Day hospital and residential addiction treatment: randomized and nonrandomized managed care clients.

@article{Witbrodt2007DayHA,
  title={Day hospital and residential addiction treatment: randomized and nonrandomized managed care clients.},
  author={Jane Witbrodt and Jason C. Bond and Lee Ann Kaskutas and Constance Weisner and Gary Jaeger and David Pating and C Moore},
  journal={Journal of consulting and clinical psychology},
  year={2007},
  volume={75 6},
  pages={
          947-59
        }
}
Male and female managed care clients randomized to day hospital (n=154) or community residential treatment (n=139) were compared on substance use outcomes at 6 and 12 months. To address possible bias in naturalistic studies, outcomes were also examined for clients who self-selected day hospital (n=321) and for clients excluded from randomization and directed to residential treatment because of high environmental risk (n=82). American Society of Addiction Medicine criteria defined study and… Expand
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References

SHOWING 1-10 OF 51 REFERENCES
The outcome and cost of alcohol and drug treatment in an HMO: day hospital versus traditional outpatient regimens.
TLDR
Although significant benefits of the day hospitals program were not found in the randomized study, DH treatment was associated with better outcomes in the self-selected group, and for subjects with mid-level psychiatric severity in both the randomized and self- selected samples, the DH program produced higher rates of abstention and was more cost-effective. Expand
Integrating primary medical care with addiction treatment: a randomized controlled trial.
TLDR
Individuals with SAMCs benefit from integrated medical and substance abuse treatment, and such an approach can be cost-effective. Expand
The process of treatment selection among previously untreated help-seeking problem drinkers.
TLDR
People who selected AA only for treatment were of lower socioeconomic status than outpatients, and were functioning better than those who opted for treatment in inpatient or residential settings. Expand
Outcomes and costs of day hospital treatment and nonmedical day treatment for chemical dependency.
TLDR
The results not only demonstrate the clinical diversity that exists between nonmedical, community-based day treatment programs but also show that nonmedical programs can compete with DH treatment in cost as well as in most outcomes. Expand
Effect of random versus nonrandom assignment in a comparison of inpatient and day hospital rehabilitation for male alcoholics.
TLDR
Compared with patients who self-selected treatment, the comparisons between day hospital and inpatient treatment yielded similar outcomes under both "scientific" conditions and the conditions that more closely approximate the experiences of most patients. Expand
Random versus nonrandom assignment in the evaluation of treatment for cocaine abusers.
TLDR
Findings suggest that randomized studies of treatment for cocaine abuse may produce somewhat larger estimates of improvement than what is observed in more typical treatment situations. Expand
Treatment goals, continuity of care, and outcome in a day hospital substance abuse rehabilitation program.
TLDR
Patients who complete day hospital substance abuse rehabilitation and then continue to participate in self-help groups are likely to have lower rates of alcohol and cocaine use during follow-up. Expand
A comparative evaluation of substance abuse treatment: I. Treatment orientation, amount of care, and 1-year outcomes.
TLDR
Findings support the effectiveness of 12-Step treatment and show that patients with substance use disorders who become more involved in outpatient care and self-help groups tend to experience better short-term substance use outcomes. Expand
The Combined Effects of Treatment Intensity, Self-Help Groups and Patient Attributes on Drinking Outcomes
TLDR
Testing a set of hypotheses relating to the effects on drinking outcomes of treatment modality, modality matching, treatment retention, aftercare, self-help group participation and patient attributes at admission found outcomes for inpatient and outpatient treatment were equal. Expand
Predictive validity of the ASAM Patient Placement Criteria for naturalistically matched vs. mismatched alcoholism patients.
TLDR
The ASAM Criteria show promise for reducing both detrimental undertreatment and cost-inefficient overtreatment, and are robust for both methods of assessment. Expand
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