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Health Services Utilization by Individuals with Substance Abuse and Mental Disorders |
1. Health Services Utilization by Individuals with Substance Use and Mental Disorders (Carol L. Council and Jeremy W. Bray)
Health Services Research
Health Services Research in the Behavioral Health Sciences
DARP, TOPS, and DATOS
CODAP and TEDS
DSRS, SROS, and ADSS
NTIES
NCS
Overview of Chapters and Key Issues
Access, Financing, and Costs
Treatment Retention
Data Limitations
Treatment Choice
References
2. Access to Substance Abuse Treatment and Mental Health Services: A Literature Review (Albert Woodward)
Introduction
Methods
Definitions of Treatment Access
Determinants of Mental Health Services Access
Severity of Illness
Demographics
Delivery System
Financing
Determinants of Substance Abuse Treatment Access
Need and Demographics
Seeking Treatment
Financial Barriers
Discussion
References
3. Substance Use and Mental Disorder Discharges from U.S. Community Hospitals in the Early 1990s, Revisited (Sarah Q. Duffy)
Introduction
Data
Methods
Study Sample
Statistical Methods
Results
Discussion
References
4. Do Client Characteristics Affect Admission to Inpatient Versus Outpatient Alcohol Treatment in Publicly Monitored Programs? (Sarah Q. Duffy, Gary A. Zarkin, and Laura J. Dunlap)
Introduction
Background
Data
Empirical Framework
Baseline Model
Expected Payer Model
Results
Baseline Models
Expected Payer Model
Discussion
References
5. Client Choice among Standard Outpatient, Intensive Outpatient, Residential, and Inpatient Alcohol Treatment in State-Monitored Programs (Sarah Q. Duffy, Laura J. Dunlap, and Gary Zarkin)
Introduction
Treatment Settings
Data
Empirical Framework
Substance Use Disorder Severity
Socioeconomic and Demographic Characteristics
Specification Tests
Results
Descriptive Statistics
Specification Tests
Multivariate Results
Discussion
References
6. Length of Stay among Female Clients in Substance Abuse Treatment (Olivia Silber Ashley, Lev Sverdlov, and Thomas M. Brady)
Introduction
Empirical Model
Predisposing Characteristics: Age, Race, and Education
Enabling Characteristics: Referral Source and Payment Source
Organizational Characteristics: Substance Abuse Treatment Programming for Women
Methods
Sample
Measures
Analytic Approach
Results
Retention, by Predisposing Characteristics
Retention, by Enabling Characteristics
Retention, by Organizational Characteristics
Multivariate Analysis
Discussion
References
7. A Hybrid Cost Function for Outpatient Nonmethadone Substance Abuse Treatment Facilities (Sarah Q. Duffy, Laura J. Dunlap, Moshe Feder, and Gary A. Zarkin)
Introduction
Cost Function Specification
Data
Case Mix Adjustment for Substance Abuse Treatment Facilities
Facility Characteristics
Estimation
Results
Cost Function Results
Discussion
References
8. Effects of Reporting Requirements on Estimates from the Treatment Episode Data Set (TEDS) (Sarah Q. Duffy)
Introduction
Substance Abuse Treatment: A Two-Tiered System
Selection Bias in Studies of Substance Abuse Treatment Facilities
Bivariate Probit Model
Estimation Strategy
Data and Model Specifications
Seemingly Unrelated Probit Specification
Bivariate Probit
Results
Descriptive Statistics
Multivariate Analyses
Bivariate Probit Results Compared with Univariate Probit Results
Policy Simulations
Discussion
References
9. Conclusions and Implications (Carol L. Council and Jeremy W. Bray)
Introduction
Access, Financing, and Costs of Substance Abuse Treatment and Mental Health Services
Implications for Access for High-Risk Populations
Implications for Service Delivery
Implications for Treatment Outcomes
Implications for Public- and Private-Sector Care
Community Hospitalizations of Those with Substance Use and/or Mental Disorders
Implications for the Public Sector
Implications for Community Hospitals and Providers
Treatment Retention
Implications for Treatment of Specific Populations
Treatment Choice
Implications for States
Implications for Characterization of Treatment Options
Data Issues in Behavioral Health Care Research
Implications for Federal and State Data Systems
Conclusions
References
This page was last updated on June 03, 2008. |
SAMHSA, an agency in the Department of Health and Human Services, is the Federal Government's lead agency for improving the quality and availability of substance abuse prevention, addiction treatment, and mental health services in the United States.
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