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The Organization and Impact of Outpatient Drug Abuse Treatment Services

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Drug Abuse Treatment

Part of the book series: Drug and Alcohol Abuse Reviews ((DAAR,volume 4))

Abstract

Gerstein and Harwood1 observed that our national response to drug abuse has historically been governed by simple, but powerful ideas. From the time of the Revolution to the Reconstruction period, drug abuse was considered private behavior and a libertarian view prevailed. The late 1800s saw the emergence of a medical conception, and treatments, including detoxification, developed. Early in this century, a criminal conception developed, and drug control became the characteristic response.

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References

  1. D. R. Gerstein and H. J. Harwood (eds.) (1990) Treating Drug Problems: vol. I. A Study of the Evolution, Effectiveness and Financing of Public and Private Drug Treatment Systems. National Academy Press, Washington, DC.

    Google Scholar 

  2. Drug Abuse Policy Office, Office of Policy Development, The White House (1984) National Strategy for Prevention of Drug Abuse and Drug Trafficking. US Government Printing Office, Washington, DC.

    Google Scholar 

  3. F. M. Tims (1984) Introduction, in Drug Abuse Treatment Evaluation: Strategies. Progress and Prospects (NIDA Research Monograph 51). F. M. Tims and J. P. Ludford, eds. National Institute on Drug Abuse, Rockville, MD, pp. 9–12.

    Google Scholar 

  4. T. A. D’Aunno and R. H. Price (1985) Organizational adaptation to changing environments: Community mental health and drug abuse services. Am. Behay. Sci. 28(5), May/June, 669–683.

    Google Scholar 

  5. J. II. Jaffee (1984) Evaluating drug abuse treatment: A comment on the state of the art, in Drug Abuse Treatment Evaluation: Strategies. Progress and Prospects (NIDA Research Monograph 51). F. M. Tuns and J. P. Ludford, eds. National Institute on Drug Abuse, Rockville, MD.

    Google Scholar 

  6. R. J. Frances (1988) Update on alcohol and drug disorder treatment. J. Clin. Psychiatry 49(9) Suppl., 13–17.

    PubMed  Google Scholar 

  7. R. H. Price, A. C. Burke, T. D’Aunno, D. M. Klingel, W. C. McCaughrin, J. A. Rafferty, and T. E. Vaughn (1989) Outpatient Drug Abuse Treatment Services. 1988: Results of a National Survey (NIDA Research Monograph 106). National Institute on Drug Abuse, Rockville, MD, pp. 63–92.

    Google Scholar 

  8. M. Allison, R. L. Hubbard, and J. V. Rachal (1985) Treatment Process in Methadone, Residential and Outpatient Drug Free Programs (NIDA Research Monograph). National Institute on Drug Abuse, Rockville, MD.

    Google Scholar 

  9. R. L. Hubbard, M. E. Marsden, J. V. Rachal, H. J. Harwood, E. R. Cavanaugh, and H. M. Ginzburg (1989) Drug Abuse Treatment: A National Study of Effectiveness. The University of North Carolina Press, Chapel Hill, NC.

    Google Scholar 

  10. A. T. McLellan, L. Luborsky, G. E. Woody, and C. P. O’Brien (1980) An improved diagnostic evaluation instrument for substance abuse patients: The Addiction Severity Index, J. Nerv. Ment. Disord. 168, 26–33.

    Article  CAS  Google Scholar 

  11. H. Ginzburg, M. Allison, and R. L. Hubbard (1984) Depressive symptoms in drug abuse treatment clinics: Correlates, treatment and changes, in Problems of Drug Dependence: 1983 (NIDA Research Monograph 49). L. S. Harris, ed. National Institute on Drug Abuse, Rockville, MD, pp. 313–319.

    Google Scholar 

  12. C. P. O’Brien, G. E. Woody, and A. T. McLellan (1984) Psychotherapeutic approaches in the treatment of drug abuse (NIDA Research Monograph 51). National Institute on Drug Abuse, Rockville, MD.

    Google Scholar 

  13. G. E. Woody (1983) Treatment characteristics associated with outcome, in Research on the Treatment of Narcotic Addiction. I. R. Cooper, F. Altman, B. S. Brown, and D. Czechowicz, eds. U.S. Department of Health and Human Services, Rockville, MD, pp. 541–564.

    Google Scholar 

  14. M. Allison, R. L. Hubbard, and S. G. Craddock, J. V. Rachal (1985) Drug Abuse Treatment Process: Preliminary Examination of the TOPS Data (RTIJ 1901/O1–06S) Research Triangle Institute, Research Triangle Park, NC.

    Google Scholar 

  15. G. W. Joe, D. D. Simpson, and S. B. Sells (in press) Treatment process and relapse to opioid use during methadone maintenance. Am. J. Drug Alcohol Abuse.

    Google Scholar 

  16. M. K. Lehman (1990) Linking primary care and substance abuse treatment. ADAMHA News 16, 1.

    Google Scholar 

  17. J. Clement (1988) Corporate diversification: Expectations and outcomes. Health Care Manage. Rev. 13,7–13.

    PubMed  CAS  Google Scholar 

  18. B. Kissin, A. Platz, and W. H. Su (1970) Social and psychological factors in the treatment of chronic alcoholism. J. Psychiatr. Res. 8, 13–27.

    Article  PubMed  CAS  Google Scholar 

  19. H. M. Annis and D. Chan (1983) The differential treatment model: Empirical evidence from a personality typology of adult offenders. Criminal Justice Behay. 10, 159–173.

    Article  Google Scholar 

  20. W. R. Miller, C. A. Taylor, and J. C. West (1980) Focused versus broadspectr un therapy for problem drinkers. J. Consult. Clin. Psychol. 48, 590--601.

    Article  PubMed  CAS  Google Scholar 

  21. R. K. Fuller, L. Branchey, D. R. Brightwell, R. M. Denman, C. D. Emrick, F. L. Iber, K. E. James, R. B. Lacoursiere, K. K. Lee, I. Lowenstam, I. Maany, D. Neiderhiser, J. J. Nocks, and S. Shaw (1986) Disulfiram treatment of alcoholism: A Veterans Administration cooperative study. JAMA 256,1449–1455.

    Article  PubMed  CAS  Google Scholar 

  22. F. S. Gilbert (1988) The effect of type of aftercare follow-up on treatment outcome among alcoholics. J. Stud. Alcohol 49,149–159.

    PubMed  CAS  Google Scholar 

  23. W. R. Miller and R. K. Hester (1986) Inpatient alcoholism treatment: Who benefits? Am. Psycho!. 41, 794–805.

    Article  CAS  Google Scholar 

  24. W. C. McCaughrin and R. H. Price (1990) Effective Outpatient Drug Abuse Treatment Organizations: Program Features and Selection Effects. Drug Abuse Treatment System Survey working paper. University of Michigan, Survey Research Center, Institute for Social Research, Ann Arbor, MI.

    Google Scholar 

  25. J. A. Liappas, F. A. Jenner, and B. Vicente (1988) Literature on methadone maintenance clinics. Mt. J. Addict. 23, 927–940.

    CAS  Google Scholar 

  26. V. P. Dole, M. E. Nyswander, D. Des Jarlais, and H. Joseph (1982) Performance based rating of methadone maintenance programs. N. Engl. J. Med. 306,169–172.

    Article  PubMed  CAS  Google Scholar 

  27. W. A. Hargreaves (1983) Methadone dose and duration for maintenance treatment, in Research on the Treatment of Narcotic Addiction. J. R. Cooper, F. Altman, B. S. Brown, and D. Czechowicz, eds. US Department of Health and Human Services, Rockville, MD, pp. 19–79.

    Google Scholar 

  28. V. P. Dole (1988) Implications of methadone maintenance for theories of narcotic addiction. JAMA 260, 3025–3029.

    Article  PubMed  CAS  Google Scholar 

  29. R. G. Newman (1987) Methadone treatment: Defining and evaluating success. N. Engl. J. Med. 317, 447–450.

    Article  PubMed  CAS  Google Scholar 

  30. D. D’Amanda (1983) Program policies and procedures associated with treatment outcome, in Research on the Treatment of Narcotic Addiction. J. R. Cooper, F. Altman, B. S. Brown, and D. Czechowicz, eds. US Department of Health and Human Services, Rockville, MD, pp. 637–679.

    Google Scholar 

  31. M. A. Rosenbaum (1985) A matter of style: Variation among methadone clinics in the control of clients. Contemp. Drug Problems 12, 375–399.

    Google Scholar 

  32. L. K. Altman (1989) U.S. to ease methadone rules in bid to curb AIDS in addicts. The New York Times, March 3,1,9.

    Google Scholar 

  33. A. S. Abdul-Quader, S. R. Friedman, D. C. Des Jarlais, M. M. Marmor, R. Maslansky, and S. Bartelme (1987) Methadone maintenance and behavior by intravenous drug users that can transmit HIV. Contemp. Drug Problems 14, 425–434.

    Google Scholar 

  34. S. Yancovitz, D. Des Jarlais, N. Peyser, P. Friedman, H. L. Trigg, and W. Robinson (1991) A randomized trial of an interim methadone maintenance clinic. Am. J. Public Health 81,1185–1191.

    Article  PubMed  CAS  Google Scholar 

  35. S. L. Sakti, J. L. Sorensen, C. Coates, and D. Gibson (1988) Methadone Maintenance for AIDS Affected IV Drug Users: Treatment Outcome and Psychiatric Factors after Three Months. Paper presented at the 50th Annual Meeting of the Committee on the Problems of Drug Dependence, North Falmouth, MA, June.

    Google Scholar 

  36. D. C. Des Jarlais, S. R. Friedman, and C. Casriel (1990) Target groups for preventing AIDS among intravenous drug users: 2. The “hard” data studies. J. Consult. Clin. Psycho!. 58, 50–56.

    Article  Google Scholar 

  37. C. R. Schuster (1988) Intravenous drug use and AIDS prevention. Public Health Rep. 103, 261–266.

    PubMed  CAS  Google Scholar 

  38. D. C. Des Jarlais, H. Joseph, and V. P. Dole (1981) Long-term outcomes after termination from methadone maintenance treatment. Ann. NY Acad. Sci. 362,.231–238.

    Article  PubMed  Google Scholar 

  39. D. D. Simpson, J. L. Savage, and S. B. Sells (1978) Data Book on Drug Treatment Outcomes: Follow-up Study of 1969–1972 Admissions to the Drug Abuse Reporting Program (DARP) (Rep. No. 78–10) Texas Christian University, Institute of Behavior Research, Fort Worth, TX.

    Google Scholar 

  40. J C. Ball, W. R. Lange, C. P. Myers, and S. R. Friedman (1988) Reducing the risk of AIDS through methadone maintenance treatment. J. Health Soc. Behay. 29,214–226.

    Article  CAS  Google Scholar 

  41. J. K. Watters (1986) Treatment Environment and Client Outcome in Methadone Maintenance Clinics. Unpublished doctoral dissertation, University of Michigan.

    Google Scholar 

  42. V.P. Dole (1989) Methadone treatment and the acquired immunodeficiency syndrome epidemic. JAMA 262, 1681–1682.

    Google Scholar 

  43. J. R. Cooper, F. Altman, B. S. Brown, and D. Czechowicz (eds.) (1983) Research on the Treatment of Narcotic Addiction. US Department of Health and Human Services, Rockville, MD.

    Google Scholar 

  44. T. D’Aunno and T. E. Vaughn (1990) Variation in Methadone Treatment Practices: Results from a National Study. Drug Abuse Treatment System Survey working paper. University of Michigan, Survey Research Center, Institute for Social Research, Ann Arbor, MI.

    Google Scholar 

  45. J. R. Cooper (1989) Methadone treatment and acquired immunodeficiency syndrome. JAMA 262, 1664–1668.

    Article  PubMed  CAS  Google Scholar 

  46. T. A. McLellan (1983) Patient characteristics associated with outcome, in Research on the Treatment of Narcotic Addiction. J. R. Cooper, F. Altman, B. S. Brown, and D. Czechowicz, eds. US Department of Health and Human Services, Rockville, MD, pp. 541–564.

    Google Scholar 

  47. G. W. Joe, D. D. Simpson, and R. L. Hubbard (1990) Treatment Predictors of Tenure in Methadone Maintenance. Unpublished manuscript, Texas Christian University, Institute of Behavioral Research, Fort Worth, TX.

    Google Scholar 

  48. E. E. Schoenbaum, D. Hartel, Selwyn, et al. (1989) Risk factors for human immunodeficiency virus infection in intravenous drug users. N. Eng. J. Med. 321, 874–879.

    Article  CAS  Google Scholar 

  49. Centers for Disease Control. Morbidity Mortality Weekly Rep. 39, 26.

    Google Scholar 

  50. J. K. Watters, M. Reilly, and T. D’ Aunno (1989) AIDS Prevention Activities for Intravenous Drug Users in Treatment Programs: A National Survey of State Drug Abuse Administrators. Center for AIDS Prevention Studies, University of California at San Francisco.

    Google Scholar 

  51. J Liebman, D. S. Mcllvaine, L. Kotranski, and R. Lewis (1990) AIDS prevention for IV drug users and their sexual partners in Philadelphia. Am. J. Public Health 80, 615–616.

    Article  PubMed  CAS  Google Scholar 

  52. L. S. Simons (1989) Privatization and the mental health system. Am. Psycho!. 44, 1138–1141.

    Article  CAS  Google Scholar 

  53. J D. Donahue (1989) The Privatization Decision. Basic, New York.

    Google Scholar 

  54. C. Weisner and R. Room (1984) Financing and ideology in alcohol treatment. Soc. Problems 32, 167–184.

    Article  Google Scholar 

  55. J. Ferris and E. Graddy (1986) Contracting out: For what? With whom? Public Administration Rev. 46, 332–344.

    Article  Google Scholar 

  56. A. C. Burke and J. Rafferty (1990) Ownership Differences in the Organization and Provision of Outpatient Substance Abuse Services. University of Michigan, Survey Research Center, Institute for Social Research, Ann Arbor, MI.

    Google Scholar 

  57. J. R. C. Wheeler, H. Fadel, and T. A. D’Aunno (1990) Ownership and Performance in Outpatient Substance Abuse Centers. Drug Abuse Treatment System Survey working paper. University of Michigan, Survey Research Center, Institute for Social Research, Ann Arbor, MI.

    Google Scholar 

  58. H. Fadel and J. R. C. Wheeler (1991) Pricing Behavior of Outpatient Substance Abuse Treatment Organizations. Drug Abuse Treatment System Survey working paper. University of Michigan, Survey Research Center, Institute for Social Research, Ann Arbor, MI.

    Google Scholar 

  59. M. Edlund, J. R. C. Wheeler, and T. A. D’Aunno (1992) Payment systems and payment incentives in outpatient substance abuse treatment. Public Budgeting Financial Manage 4, 107–123.

    Google Scholar 

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Authors
  1. Richard H. Price
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  2. Thomas A. D’Aunno
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Editor information

Editors and Affiliations

  1. University of Arizona, Tucson, Arizona, USA

    Ronald R. Watson

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© 1992 Springer Science+Business Media New York

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Price, R.H., D’Aunno, T.A. (1992). The Organization and Impact of Outpatient Drug Abuse Treatment Services. In: Watson, R.R. (eds) Drug Abuse Treatment. Drug and Alcohol Abuse Reviews, vol 4. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-4612-0359-9_2

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  • DOI: https://doi.org/10.1007/978-1-4612-0359-9_2

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4612-6724-9

  • Online ISBN: 978-1-4612-0359-9

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