Services Research in the Era of Managed Care 1st edition by Marc Galanter ISBN 0306464411 978-0306464416 by Marc Galanter 9780306464416, 9780306471933, 0306464411, 0306471930 instant download after payment.

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ISBN 10: 0306464411
ISBN 13: 978-0306464416
Author: Marc Galanter

From the President ofthe Research Society onAlcoholism - On behalf of the Research Society on Alcoholism I welcome the important contri bution that Volume 15 of this excellent series on Recent Developments in Alcoh- ism brings to our field. It is not enough for our scientists to develop effective and efficient methods to identify and treat alcohol abuse and alcohol dependence; the availability of these services is often limited and it is certainly nonexistent for the early problem drinker. In nineteen outstanding chapters, Volume 15 deals with organizational issues concerning access to and delivery of substance abuse treatment and the role of managed care. Several chapters deal with economic issues, cost-benefits, and - nancing of these services. Lastly, five address recent treatment outcome studies. Thus, this volume will be of great value to both scientists and practitioners. The Editor and Associate Editors are congratulated for this conceptual and organi- tional accomplishment. Yedy Israel, Ph.D.

Services Research in the Era of Managed Care 1st Table of contents:

I The Organization of Service Delivery

Overview

References

1 Organizational and Financial Issues in the Delivery of Substance Abuse Treatment Services

1. Introduction

2. The Specialty Substance Abuse Treatment System

3. Organizational and Financial Interrelationships

4. Role of Managed Care

5. Conclusion

References

2 The Organization of Substance Abuse Managed Care

1. Introduction

2. Background

3. General Organization of Managed Care

4. Organized Entities and Their Incentives

5. Interpreting and Control System

6. Conclusion

References

3 Effects of Managed Care on Programs and Practices for the Treatment of Alcohol and Drug Dependence

1. Overview

2. What Is Managed Care and How Are Treatment Programs Affected?

3. Participation in Managed Care

4. Program Operations and Staffing

5. System Performance

6. Concluding Comments

References

4 Linking Clients to Clinical and Social Services

1. Introduction

2. Scope of the Problem

3. Overview: Services Integration: A Proposed Solution

4. Extent of Service Linkages and Integration Efforts

5. Approaches to Service and System Integration

6. Does System Integration Work?

7. The Importance of Service Linkages and Coordination

8. Organizational Theory and Interorganizational Linkages

9. Discussion

References

II Access to Alcohol Treatment in the 21st Century Old Worries and New Optimism

Overview

References

5 Rethinking Access to Alcohol Treatment

1. Introduction

2. Redefining Need and Access

3. Access in a Changing Health Care System

4. Conclusion

References

6 Access to Services in the Substance Abuse Treatment System

1. Introduction

2. Trends in Declining Services

3. Types of Services Offered in the Treatment System

4. Facility Characteristics Related to Variations in Access to Services

5. Defining Access to Services

6. Overview of the Alcohol and Drug Services Study

7. Access to Services in the National Substance Abuse Treatment System

8. Conclusions

References

7 Patient Placement Criteria and Their Relation to Access to Appropriate Level of Care and Engagement in Alcoholism Treatment

1. Patient Placement Criteria and Practice Guidelines: Effects on Access to Appropriate Treatment and Engagement

2. Assessment of Appropriate Level of Care and Engagement Issues in PPC

3. The Potential of Placement Criteria to Improve Access to Treatment

4. Conclusions

5. Future Research

References

8 Access to Substance Abuse Services in Rural Areas

1. Introduction

2. Past Research

3. Proposed Conceptual Model

4. Patient Perceptions

5. A Further Note on Measuring Geographic Accessibility

6. Access to Treatment Gateways

7. Access and Sustained Involvement

8. Policy-Mutable Factors Affecting Access: The Health Plan and the Service System

9. Conclusions and Future Directions

References

III The Role of Health Economics in Substance Abuse Research Recent Advances and Future Opportunities

Overview

1. Introduction

2. What is Health Economics?

3. How Have Health Economists Contributed to Substance Abuse Research?

4. Looking to the Future

References

9 Economic Evaluation of Alcohol Treatment Services

1. Introduction

2. Overview of Economic Evaluation Methods

3. Brief Historical Perspective

4. Review of Recent Studies

5. Summary and Recommendations

References

10 Financing of Substance Abuse Treatment Services

1. Introduction

2. Treatment System

3. Conceptual Framework

4. Payers

5. Providers

6. Consumers

7. Conclusion

References

11 Using Cost and Financing Instruments for Economic Evaluation of Substance Abuse Treatment Services

1. Introduction

2. The DATCAP

3. The DATFin

4. Limitations and Amendments

5. Discussion

References

12 Alcoholism Treatment in Managed Private Sector Plans

1. Introduction

2. Methods

3. Results

4. Discussion

References

13 Problem Drinking, Health Services Utilization, and the Cost of Medical Care

1. Introduction

2. Conceptual Framework

3. Estimation Approach

4. Sample and Data

5. Estimation Results

6. Discussion

References

IV The Outcome of Treatment

Overview

References

14 Outcomes of Alcohol Treatment for Adolescents

1. Prevalence

2. Assessment and Diagnosis

3. Treatment Outcome Research

4. Intervention Studies

5. Outcome Process Research for Adolescence

6. Relapse and Posttreatment Functioning

7. Summary and Conclusions

References

15 Family-Involved Alcoholism Treatment An Update

1. Introduction

2. Results of Meta-Analysis

3. Family-Involved Treatment When the Alcoholic Is Unwilling to Seek Help

4. Family-Involved Treatment to Aid Recovery When the Alcoholic Has Sought Help

5. Conclusions and Future Directions

References

16 The Role of Continuing Care in Outpatient Alcohol Treatment Programs

1. Introduction

2. Review of Continuing Care Studies

3. Recommendations for Improving Continuing Care in an Outpatient Service Delivery System

4. Final Conclusions

References

17 A Comparative, Process-Effectiveness Evaluation of VA Substance Abuse Treatment

1. Conceptual Framework and Evaluation Design

2. Findings

3. Discussion

4. Conclusion

References

18 Screening and Brief Interventions for Alcohol Use Disorders in Managed Care Settings

1. Public Health Paradigm

2. Alcohol Use Disorders and Managed Care

3. What Is Brief Intervention?

4. What We Know About Brief Intervention

5. What We Don’t Know About Brief Intervention

6. How Do We Implement Screening and Brief Intervention in Managed Care: Policy and Systems Issues

References

V Report of the American Society of Addiction Medicine

19 The Impact of Managed Care on Substance Abuse Treatment: A Problem in Need of Solution

1. Executive Summary

2. Substance Abuse: A Major Undertreated Problem

3. What Is Managed Care?

4. What Is Its Impact on Insurance Coverage?

5. What Is Its Impact on Treatment?

6. What Is Its Impact on Medicare and Medicaid?

7. How Do Professionals Feel?

8. Conclusions and Recommendations

References

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