Alcoholism: Services Research in the Era of Managed Care

Portada
Marc Galanter
Springer Science & Business Media, 30 de juny 2001 - 465 pàgines
From the President ofthe Research Society onAlcoholism - On behalf of the Research Society on Alcoholism I welcome the important contri bution that Volume 15 of this excellent series on Recent Developments in Alcoh- ism brings to our field. It is not enough for our scientists to develop effective and efficient methods to identify and treat alcohol abuse and alcohol dependence; the availability of these services is often limited and it is certainly nonexistent for the early problem drinker. In nineteen outstanding chapters, Volume 15 deals with organizational issues concerning access to and delivery of substance abuse treatment and the role of managed care. Several chapters deal with economic issues, cost-benefits, and - nancing of these services. Lastly, five address recent treatment outcome studies. Thus, this volume will be of great value to both scientists and practitioners. The Editor and Associate Editors are congratulated for this conceptual and organi- tional accomplishment. Yedy Israel, Ph.D.
 

Continguts

Overview
3
Chapter
6
The Specialty Substance Abuse Treatment System
10
Organizational and Financial Interrelationships
16
Chapter
18
Conclusion
22
Background
29
Interpreting and Control System
40
The DATCAP
254
The DATFin
260
Discussion
266
Methods
273
Discussion
280
Problem Drinking Health Services Utilization and the Cost of Medical Care
285
Estimation Results
292
The Outcome of Treatment
300

Conclusion
46
What Is Managed Care and How Are Treatment Programs Affected?
53
System Performance
62
Chapter 4
73
Extent of Service Linkages and Integration Efforts
78
Discussion
90
II
97
Rethinking Access to Alcohol Treatment
107
Access in a Changing Health Care System
113
Conclusion
125
Chapter 13
126
Overview of the Alcohol and Drug Services Study
144
Conclusions
152
Assessment of Appropriate Level of Care and Engagement
160
The Potential of Placement Criteria to Improve Access to Treatment
168
Chapter 8
177
A Further Note on Measuring Geographic Accessibility
185
Conclusions and Future Directions
192
Economic Evaluation of Alcohol Treatment Services
209
Review of Recent Studies
216
Summary and Recommendations
223
Chapter 10
229
Providers
239
Conclusion
248
Chapter 14
307
Intervention Studies
314
Outcome Process Research for Adolescence
318
Chapter 15
324
FamilyInvolved Treatment When the Alcoholic
333
FamilyInvolved Treatment to Aid Recovery
339
Conclusions and Future Directions
351
The Role of Continuing Care in Outpatient Alcohol Treatment Programs
357
27
365
ते वेल्ल ल ल
371
Chapter 17
373
Discussion
385
Screening and Brief Interventions for Alcohol Use Disorders
393
What Is Brief Intervention?
402
How Do We Implement Screening and Brief Intervention
410
Report of the American Society of Addiction Medicine
419
What Is Its Impact on Treatment?
426
Conclusions and Recommendations
432
Contents of Previous Volumes
438
Overview Donald Goodwin
439
The Evolution of a Behavioral Perspective William H George and
449
Index
455
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