The 130th Annual Meeting of APHA

4010.0: Tuesday, November 12, 2002 - 9:24 AM

Abstract #34530

Effectiveness and cost-effectiveness of case management in substance abuse treatment

Shadi S Saleh, PhD, Health Policy, Management & Behavior, SUNY-Albany, One University Place, Rensselaer, NY, NY 12144, (518) 402-0299,

Purpose This study, which is part of a larger clinical trial, examined the three, six, and twelve-month effectiveness and cost effectiveness of case management for individuals treated for substance abuse in a residential setting.

Methods Data for the study were taken from the Iowa Case Management Project (ICMP). The ICMP evaluated case management using a randomized research design. The first three conditions were variations of the Iowa Case Management (ICM) model: 1) Inside Case Management - two ICMP case managers were housed within the drug treatment agency, 2) Outside Case Management - two ICMP case managers were housed in an independent social service agency, 3) Telecommunications Case Management - one ICMP case manager was housed at the project research office and used an automated telecommunications system (ITS) to facilitate case management service provision. Clients in these three conditions were eligible for 12 months of case management. The fourth condition was the control condition. In this condition, clients received limited case management from their primary drug counselor during the course of standard drug treatment.

Results and Conclusion Results revealed only modest support for the effectiveness of case management as a supplement to traditional treatment. The face-to-face case-managed groups achieved improvements on the legal, employment, and psychiatric domains exceeding that achieved by the control group. The results also imply that, controlling for the initial high costs incurred by the intervention groups, case management has a potential to be cost-effective. A longer follow up period is needed to detect the long-term effects.

Learning Objectives:

Keywords: Substance Abuse Treatment, Case Management

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Effectiveness and Cost-Effectiveness of Treatment and Aftercare

The 130th Annual Meeting of APHA