Journal ArticleDOI
Utilization and cost impact of integrating substance abuse treatment and primary care.
TLDR
The findings for the full sample suggest that integrating substance abuse treatment with primary care, may not be necessary or appropriate for all patients, but it may be beneficial to refer patients with substance abuse related medical conditions to a provider also trained in addiction medicine.Abstract:
Objective. To examine the impact of integrating medical and substance abuse treatment on health care utilization and cost.Research Design. Randomized clinical trial assigning patients to one of two treatment modalities: an Integrated Care model where primary health care is provided along with substaread more
Citations
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Integration of Mental Health/Substance Abuse and Primary Care
Mary Butler,Robert L. Kane,Donna D. McAlpine,Roger G. Kathol,Steven S. Fu,Hildi Hagedorn,Timothy J Wilt +6 more
TL;DR: There is a reasonably strong body of evidence to encourage integrated care, at least for depression, and there is no discernible effect of integration level, processes of care, or combination on patient outcomes for mental health services in primary care settings.
Journal ArticleDOI
Managing Addiction as a Chronic Condition
TL;DR: Significant progress has been made in adapting addiction treatment to respond more fully to the chronic nature of most patients’ problems, and the importance of adjusting treatment funding and organizational structures to better meet the needs of individuals with a chronic disease is addressed.
Journal ArticleDOI
Broadening the Base of Treatment for Alcohol Problems
TL;DR: Whereas the NCADI data base offers with insight into the research and and clinical practice emphasis on special populations, data from the National Drug and Alcohol Treatment Survey (NDATUS) can help to identify both the trends and the current distribution of treatment programs available for special population groups.
Journal ArticleDOI
Improving general medical care for persons with mental and addictive disorders: systematic review
TL;DR: A small but growing body of research suggests that a range of models may hold potential for improving patients' health and health care, at a relatively modest cost.
Journal ArticleDOI
The Economics of Behavioral Health Services in Medical Settings: A Summary of the Evidence
Alexander Blount,Michael Schoenbaum,Roger G. Kathol,Bruce L. Rollman,Marshall Thomas,William O'Donohue,C. J. Peek +6 more
TL;DR: A review of the evidence shows that many forms of behavioral health services, particularly when delivered as part of primary medical care, can be central to such an improvement.
References
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Journal ArticleDOI
An analysis of short-term alcoholism treatment cost functions.
TL;DR: Results indicate that comorbidities are crucial in determining treatment location, however, their effects on treatment costs, while measurable, are statistically insignificant.
Journal Article
Alcoholism treatment offset effects: a cost model.
TL;DR: This model finds that initiation of AL directly lowers NA, but indirectly increases NA usage (and hence, costs) in subsequent treatment, leads to a 9.2% increase in health care costs.
Journal ArticleDOI
Physical and Mental Comorbidity of Substance Use Disorders in Psychiatric Consultations
Riitta Alaja,Kaija Seppä,Pekka Sillanaukee,Pekka Tienari,Frits J. Huyse,Thomas Herzog,UF Malt,Antonio Lobo +7 more
TL;DR: The high level of co-occurrence of physical and mental disorders with substance use disorders calls for comprehensive, multi-disciplinary assessment of any substance use problems ascertained in psychiatric consultations.
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Medical Complications of Cocaine: Changes in Pattern of Use and Spectrum of Complications
Rhonda B. Rubin,Joel Neugarten +1 more
TL;DR: Data indicate that changes in patterns of cocaine use have altered the nature and increased the severity of medical complications with a shift from infectious to cardiovascular, neurologic and psychiatric complications which may be life-threatening and associated with substantial morbidity.
Journal ArticleDOI
Utilization of medical services by alcoholics participating in a health maintenance organization outpatient treatment program: three-year follow-up.
TL;DR: A cumulative 3-yr follow-up study of utilization of medical services by alcoholics participating in a health insurance maintenance organization outpatient alcoholism treatment program shows significant differences in dollar cost per patient per year between groups.