Abstract
While the effectiveness of alcoholism treatment is an important concern in alcohol research, the cost of such treatment and its benefits are also important research matters. There is substantial research that examines the possible benefits of alcoholism treatment in reducing the cost of all medical care, including the cost of alcoholism treatment itself. This is referred to as cost offsets. This chapter reviews the research evidence of alcoholism treatment cost offset, that is, the ability of alcoholism treatment to reduce the cost of medical care of persons participating in such treatment. The chapter gives an overview summary of the cost offset findings for alcoholism treatment and concludes with an identification of future research needs and opportunities, especially surrounding the popular increase in the use of managed care.
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References
Hester RK, Miller WR (eds): Handbook of Alcoholism Treatment Approaches: Effective Alternatives. Elmsford, NY, Pergamon Press, 1989.
Miller WR, Hester RK: Matching problem drinkers with optimal treatment, in Miller WR, Heather N (eds): Treating Addictive Behaviors: Processes of Change. New York, Plenum Press, 1986, pp 175–203.
Holder HD, Longabaugh R, Miller WR, et al: The cost of effectiveness of treatment for alcohol problems: A first approximation. J Stud Alcohol 52(6):517–540, 1991.
Finney JW, Monahan SC: The cost effectiveness of treatment for alcoholism: A second approximation. J Stud Alcohol 57(3):229–243, 1996.
Walsh DC, Hingson R, Merrigan DM, et al: A randomized trial of treatment options for alcohol-abusing workers. N Engl J Med 325:775–782, 1991.
Putnam SL: Alcoholism, morbidity and care-seeking: The inpatient and ambulatory service utilization and associated illness experience of alcoholics and matched controls in a health maintenance organization. Med Care 10(1):97–121, 1982.
Jones KR, Vischi JR: Impact of alcohol drug abuse and mental health treatment on medical care utilization: A review of the research literature. Med Care 171–82, 1979.
Saxe L, Dougherty D, Esty K, et al: The Effectiveness and Costs of Alcoholism Treatment. Report prepared under contract to the Office of Technology Assessment, Washington, DC, Congress of the United States, 1983.
Holder HD: Alcoholism treatment and potential health care cost saving. Med Cure 25:52–70, 1987.
Holder HD, Lennox RD, Blose JO: The economic benefits of alcoholism treatment: A summary of twenty years of research. J Employee Assist Res 1(1):63–82, 1992.
Edwards G, Orford J, Egert S, et al: Alcoholism: A controlled trial of treatment and advice. J Stud Alcohol 38:1004–1031, 1977.
Forsythe AB, Griffiths B, Reiff S: Comparison of utilization of medical services by alcoholics and nonalcoholics. Am J Public Health 72:600–602,1982.
Holder HD, Hallan JB: Impact of alcoholism treatment on total health care costs: A six-year study. Adv Alcohol Subst Abuse 6(1):1–15,1986.
Hayami DE, Freeborn DK Effect of coverages on the use of an HMO alcoholism treatment program, outcome and medical care utilization. Am J Public Health 71:1133–1144, 1981.
McLellan AT, Luborsky L, O’Brien L, Woody AE, Druley KA: Is treatment for substance abuse effective? JAMA 247:1423–1428,1982.
Gregory D, Jones RK, Rundell OH, Stanitis T, Stanhope P: Feasibility of an alcoholism health insurance benefit, in Gallanter M (ed): Currents in Alcoholism: Recent Advances in Research and Treatment, vol VIII. New York, Grune and Stratton, 1981, pp 195–202.
Becker FW, Sanders BK The Illinois Medicare/Medicaid alcoholism services demonstration; Medicaid cost trends and utilization patterns—managerial report. Springfield, IL, Center for Policy Studies and Program Evaluation, Sagamon State University. Report prepared under contract with the Illinois Department of Alcohol and Substance Abuse, September 21, 1984.
Sanders BK, Becker FW: Average medical expenditures reimbursed by Medicaid for services provided to clients in the Illinois alcoholism services demonstration, SFY’s 1982–85. Springfield, IL, Center for Policy Studies and Program Evaluation, Sagamon State University, 1985.
Plotnick DE, Adams KM, Hunter HR, et al: Alcoholism Treatment Programs within Prepaid Group Practice HMOs: A Final Report (Contract No. ADM 281 80 004). Rockville, MD: National Institute on Alcohol Abuse and Alcoholism, 1982.
Holder HD, Blose JO: Alcoholism treatment and total health care utilization and costs: A four-year longitudinal analysis of federal employees. JAMA 256(11):1456–1460, 1986.
Holder HD, Blose JO: The reduction of health care costs associated with alcoholism treatment: A 14-year longitudinal study. J Stud Alcohol 53:293–302, 1992.
Blose JO, Holder HD: The utilization of medical care by treated alcoholics: Longitudinal patterns by age, gender, and type of care. J Subst Abuse 3:13–27, 1991.
Goodman AC, Nishiura E, Hankin J, et al: Long-term alcoholism treatment costs. Med Care Res Rev 53:441–464, 1996.
Goodman AC, Holder HD, Nishiura E, et al: Analysis of short-term alcoholism treatment cost functions. Med Care 30(9):795–809, 1992.
Hayashida M, Alterman AI, McLellan AT, et al: Comparative effectiveness and costs of inpatient and outpatient detoxification of patients with mild-to-moderate alcohol withdrawal syndrome. N Engl J Med 320(6):358–365, 1989.
Longabaugh R, McCrady B, Fink E, et al: Cost effectiveness of alcoholism treatment in partial vs. inpatient settings: Six-month outcomes. J Stud Alcohol 44:1049–1071, 1983.
Booth BM, Yates WR, Petty F, et al: Longitudinal characteristics of hospital use before and after alcoholism treatment. Am J Drug Alcohol Abuse 16:161–170, 1990.
Booth BM, Yates WR, Petty F, et al: Patient factors predicting early alcohol-related readmissions for alcoholics: Role of alcoholism severity and psychiatric co-morbidity. J Stud Alcohol 52:37–43, 1991.
Booth BM, Blow FC, Cook CAL, et al: Age and ethnicity among hospitalized alcoholics: A narrative study. Alcohol Clin Exp Res 16:1029–1034, 1992.
Booth BM, Cook CAL, Blow FC, et al: Utilization of outpatient mental health services after inpatient alcoholism treatment. J Mental Health Admin 19:21–30, 1992.
Magruder-Habib K, Luckey JW, Mikow V, et al: Effects of alcoholism treatment on health services utilization patterns: Final report—IIR #82-026. Washington, DC, Department of Veterans Affairs, 1985.
Booth BM, Blow FC, Cook CAL, Bunn JY, Fortney JC: Relationship between inpatient alcoholism treatment and longitudinal changes in health care utilization. J Stud Alcohol. 58(6):625–637, 1997.
Booth BM, Cook CAL, Blow FC, Bunn YJ: Utilization of outpatient mental health services after inpatient alcoholism treatment. J Mental Health Admin 19(1):21–30, 1992.
Booth BM, Russell DW, Soucek S, Laughlin, PR: Social support and outcome of alcoholism treatment: An exploratory analysis. Am J Drug Alcohol Abuse 18(1):87–101, 1992.
Lo A, Woodward A: An evaluation of freestanding alcoholism treatment for Medicare recipients. Addiction 88:53–68,1993.
Lawrence Johnson and Associates, Inc: HCFA alcoholism services demonstration briefing handouts of slide presentations. Report prepared for Health Care Financing Administration and the National Institute on Alcohol Abuse and Alcoholism. Washington, DC, Lawrence Johnson and Associates, Inc. 1985.
Project MATCH Research Group: Matching alcoholism treatments to client heterogeneity: Project MATCH posttreatment drinking outcomes. J Stud Alcohol 58(1):7–29, 1997.
Kenkel PJ: Provider-based managed-care programs continue growth trend. Mod Health Care 23(19):26–28, 30, 32, 1993.
Adams RP, Grimes RM: Alcohol and chemical dependency treatment: A study of cost and outcomes. Health Care Innovations 5(1):32–36, 1995.
French M, Dunlap L, Galinis D, Rachal JV, Zarkin, JA: Health care reforms and managed care for substance abuse services: Findings from eleven case studies. J Public Health Policy. 17(2):181–203, 1996.
Coyle D, Godfrey C, Hardman G, et al: Costing substance misuse services. YARTIC Occasional Paper 5. Centre for Health Economics, University of York, Leeds Addiction Unit, York, England, 1994.
Booth BM, Zhang M: Cost-effectiveness of alcohol services. Prepared for the Subcommittee on Health Services Research, National Institute on Alcohol Abuse and Alcoholism (unpublished manuscript), 1995.
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Holder, H.D. (1998). The Cost Offsets of Alcoholism Treatment. In: Recent Developments in Alcoholism. Recent Developments in Alcoholism, vol 14. Springer, Boston, MA. https://doi.org/10.1007/0-306-47148-5_17
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DOI: https://doi.org/10.1007/0-306-47148-5_17
Publisher Name: Springer, Boston, MA
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