It has long been recognized that a significant proportion of homeless adults have AOD disorders. Little research has been done to quantify the treatment costs for this population, or to identify client-level factors that predict cost. Indeed, the information required to develop client-level cost estimates is often unavailable. This NIAAA-funded study examined the costs and predictors of cost of public sector service use by 800 homeless adults sampled from shelters and streets in Houston, TX. Three sources of data are used in the analysis. First, a 90-minute structured interview that included information permitting the identification of AOD disorder, and self-reported use of AOD treatment services. Second, a descriptive survey of AOD treatment programs that treat significant numbers of homeless persons to collect information on treatment length, completion rates, etc. Third, a telephone follow-up to respondent AOD treatment programs to elicit cost information. We develop a weighted average cost using weights reflecting the program-specific proportion of homeless persons treated. The cost estimates are bounded using program-specific information on length of treatment and probability of program completion. We then present a detailed analysis examining the factors affecting costs among those persons with AOD (n=326 in the sample) who receive treatment.
Learning Objectives: At the conclusion of this presentation, the participant will be able to: 1. Discuss issues related to estimating costs of AOD treatment for homeless substance abusers. 2. Identify factors that affect treatment costs. 3. Describe the costs of treatment.
Keywords: Homelessness, Substance Abuse Treatment
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
Disclosure not received
Relationship: Not Received.