PMID: 15222594Jun 30, 2004Paper

Outcomes and costs of day hospital treatment and nonmedical day treatment for chemical dependency

Journal of Studies on Alcohol
Lee Ann KaskutasMichael T French

Abstract

The purpose of this study was to estimate the outcomes and costs of day hospital and nonmedical community-based day treatment for chemical dependency. A community sample of 271 adults (179 men) dependent on alcohol and/or drugs was recruited and randomized to either a hospital-based (medical) day treatment program or to a community-based (nonmedical) day treatment program. The day hospital (DH) program lasted for 3 weeks. One community-based program (CP2) lasted for 4 weeks, and the other (CP1) lasted for 6 weeks but with shorter treatment days and more criminal justice clients. Because of our concerns regarding treatment fidelity, we replaced CP1 with CP2 as the randomization site for the nonmedical, community-based arm of the trial halfway through the study. Abstinence rates were similar between DH and CP2 subjects, with 53% and 60% of each group, respectively, reporting no drinking for the 30 days preceding both follow-up interviews. DH subjects were less likely than those in either of the nonmedical programs to report medical problems at both follow-ups. Average episode costs per client were significantly (p < .01) lower at CP1 (dollars 526) than at DH (dollars 1,274) or CP2 (dollars 1,163). A pattern of weaker effects was ...Continue Reading

Citations

Dec 24, 2013·Psychosomatics·Sarah Honsvall Rosemas, Michael K Popkin
Jun 21, 2006·Health Economics·Michael T French, Johanna C Maclean
Feb 7, 2009·Social Work in Health Care·Mary Anne ArmstrongGabriel J Escobar
Dec 3, 2005·The American Journal of Drug and Alcohol Abuse·Jane Witbrodt, Lee Ann Kaskutas
Feb 26, 2010·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Marisa Elena DominoJohn S March

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