Clinical Assessment and Substance Abuse Treatment

Description

During the 1990s, in response to the multi-faceted phenomenon of substance abuse, the federal government's Center for Substance Abuse Treatment funded the Target Cities project in nineteen U.S. cities. This volume evaluates how the Target Cities project affected both treatment systems and individuals with drug and alcohol problems. In each city, programs were established to evaluate the impact of these substances on an individual's mental and physical health, housing, family relationships, and involvement with the criminal justice system. A brief summary of the evolution of national perceptions of drug and alcohol problems is followed by a description of the project, its participants, the process of entering treatment, an organizational analysis of the project's many components, participant satisfaction and adjustment, and the implications of the research findings for policy makers and treatment personnel.

Acknowledgments

1. Background and Overview of the Target Cities Demonstration Program
Christy K Scott and Randolph D. Muck

2. Methodological Issues in the Development of the Target Cities Multisite Databases
Peter J. Leahy, Richard C. Stephens, Heather K. Huff, and Russell S. Kaye

3. Participants in the Target Cities Program
Ronald E. Claus and René M. Dailey

4. Identifying Service Needs among Substance Abuse Treatment Participants
Mark A. Foss, Nancy Barron, and Cynthia L. Arfken

5. The Target Cities Participants: From Centralized Intake to Treatment Entry
Ronald E. Claus, Nancy Barron, and Kimberly A. Pascual

6. Effects of Centralized Intake on Participant Satisfaction with Treatment and Ancillary Services
Christy K Scott, Mark A. Foss, and Richard E. Sherman

7. Implementation of Selected Target Cities Components: Analysis of Matching, Case Management, and Linkages
Cynthia L. Arfken, Chris Klein, Elizabeth J. Agius, and Salvatore di Menza

8. Does Centralized Intake Improve Substance Abuse Outcomes?: A Multisite Analysis
Joseph Guydish, Alan Bostrom, Sven Klingemann, Christy K Scott, Mark A. Foss, and Nancy Barron

9. Outcomes Before and After Implementing Centralized Intake Services
Christy K Scott, Mark A. Foss, and Richard E. Sherman

10. Effectively Assessing and Preparing Inmates for Community Substance Abuse Treatment: The Portland Target Cities Project In-Jail Intervention
Michael W. Finigan, Nancy Barron, and Shannon Carey

11. Lessons Learned from the National Target Cities Initiative to Improve Publicly Funded Substance Abuse Treatment Systems
Joseph Guydish, Richard C. Stephens, and Randolph D. Muck

References

Contributors

Index

Informations

• Publié par: State University of New York Press
• Date de parution: 01 février 2012
• Nombre de lectures: 0
• EAN13: 9780791487518
• Langue: English

Extrait

Clinical Assessment and Substance Abuse Treatment

SUNY series, The New Inequalities A. Gary Dworkin, Editor

Clinical Assessment and Substance Abuse Treatment

The Target Cities Experience

E D I T E D B Y

Richard C. Stephens, Christy K Scott, and Randolph D. Muck

S U N Y P TATE NIVERSITY OF EW ORK RESS

Published by State University of New York Press, Albany

© 2003 State University of New York

All rights reserved

Printed in the United States of America

No part of this book may be used or reproduced in any manner whatsoever without written permission. No part of this book may be stored in a retrieval system or transmitted in any form or by any means including electronic, electrostatic, magnetic tape, mechanical, photocopying, recording, or other wise without the prior permission in writing of the publisher.

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Library of Congress CataloginginPublication Data

Clinical assessment and substance abuse treatment : the target cities experience / edited by Richard C. Stephens, Christy K Scott, and Randolph D. Muck p. cm. — (SUNY series, the new inequalities) Includes bibliographical references and index. ISBN 0791455939 (HC : alk. paper) — ISBN 0791455947 (pbk. : alk. paper) 1. Drug abuse—United States. 2. Drug abuse—Treatment—United States. 3. Alcoholism—United States. 4. Alcoholism—Treatment— United States. I. Stephens, Richard C. II. Scott, Christy K. III. Muck, Randolph D. IV. Series.

HV5825 .C5784 2003 362.29'1860973—dc21

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To my wife Barbara J. Stephens for her wit, wisdom, love and courage.

Richard C. Stephens, Ph.D.

I wish to express my sincere gratitude to Mark Godley for his unwavering sup port over the years and to my field team, particularly Floyd, Judy, Kevin, Mick, and Lloyd for their passionate commitment to our work. I would also like to thank the treatment providers in Chicago for all they taught us, and the thousands of clients who participated in the Target Cities project, for their time and patience.

Christy K Scott, Ph.D.

I want to acknowledge my wife, Bonnie, for her support and encouragement during the many long days, nights, weekends, and the frequent meetings away from home, that were a part of this effort. And thanks to my children (Justin, Rebekah, Jordan, and Joshua), who didn’t completely understand why I had to be away so much, but kept loving me anyway and were always ready to advise me on where to find good music while I was on the road.

Randolph D. Muck, M.Ed.

We would like to thank the CSAT project officers and their immediate super visors who worked with the individual sites and assisted in their participa tion in the development and implementation of the crosssite evaluation: David Thompson, Edith Jungblut, Joyce Johnson, Ray Hylton, Jean Donald son, Carol Coley, Mady Chalk, Barry Blandford, Jutta Butler, and Mary Lou Andersen.

The Editors

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Contents

Background and Overview of the Target Cities Demonstration Program Christy K Scott and Randolph D. Muck

Methodological Issues in the Development of the Target Cities Multisite Databases Peter J. Leahy, Richard C. Stephens, Heather K. Huff, and Russell S. Kaye

Participants in the Target Cities Program Ronald E. Claus and René M. Dailey

Identifying Service Needs among Substance Abuse Treatment Participants Mark A. Foss, Nancy Barron, and Cynthia L. Arfken

The Target Cities Participants: From Centralized Intake to Treatment Entry Ronald E. Claus, Nancy Barron, and Kimberly A. Pascual

Effects of Centralized Intake on Participant Satisfaction with Treatment and Ancillary Services Christy K Scott, Mark A. Foss, and Richard E. Sherman

Implementation of Selected Target Cities Components: Analysis of Matching, Case Management, and Linkages Cynthia L. Arfken, Chris Klein, Elizabeth J. Agius, and Salvatore di Menza

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Contents

Does Centralized Intake Improve Substance Abuse Outcomes?: A Multisite Analysis Joseph Guydish, Alan Bostrom, Sven Klingemann, Christy K Scott, Mark A. Foss, and Nancy Barron

Outcomes Before and After Implementing Centralized Intake Services Christy K Scott, Mark A. Foss, and Richard E. Sherman

Effectively Assessing and Preparing Inmates for Community Substance Abuse Treatment: The Portland Target Cities Project InJail Intervention Michael W. Finigan, Nancy Barron, and Shannon Carey

Lessons Learned from the National Target Cities Initiative to Improve Publicly Funded Substance Abuse Treatment Systems Joseph Guydish, Richard C. Stephens, and Randolph D. Muck

References

Contributors

Index

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Acknowledgments

The content of this work is solely the responsibility of the au thors and does not necessarily represent the official views of the Sub stance Abuse and Mental Health Services Administration’s Center for Substance Abuse Treatment. The authors wish to acknowledge the leadership and support of the staff at the Substance Abuse and Men tal Health Services Administration’s Center for Substance Abuse Treatment during the course of the Target Cities Initiative.

Chicago:The Target Cities Project in Chicago and the ensuing studies were made possible by grant number 5 UP95 TI00664 from the Sub stance Abuse and Mental Health Services Administration’s Center for Substance Abuse Treatment and contract no. PA 00000019 through the State of Illinois Department of Human Services, Office of Alco holism and Substance Abuse.

Cleveland:The Target Cities Project in Cleveland and the ensuing studies were made possible by grant no. I U95 T10067202 from the U.S. Department of Health and Human Services, Center for Substance Abuse Treatment, through the Ohio Department of Alcohol and Drug Addiction Services and the Alcohol and Drug Addiction Services Board of Cuyahoga County, Ohio.

Detroit:The Target Cities Project in Detroit and the ensuing studies were made possible in part by grant no. 6 U95 T100665055 from the U.S. Department of Health and Human Services, Center for Substance Abuse Treatment and Michigan’s Bureau of Substance Abuse Ser vices, and a grant from the state of Michigan (Joe Young, Sr.).

Portland:The Portland Target Cities Project and the ensuing studies were funded through Multnomah County Department of Community and Family Services under a cooperative agreement (no. 93196) with

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