MEDICAL VS SOCIAL MODEL DAY TRERTMENT--OUTCOME AND COST
医疗与社会模式日间治疗——结果和成本
基本信息
- 批准号:2599277
- 负责人:
- 金额:$ 0.33万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:1997
- 资助国家:美国
- 起止时间:1997-09-25 至 1997-11-30
- 项目状态:已结题
- 来源:
- 关键词:alcoholic beverage consumption alcoholism /alcohol abuse therapy behavioral /social science research tag clinical research clinical trials family structure /dynamics health care cost /financing health care model health care service evaluation health care service planning health care service utilization health services research tag human subject human therapy evaluation longitudinal human study outcomes research outpatient care social model social support network statistics /biometry
项目摘要
APPLICANT'S ABSTRACT]: As increasing numbers of individuals enter treatment
for alcohol dependence and abuse, an era of cost containment in health care
challenges the cost effectiveness of traditional inpatient treatment.
Clinical studies suggest that outpatient treatment for alcohol abuse and
dependence may be as effective as inpatient treatment, and day hospital
medical model programs have become a prominent outpatient modality.
However, medical model programs are in general more expensive than
non-clinical orientations such as the social model approach, although the
effectiveness and cost of medical versus social model day treatment have not
been assessed. Given the range and severity of problems commonly found
among alcohol treatment clients, a question remains of what is the optimum
approach for rehabilitation and whether this differs by gender, ethnicity,
and psychiatric comorbidity. This study undertakes a controlled, random
assignment comparison of two approaches to day treatment--the medical model
and the social model--in "real world" agencies serving a heterogenous
population (N=300; 28% women, 33% African American, and 33% Hispanic)
reflective of many urban communities of individuals seeking help for their
drinking. Using an intent to treat model, the study compares the effects of
day medical model treatment and day social model treatment during the course
of the care provided. It investigates differences in the approach taken to
substance abuse treatment at the two programs, including the number and
content of scheduled activities and services received, the role of staff,
and areas stressed by the respective orientations. It compares
post-treatment outcome and improvement rates in the areas of abstinence and
alcohol consumption and drug use, levels of medical and psychiatric
problems, levels of employment, legal and family/social problems, and
supportiveness of social networks towards abstinence, and considers
utilization of corresponding health and social services. The study aims to
identify patient characteristics associated with successful treatment
outcomes in each program orientation, and aspects of treatment associated
with improvement at six and 12 months post-treatment. Finally, it compares
the costs of day medical model and day social model treatment, and assesses
relative cost and effectiveness of the two programs.
【申请人摘要】:随着越来越多的个体进入治疗
项目成果
期刊论文数量(0)
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会议论文数量(0)
专利数量(0)
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Lee A Kaskutas其他文献
Lee A Kaskutas的其他文献
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{{ truncateString('Lee A Kaskutas', 18)}}的其他基金
Making Alcoholics Anonymous Easier: A Group TSF Approach
让酗酒者匿名变得更容易:团体 TSF 方法
- 批准号:
7102676 - 财政年份:2004
- 资助金额:
$ 0.33万 - 项目类别:
Making Alcoholics Anonymous Easier: A Group TSF Approach
让酗酒者匿名变得更容易:团体 TSF 方法
- 批准号:
7267107 - 财政年份:2004
- 资助金额:
$ 0.33万 - 项目类别:
Making Alcoholics Anonymous Easier: A Group TSF Approach
让酗酒者匿名变得更容易:团体 TSF 方法
- 批准号:
6950326 - 财政年份:2004
- 资助金额:
$ 0.33万 - 项目类别:
Making Alcoholics Anonymous Easier: A Group TSF Approach
让酗酒者匿名变得更容易:团体 TSF 方法
- 批准号:
6819857 - 财政年份:2004
- 资助金额:
$ 0.33万 - 项目类别:
METHODS FOR IMPROVING MEASUREMENT OF ALCOHOL CONSUMPTION
改进酒精消耗测量的方法
- 批准号:
6563136 - 财政年份:2002
- 资助金额:
$ 0.33万 - 项目类别: