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Improving client engagement and retention in treatment: the Los Angeles County experience
Beth A Rutkowski1, Steven Gallon, Richard A Rawson
1Integrated Substance Abuse Programs, University of California, Los Angeles, CA 90025, USA. brutkowski@mednet.ucla.edu
Abstract:
This article discusses a two-phase demonstration project focused on the implementation of the Network for the Improvement of Addiction Treatment model of process improvement among substance abuse treatment providers in Los Angeles County, California. A total of 30 Change Teams from 12 county-contracted treatment agencies planned and executed one or more rapid-cycle change projects to reduce wait time to treatment, reduce no-shows to scheduled appointments, increase admissions, or improve continuation in treatment. The findings and lessons learned illustrate the importance of a concrete and straightforward methodology and consistent peer-to-peer interaction provided in a learning collaborative environment. In addition, both ongoing technical assistance and coaching are essential for successful implementation of this innovative, low-cost, evidence-based process improvement strategy.
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