COST OF CARE AFTER ADOLESCENT DRUG ABUSE TREATMENT

为病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。几乎没有什么信息， 然而，关于治疗如何影响随后的医疗保健利用和 成本。 这项研究的主要目的是确定青少年饮酒是否 和药物滥用治疗影响随后的医疗保健利用和 青少年及其父母的费用。次要目标是 确定治疗强度的效果。这项研究雇用了三个人 分组：(1)治疗组，(2)对照组 确诊但选择不接受治疗和(3)匹配的对照组 未被诊断为滥用化学物质的青少年 有问题。主要的研究假设是治疗青少年和他们的 父母会在随后的医疗使用中表现出更大的变化 护理服务和由此产生的总费用将会更少。设置 是一种大型保健组织，对青少年有全面的化学依赖 治疗方案。这些数据来自健康计划记录、治疗 病历和病历。 这项研究克服了过去该领域研究的许多缺点。 专门针对成年人的抵消效果。它包括一个 大量研究对象，两个对照组，一年前和一年后 为期一年的利用和费用后评估措施。它控制着 用于诊断和预先利用，并衡量治疗的影响 对青少年和他们的父母都是如此。 这项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 政策和为青少年规划治疗方案。

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.