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Improving health and social outcomes with targeted services in comprehensive substance abuse treatment
Dingcai Cao1, Jeanne C Marsh, Hee-Choon Shin
1Department of Surgery, Sections of Surgical Research and Ophthalmology & Visual Science, University of Chicago, IL, USA.
Background:
Improved life functioning along with substance use reduction is increasingly recognized as the definition of effective addiction treatment.
Objectives:
To assess whether targeted health and social services contribute to improved physical/mental health and employment.
Methods:
This study used data from the National Treatment Improvement Evaluation Study (N = 3027) and modeled the improvement in physical/mental health and employment at discharge or 12 months after discharge compared with intake measures as a function of receipts of matched services.
Results:
Receiving matched medical service improves physical health only at treatment discharge; receiving matched mental health services improves mental health at discharge and 12 months after discharge; receiving matched vocational services improves employment only 12 months after discharge.
Conclusions:
Need-service matching contributes to improved health and social outcomes when longitudinal assessments of treatment outcomes are used to evaluate treatment effectiveness.
Scientific Significance:
Study findings document the value of targeted services for achieving success in health and social functioning in comprehensive substance abuse treatment.
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