Outcome-oriented standards and performance indicators for substance dependency rehabilitation programs

This paper discusses the differences between accreditation standards and performance indicators for substance user treatment programs in the context of Commission on Accreditation of Rehabilitation Facilities (CARF's) accreditation system and its performance indicators project. Accreditation standards that require outcomes data collection and analysis are summarized. Standards undergo regular periodic review and revision, and outcome standards are a focus for refinement in 2000. Although draft performance indicators identified by work groups facilitated by CARF are also summarized, the reader is encouraged to seek the latest version of the CARF documents published on this topic. Standards and indicators for programs using methadone treatment are also described. Substantial input from consumers of substance use and other behavioral health rehabilitation programs is being sought through CARF's project and will need be incorporated in the proposed set of indicators.