Treatment for substance use disorders in a privately insured population under managed care: Costs and services use

Journal of Substance Abuse Treatment

Volumn 27, Issue 4, 2004, Pages 265-275

  Greenfield, Shelly F ^a,b   Azzone, Vanessa ^b   Huskamp, Haiden ^b   Cuffel, Brian ^c   Croghan, Thomas ^d   Goldman, William ^c   Frank, Richard G ^b  

^a MCLEAN HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c United Behavioral Health   (United States)

^d RAND CORPORATION   (United States)

Author keywords

Client characteristics; Employee health insurance; Health care utilization; Mental health services; Substance abuse treatment

Indexed keywords

ADULT; ARTICLE; DRUG COST; DRUG DEPENDENCE; DRUG DETOXIFICATION; FEMALE; HEALTH CARE COST; HEALTH INSURANCE; HUMAN; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; MENTAL HEALTH SERVICE; MENTAL PATIENT; OUTPATIENT; PRIORITY JOURNAL; PSYCHOPHARMACOTHERAPY; SUBSTANCE ABUSE;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CHILD; COSTS AND COST ANALYSIS; FEMALE; HUMANS; INSURANCE, HEALTH; MALE; MANAGED CARE PROGRAMS; MENTAL DISORDERS; MENTAL HEALTH SERVICES; MIDDLE AGED; PRIVATE SECTOR; SUBSTANCE-RELATED DISORDERS; UNITED STATES;

EID: 10944248863     PISSN: 07405472     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jsat.2004.07.002     Document Type: Article

References (40)

1. P.K. Alexandre, T.M. Roebuck, M.T. French, D.D. Chitwood, and C.B. McCoy Problem drinking, health services utilization, and the cost of medical care Recent Developments in Alcoholism 15 2001 285 298
2. American Medical Association Physician's Current Procedural Terminology 4th ed. 1998 American Medical Association Chicago
3. American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders 4th ed. 1994 Author Washington, DC
4. J.O. Blose, and H.D. Holder The utilization of medical care by treated alcoholics: longitudinal patterns by age, gender, and type of care Journal of Substance Abuse 3 1991 13 27
5. J.A. Califano Jr. Substance abuse and addiction-The need to know American Journal of Public Health 88 1998 9 11
6. W.S. Cartwright, and L.M. Ingster A patient-based analysis of drug disorder diagnoses in the Medicare population Health Care Financing Review 15 1993 89 101
7. R.E. Drake, F.C. Osher, and M.A. Wallach Alcohol use and abuse in schizophrenia: a prospective community study Journal of Nervous Mental Disorders 177 1989 408 414
8. F. Duckert Recruitment into treatment and effects of treatment for female problem drinkers Addictive Behaviors 12 1987 137 150
9. R.G. Frank, and T.G. McGuire Savings from a Medicaid carve-out for mental health and substance abuse services in Massachusetts Psychiatric Services 48 1997 1147 1152
10. R.G. Frank, T.G. McGuire, and J.P. Newhouse Risk contracts in managed mental health care Health Affairs (Millwood) 14 1995 50 64
11. W. Goldman, J. McCulloch, and R. Sturm Costs and use of mental health services before and after managed care Health Affairs (Millwood) 17 1998 40 52
12. A. Halliday, B. Bush, P. Cleary, M. Aronson, and T. Delbanco Alcohol abuse in women seeking gynecologic care Obstetrics and Gynecology 68 1986 322 326
13. H. Holder, and J. Blose Alcoholism treatment and total health care utilization and costs. A four-year longitudinal analysis of federal employees JAMA 256 1986 1456 1460
14. H.D. Holder, and J.O. Blose The reduction of health care costs associated with alcoholism treatment: A 14-year longitudinal study Journal of Studies in Alcohol 53 1992 293 302
15. C. Horgan Substance Abuse: The Nation's Number One Health Problem-Key Indicators for Policy 1997 The Robert Wood Johnson Foundation Princeton, NJ
16. R. Kessler, R. Crum, L. Warner, C. Nelson, J. Schulenberg, and J. Anthony Lifetime co-occurrence of DSM-III-R alcohol abuse and dependence with other psychiatric disorders in the national comorbidity survey Archives of General Psychiatry 54 1997 313 321
17. R. Kessler, S. Zhao, S. Katz, A. Kouzis, R. Frank, M. Edlund, and P. Leaf Past-year use of outpatient services for psychiatric problems in the National Comorbidity Survey American Journal of Psychiatry 156 1999 115 123
18. R.C. Kessler, S. Aguilar-Gaxiola, P.A. Berglund, J.J. Caraveo-Anduaga, D.J. DeWit, S.F. Greenfield, B. Kolody, M. Olfson, and W.A. Vega Patterns and predictors of treatment seeking after onset of a substance use disorder Archives of General Psychiatry 58 2001 1065 1071
19. A. Leshner Addiction is a brain disease and it matters Science 278 1997 45 47
20. A. Leshner Science-based views of drug addiction and its treatment Journal of the American Medical Association 282 1999 1314 1316
21. T.L. Mark, R.M. Coffey, E. King, H. Harwood, D. McKusick, J. Genuardi, J. Dilonardo, and J.A. Buck Spending on mental health and substance abuse treatment, 1987-1997 Health Affairs (Millwood) 19 2000 108 120
22. A.T. McLellan, D.C. Lewis, C.P. O'Brien, and H.D. Kleber Drug dependence, a chronic medical illness: Implications for treatment, insurance, and outcomes evaluation Journal of the American Medical Association 284 2000 1689 1695
23. A.T. McLellan, G.E. Woody, D. Metzger, J. McKay, J. Durell, A.I. Alterman, and C.P. O'Brien Evaluating the effectiveness of addiction treatments: Reasonable expectations, appropriate comparisons The Milbank Quarterly 74 1996 51 85
24. National Institute on Drug Abuse Principles of Drug Addiction Treatment: A Research-Based Guide. Report NIH Pub. No. 99-4180 1999 National Institutes of Health Washington, DC
25. C. O'Brien A range of research-based pharmacotherapies for addiction Science 278 1997 66 70
26. S. Parthasarathy, C. Weisner, T.-W. Hu, and C. Moore Association of outpatient alcohol and drug treatment with health care utilization and cost: Revisiting the offset hypothesis Journal of Studies in Alcohol 62 2001 89 97
27. D.A. Regier, M.E. Farmer, D.S. Rae, B.Z. Locke, S.J. Keith, L.L. Judd, and F.K. Goodwin Co-morbidity of mental disorders with alcohol and other drug abuse: Results from the epidemiologic catchment area (ECA) study Journal of the American Medical Association 264 1990 2511 2518
28. D.A. Regier, W.G. Narrow, D.S. Rae, R.W. Manderscheid, B.Z. Locke, and F.K. Goodwin The de facto US mental and addictive disorders service system: Epidemiologic Catchment Area prospective one-year prevalence of disorders and services Archives of General Psychiatry 50 1993 85 94
29. M. Schoenbaum, W. Zhang, and R. Sturm Costs and utilization of substance abuse care in a privately insured population under managed care Psychiatric Services 49 1998 1573 1578
30. G. Simon, and J. Unutzer Health care utilization and costs among patients treated for bipolar disorder in an insured population Psychiatric Services 50 1999 1303 1308
31. M. Sing, and S. Hill Economic ground rounds: The costs of parity mandates for mental health and substance abuse insurance benefits Psychiatric Services 52 2001 437 440
32. M.D. Stein, P.S. O'Sullivan, P. Ellis, H. Perrin, and A. Wartenberg Utilization of medical services by drug abusers in detoxification Journal of Substance Abuse 5 1993 187 193
33. R. Sturm Substance Abuse Treatment, State Parity Legislation and Managed Care. Connection, a publication by the Association for Health Services Research 1999
34. R. Sturm, W. Zhang, and M. Schoenbaum How expensive are unlimited substance abuse benefits under managed care? Journal of Behavioral Health Services and Research 26 1999 203 210
35. Substance Abuse and Mental Health Services Administration Summary of Findings from the 1999 National Household Survey on Drug Abuse. Report DHHS Publication No. SMA 00-3466 2000 Department of Health and Human Services Rockville, MD
36. L.A. Warner, R.C. Kessler, M. Hughes, J.C. Anthony, and C.B. Nelson Prevalence and correlates of drug use and dependence in the United States: Results form the National Comorbidity Study Archives of General Psychiatry 52 1995 219 229
37. C. Weisner The epidemiology of combined alcohol and drug use within treatment agencies: A comparison by gender Journal of Studies in Alcohol 54 1993 268 274
38. C. Weisner, and L. Schmidt Gender disparities in treatment for alcohol treatment problems Journal of the American Medical Association 268 1992 1872 1876
39. L. Wu, A. Kouzis, and P. Leaf Influence of comorbid alcohol and psychiatric disorders on utilization of mental health services in the National Comorbidity Survey American Journal of Psychiatry 156 1999 1230 1236
40. S.K. Zavala, and M.T. French Dangerous to your health: The role of chronic drug use in serious injuries and trauma Medical Care 41 2003 309 322