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Emergency room outreach to chronically addicted individuals. A pilot study
G Witbeck1, S Hornfeld, G W Dalack
1Michigan Ability Partners, Ann Arbor 48108, USA.
Journal of Substance Abuse Treatment
|June 27, 2000
Summary
Intensive case management for homeless individuals with substance abuse or chronic mental illness significantly reduced emergency service use by 58%. This pilot program shows improved patient outcomes and cost savings.
Area of Science:
- Public Health
- Social Work
- Emergency Medicine
Background:
- Homeless individuals with substance abuse or chronic mental illness frequently use emergency medical services.
- Limited literature addresses the specific treatment needs of this vulnerable population.
Observation:
- A pilot program provided intensive case management to homeless individuals with substance abuse or chronic mental illness.
- Outreach efforts successfully connected clients to entitlements and community services.
Findings:
- Emergency service utilization decreased by 58% in the intervention group post-program.
- A control group showed no significant decrease in emergency service use.
Implications:
- Community-based outreach and case management programs can improve outcomes for homeless individuals.
- These programs offer substantial cost savings for local governments and hospitals.
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