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Comprehensive drug programs: the Dade County example.

R S Weppner, D C McBride

    The American Journal of Psychiatry
    |July 1, 1975
    PubMed
    Summary
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    This study surveyed drug treatment programs in Dade County, finding demographic and drug use variations across facility types. Costs were lowest in outpatient clinics, offering insights for program development.

    Area of Science:

    • Addiction Medicine
    • Public Health
    • Health Services Research

    Background:

    • Comprehensive drug treatment programs offer diverse services.
    • Understanding patient demographics and drug use patterns is crucial for effective treatment.
    • Cost-effectiveness analysis is vital for resource allocation in addiction services.

    Purpose of the Study:

    • To analyze patient demographics, primary drug abuse, referral sources, and costs across different drug treatment modalities.
    • To provide data that can assist in establishing guidelines for comprehensive drug treatment programs.

    Main Methods:

    • A survey was conducted across four methadone maintenance programs, five outpatient clinics, six nonresidential facilities, and nine therapeutic communities.
    • Data collected included patient demographics, primary substances of abuse, referral types, and per-patient costs.

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    Main Results:

    • The treatment population comprised more Black individuals and fewer Hispanic individuals compared to the general county population.
    • Narcotics were the primary drugs of abuse in methadone clinics, while 'softer' drugs were more common in outpatient and nonresidential facilities.
    • Most patients were self- or court-referred, and direct per-patient costs averaged $1,041, being lowest in outpatient clinics.

    Conclusions:

    • Significant variations exist in patient populations and drug use profiles among different addiction treatment settings.
    • Outpatient clinics demonstrated the lowest per-patient costs, suggesting potential for cost-effective care.
    • The findings offer valuable data for developing and refining guidelines for comprehensive drug treatment programs nationwide.