COST OF CARE AFTER ADOLESCENT DRUG ABUSE TREATMENT

为残疾人提供保险和治疗服务的需求正在增长。 滥用酒精和毒品的青少年。 信息很少， 然而，关于治疗如何影响随后的医疗服务利用， 成本 这项研究的主要目的是确定青少年饮酒是否 药物滥用治疗会影响后续的医疗服务利用， 青少年及其父母的费用。 第二个目标是 确定治疗强度的效果。 该研究使用了三个 组：（1）治疗组，（2）青少年对照组， 已确诊但选择不治疗者;（3）匹配对照组 未被诊断为滥用化学品的青少年 问题. 主要的研究假设是，接受治疗的青少年及其 父母在随后的医疗使用中会表现出更大的变化， 护理服务，并由此产生的总成本将减少。 是一家大型的健康维护组织， 治疗方案 这些数据来自健康计划记录、治疗 记录和病历 本研究克服了以往在该领域研究的许多不足 只针对成年人的抵消效应 它包括一个 大量的研究对象，两个对照组，和一年前和 评估后一年的利用率和费用计量。 它控制 用于诊断和预先使用，并测量治疗的影响 对青少年及其父母的影响。 本研究的结果将为该领域提供新的知识， 酗酒和吸毒 所获得的信息可用于指导 政策和规划青少年治疗方案。

Demand is growing to provide insurance coverage and treatment services for adolescents who abuse alcohol and drugs. Little information exists, however, on how treatment affects subsequent medical care utilization and costs. The main purpose of this study is to determine whether adolescent alcohol and drug abuse treatment affects subsequent medical care utilization and costs for adolescents and their parents. A secondary objective is to determine the effect of intensity of treatment. The study employs three groups: (1) a treated group, (2) a control group of adolescents who have been diagnosed but choose not to be treated and (3) a matched control group of adolescents who have not been diagnosed as having a chemical abuse problem. The major study hypotheses are that treated adolescents and their parents will show a greater amount of change in subsequent use of medical care services and that the resulting total costs will be less. The setting is a large HMO that has a comprehensive adolescent chemical dependency treatment program. The data derive from health plan records, treatment records, and medical charts. This study overcomes many of the shortcomings of past research in the area of offset effects which has focused exclusively on adults. It includes a large number of study subjects, two control groups, and one-year pre- and one-year post-assessment measures of utilization and costs. It controls for diagnosis and prior utilization, and measures the impact of treatment on both adolescents and their parents. The results of this study will provide new knowledge to the field of alcohol and drug abuse. The information gained can be used for guiding policy and for planning treatment programs for adolescents.