Journal
JOURNAL OF SUBSTANCE ABUSE TREATMENT
Volume 33, Issue 4, Pages 341-352Publisher
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.jsat.2007.03.002
Keywords
substance abuse treatment; performance measures; outcomes; treatment initiation; treatment engagement
Categories
Funding
- NIAAA NIH HHS [R21 AA014229-02, R21 AA014229-01, R21 AA014229] Funding Source: Medline
- NIDA NIH HHS [R21 DA015704-02, P50 DA010233-07, R21 DA015704, P50 DA010233-06A2S1, R21 DA015704-01A1, R21 DA015704-03, P50 DA010233] Funding Source: Medline
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This study examines the association between adherence to during-treatment process measures of quality (defined as initiation and engagement in treatment as developed by the Washington Circle) and outcome measures (defined as arrests and incarcerations) in the following year. The data come from the Oklahoma Department of Mental Health and Substance Abuse Services administrative data system linked to data from state criminal justice agencies. Clients who initiated a new episode of outpatient treatment and who engaged in treatment were significantly less likely to be arrested or incarcerated in the following year. Initiation of substance abuse treatment alone, without engagement in treatment, was not significantly associated with arrests or incarcerations. These findings validate the clinical importance of the Washington Circle performance measures of initiation and engagement. Applying the process-of-care measures can make a difference when they are used as a target for quality improvement in treatment facilities. (c) 2007 Elsevier Inc. All rights reserved.
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