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Related Experiment Videos

State-level treatment outcome studies using administrative databases.

A I Alterman1, J Langenbucher, R L Morrison

  • 1DeltaMetrics and University of Pennsylvania, Center for Studies of Addiction, USA.

Evaluation Review
|April 25, 2001
PubMed
Summary

State administrative databases offer valuable insights into substance dependence treatment outcomes. Completing treatment is linked to reduced societal costs, though data limitations exist.

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Area of Science:

  • Public Health
  • Health Services Research
  • Addiction Medicine

Background:

  • State administrative databases integrate clinical and administrative data for large patient populations over time.
  • Access to linked databases (employment, criminal behavior, Medicaid) provides a comprehensive view of patient outcomes.
  • These integrated datasets are crucial for evaluating long-term treatment effectiveness and associated costs.

Purpose of the Study:

  • To review and evaluate findings from advanced studies utilizing state administrative databases for substance dependence treatment outcomes.
  • To assess the relationship between treatment completion and societal costs.
  • To identify strengths and limitations of using administrative data in addiction research.

Main Methods:

  • Selected review of existing studies employing state substance dependence administrative databases.

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  • Analysis of treatment outcome and cost-related findings.
  • Evaluation of studies focusing on specific subpopulations like pregnant women and adolescents.

    • Main Results:

    • Studies indicate that completing substance dependence treatment correlates with decreased societal costs.
    • Research has examined outcomes in significant patient subgroups.
    • A common limitation identified is the use of non-completer or non-randomized comparison groups.

    Conclusions:

    • State administrative databases are a valuable resource for understanding long-term substance dependence treatment outcomes and costs.
    • Treatment completion demonstrates a positive impact on societal economic factors.
    • Integrating administrative data with clinical research methodologies can enhance the utility and validity of findings.