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Full-Text Articles in Social and Behavioral Sciences

Cost-Effectiveness Analysis Of A Brief Intervention Delivered To Problem Drinkers Presenting At An Inner-City Hospital Emergency Department, Michael T. French, F. Michael Kunz, Shahrzad Bazargan-Hejazi Apr 2004

Cost-Effectiveness Analysis Of A Brief Intervention Delivered To Problem Drinkers Presenting At An Inner-City Hospital Emergency Department, Michael T. French, F. Michael Kunz, Shahrzad Bazargan-Hejazi

Michael T. French

Objective: Alcohol screening and brief intervention (SBI) has gained widespread acceptance as an effective method for reducing problem drinking in at-risk populations. This study examines the cost and cost-effectiveness of an SBI pilot program delivered in an inner-city hospital emergency department (ED) to a traditionally underserved population. Method: A total of 1,036 subjects were screened for problem drinking during their visit to an ED. Eligible participants (N= 294) were randomly assigned to either a brief intervention group or a control group. As the result of attrition, a final sample of 194 (90 brief intervention; 104 control) participants remained at follow-up. …


Out Of Touch Or On The Money: Do The Clinical Objectives Of Addiction Treatment Coincide With Economic Evaluation Results?, Michael French, Clara Dismuke, Helena Salome, Mark Foss, Chris Scott, Michael Dennis Dec 2003

Out Of Touch Or On The Money: Do The Clinical Objectives Of Addiction Treatment Coincide With Economic Evaluation Results?, Michael French, Clara Dismuke, Helena Salome, Mark Foss, Chris Scott, Michael Dennis

Michael T. French

Previous economic studies have examined the association between substance abuse treatment and reduced costs to society, but it remains uncertain whether the economic measures used in cost and benefit-cost analyses of treatment programs correspond in direction and magnitude with clinical outcomes. In response to this uncertainty, the present study analyzed a longitudinal data set of addiction treatment clients to determine the statistical agreement between clinical and economic outcomes over time. Data were collected from 1,326 clients in the Chicago cohort of the Persistent Effects of Treatment Study. These individuals were interviewed at baseline as well as at 6-, 24-, 36-, …


Outcomes And Costs Of Day Hospital Treatment And Nonmedical Day Treatment For Chemical Dependency, Michael T. French, Jane Witbrodt, Lee Ann Kaskutas Dec 2003

Outcomes And Costs Of Day Hospital Treatment And Nonmedical Day Treatment For Chemical Dependency, Michael T. French, Jane Witbrodt, Lee Ann Kaskutas

Michael T. French

OBJECTIVE: The purpose of this study was to estimate the outcomes and costs of day hospital and nonmedical community-based day treatment for chemical dependency. METHOD: A community sample of 271 adults (179 men) dependent on alcohol and/or drugs was recruited and randomized to either a hospital-based (medical) day treatment program or to a community-based (nonmedical) day treatment program. The day hospital (DH) program lasted for 3 weeks. One community-based program (CP2) lasted for 4 weeks, and the other (CP1) lasted for 6 weeks but with shorter treatment days and more criminal justice clients. Because of our concerns regarding treatment fidelity, …


Cost Estimation When Time And Resources Are Limited: The Brief Datcap, Michael T. French, M. Christopher Roebuck, A. Thomas Mclellan Dec 2003

Cost Estimation When Time And Resources Are Limited: The Brief Datcap, Michael T. French, M. Christopher Roebuck, A. Thomas Mclellan

Michael T. French

The Drug Abuse Treatment Cost Analysis Program (DATCAP) was designed in the early 1990s as a research guide to collect and analyze financial data from addiction treatment programs. The addiction research community could clearly benefit from a version of the DATCAP that reduced the time and effort required for its administration without compromising the integrity of its cost estimates. This paper introduces the Brief DATCAP and presents some preliminary findings. Initial feedback from respondents suggests that the Brief DATCAP is understandable, and easier and quicker to complete than the DATCAP. More importantly, preliminary results indicate that cost estimates from the …