Saturday, 15 January 2005 - 10:00 AM

This presentation is part of: Effects of Service Integration on Substance Abuse, Child Welfare and Mental Health Outcomes

Role of Comprehensive Services on Drug Use Outcomes in Specialty Substance Abuse Treatment Settings

Purpose: To evaluate the impact of service comprehensiveness on treatment outcome for clients in the specialty substance abuse service system. Design: The study uses data collected from 1992-1997 for the National Treatment Improvement Evaluation Study (NTIES), a prospective cohort study of substance abuse treatment programs and their clients. Sample: The analytic sample consisted of 2,842 clients (972 women and 1,870 men) from 50 treatment facilities. Analysis: Mixed linear models were fitted to the multi-level data and included organizational characteristics, service characteristics and client characteristics. Findings: Results of the analysis reveal the importance of both organizational factors and service characteristics. Clients were more likely to reduce drug use in organizations that were resource intense (in terms of the frequency of substance abuse counseling offered) and that offered numerous services on-site. They were also more likely to reduce substance use when they received concrete services (that included housing, help collecting benefits, education and vocational training). Implications: The results point to the value of particular organizational configurations (with on-site services and intense counseling schedules) as well as the receipt of concrete services in programs seeking to reduce drug use.

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