ptas (e3.8 billion, 1996) in Spain. Lost productivity costs far outweighed direct medical costs in each of these countries. Regarding comparative cost-effectiveness evidence, no economic evaluations could be identified on specific interventions, except the several modelling studies that have been published recently on acamprosate. They showed potential cost savings by acamprosate, primarily through reduced acute hospitalization and rehabilitation. Existing effectiveness and cost data suggest that brief motivational counselling is also a potentially cost-effective intervention. A few papers examining the costeffectiveness of different treatment programmes were also reviewed. Conclusions: Results of this review further emphasize the necessity of efficient resource allocation in health care and the need for comprehensive, standardized management strategies for people with alcohol abuse.

show abstract

Treating alcohol problems: a study of programme effectiveness and cost effectiveness according to length and delivery of treatment

Abstract: A two week in- and day-patient treatment was more cost effective than a 5-week inpatient treatment. Design limitations make these conclusions tentative pending a randomized controlled trial.

Cited by 33 publications

References 43 publications

Measuring the Relative Performance of Providers of a Health Service

Measuring the Relative Performance of Providers of a Health Service

Substance Abuse Intensive Outpatient Treatment: Does program graduation matter?

The costs of alcoholism

Contact Info

Product

Resources

About