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STUDY 2010 HTM file
Does meeting the HEDIS substance abuse treatment engagement criterion predict patient outcomes?
This first major multi-modality test of a treatment engagement indicator widely used as a quality control yardstick in the USA found it was only very weakly related to patient improvement seven months after starting treatment, confirmation that simple measures of what happens during treatment struggle to capture what really makes treatment effective.
STUDY 2011 HTM file
Performance-based contracting within a state substance abuse treatment system: a preliminary exploration of differences in client access and client outcomes
In 2007–08 the US state of Maine introduced a new scheme directly linking funding for outpatient treatment services to performance in terms of waiting times and retention, but financial and service delivery impacts were negligible. Were the incentives too weak, or were services already doing as well as they could?
DOCUMENT 2012 HTM file
Cost-of-alcohol studies as a research programme
Prominent alcohol expert argues that estimates that drinking imposes billions of pounds of costs on society are so value-laden and imprecise that their main value is as propaganda. Policies like increasing the price of drink may be justified on other grounds, but not by a misleadingly appealing total cost or cost reduction figure.
STUDY 2017 HTM file
Does paying service providers by results improve recovery outcomes for drug misusers in treatment in England?
Substance use treatment commissioned on a payment-by-results basis in England has been linked to higher rates of in-treatment abstinence and non-injecting than other commissioning models, but lower rates of treatment initiation and completion. Is this enough to support the policy?
STUDY 2015 HTM file
Understanding the costs and savings to public services of different treatment pathways for clients dependent on opiates
Though set up to determine whether the public purse would gain by sending more opiate-dependent clients to residential rehabilitation, this UK government report declared itself unable to conclude one way or the other, but did judge it “highly unlikely” that these treatments’ extra expense would be offset by extra savings.
MATRIX CELL 2017 HTM file
Drug Treatment Matrix cell E1: Local and national systems; Reducing harm
Seminal and key studies relating to local, regional and national systems for effectively and cost-effectively reducing harm.
STUDY 2012 HTM file
Delivering service quality in alcohol treatment: a qualitative comparison of public and private treatment centres by service users and service providers
This small English study poses fundamental questions about alcohol treatment services: whether private services suffer from an ‘empathy gap’ and NHS services from poor systems; whether opening up treatment choice to patients with a record of bad decision-making is a good thing; and whether there can be universal criteria for what counts as quality provision.
DOCUMENT 2014 HTM file
How many drinkers should be in treatment?
Depending on the criteria, Britain’s performance in ensuring needy drinkers enter treatment can look anywhere from an abysmal 7% to an excellent 40%. Does where you draw the line depend on how you want to portray Britain’s performance?
STUDY 2012 HTM file
Using pay for performance to improve treatment implementation for adolescent substance use disorders
How can it be that incentives to therapists improve implementation of a therapy without further helping patients overcome substance use problems? In this US study of young substance users, disappointing results may reflect the inability of time-limited programmes to make an impression on the lives of youngsters subject to powerful influences, including criminal justice intervention.
STUDY 2014 HTM file
Assessing the availability of and need for specialist alcohol treatment services in Scotland
Evidence that in 2012 Scotland’s alcohol treatment caseload equated to about 1 in 4 of the country’s alcohol-dependent adults, over three times the 1 in 14 ratio in England, partly a consequence of extra funding accompanying Scotland’s 2009 national alcohol strategy. Evidence too of a peer-based recovery orientation taking root.
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