The cost of treating substance use disorders: individual versus family therapy

Morgan, Triston B.; Crane, Diana; Moore, Adam; Eggett, Dennis L.

doi:10.1111/j.1467-6427.2012.00589.x

Cited by 27 publications

(17 citation statements)

References 27 publications

(40 reference statements)

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“…Study Six (Morgan et al 2012) This study looked at the cost of treating substance use disorders for more than 14,000 unique patients with individual and family therapy. Survival analysis revealed that family therapy on average used 2.41 sessions, individual therapy used 3.38 sessions, and mixed therapy used 6.40.…”

Section: Study One (Crane and Payne 2011)mentioning

confidence: 99%

A Summary Report of the Cost-Effectiveness of the Profession and Practice of Marriage and Family Therapy

Crane

Christenson

2012

Contemp Fam Ther

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This purpose of this paper is to provide a summary of the cost-effectiveness research for the profession and practice of marriage and family therapy. Studies based on four sources of data were considered: (1) a western United States HMO covering 180,000 subscribers; (2) the Kansas State Medicaid system with over 300,000 beneficiaries; (3) Cigna, a large Unites States health insurance benefits management company with more than nine million subscribers; and (4) a marriage and family therapy training clinic in the western United States serving approximately 300 individuals and families a year. Results from the studies support the potential for a medical offset effect after couple or family therapy, with the largest reduction occurring for high utilizers of health care. The studies also show that covering family therapy as a treatment option and marriage and family therapists as a provider group is not associated with significantly higher treatment costs. An application of cost-effectiveness methodology to medical family therapy is also considered.

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Section: Study One (Crane and Payne 2011)mentioning

confidence: 99%

A Summary Report of the Cost-Effectiveness of the Profession and Practice of Marriage and Family Therapy

Crane

Christenson

2012

Contemp Fam Ther

Self Cite

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“…Promising RCT results may be ultimately lost when regulatory bodies, including insurance providers, reshape EBP delivery, such as altering treatment dosage by constricting the amount of time patients are allowed in treatment (Gotham, 2006). Finally, once an EBP is available, client preference (Rieckmann et al, 2007) or financial constraints, such as required co-payments (Morgan et al, 2013), may limit center utilization.…”

Section: Introductionmentioning

confidence: 99%

Treatment strategy profiles in substance use disorder treatment programs: A latent class analysis

Edmond

Aletraris

Paino

et al. 2015

Drug and Alcohol Dependence

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Background Modern treatment options for substance use disorder are diverse. While studies have analyzed the adoption of individual evidence-based practices in treatment centers, little is known about the specific make-up of treatment strategy profiles in treatment centers throughout the United States. The current study used latent class analysis to profile underlying treatment strategies and to evaluate philosophical and structural supports associated with each profile. Methods Utilizing three aggregated and secondary datasets of nationally representative samples of substance use disorder treatment centers (N=775), we employed latent class analysis to determine treatment strategy profiles. Using multinomial logistic regression, we then examined organizational characteristics associated with each profile. Results We found three distinct treatment strategy profiles: Centers that primarily relied on Motivational Interviewing and Motivational Enhancement Therapy, centers that utilized psychosocial and alternative therapies, and centers that employed comprehensive treatments including pharmacotherapy. The multinomial logistic regression revealed that philosophical and structural center characteristics were associated with membership in the comprehensive class. Centers with philosophical orientations conducive to holistic care and pharmacotherapy-acceptance, resource-rich infrastructures, and an entrepreneurial reliance on insured clients were more likely to offer diverse interventions. All associations were significant at the .05 level. Principle Conclusion The findings from this study help us understand the general strategies of treatment centers. From a practical perspective, practitioners and clients should be aware of the variation in treatment center practices where they may offer or receive treatment.

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“…From the perspective of the recovered addict, receiving help from supportive people has been identified as the most important factor to one’s personal recovery process [7]. Interventions that include family therapy have been found more effective than individual or mixed approaches [8], and for disenfranchised persons (e.g. those recovering from severe heroin addiction), recovery from the social disruptions caused by the abuse is a simultaneous process, only rivaled in importance by quitting the drug [9].…”

Section: Introductionmentioning

confidence: 99%

Practical support aids addiction recovery: the positive identity model of change

et al. 2013

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BackgroundThere is a need for studies that can highlight principles of addiction recovery. Because social relationships are involved in all change processes, understanding how social motivations affect the recovery process is vital to guide support programs.MethodsThe objective was to develop a model of recovery by examining addicted individuals’ social motivations through longitudinal assessment of non-professional support dyads. A qualitative, longitudinal study design was used, combining focus groups and in-depth interviews with addicted individuals and their sponsors. Data were analyzed using the principles of grounded theory: open coding and memos for conceptual labelling, axial coding for category building, and selective coding for theory building. The setting was an addiction recovery social support program in Oslo, Norway. The informants included nine adults affected by addiction, six sponsors, and the program coordinator. The participants were addicted to either alcohol (2), benzodiazepines (1), pain killers (1) or polydrug-use (5). The sponsors were unpaid, and had no history of addiction problems.ResultsSupport perceived to be ineffective emerged in dyads with no operationalized goal, and high emotional availability with low degree of practical support. Support perceived to be effective was signified by the sponsor attending to power imbalance and the addict coming into position to help others and feel useful.ConclusionsThe findings appear best understood as a positive identity-model of recovery, indicated by the pursuit of skill building relevant to a non-drug using identity, and enabled by the on-going availability of instrumental support. This produced situations where role reversals were made possible, leading to increased self-esteem. Social support programs should be based on a positive identity-model of recovery that enable the building of a life-sustainable identity.

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The cost of treating substance use disorders: individual versus family therapy

Cited by 27 publications

References 27 publications

A Summary Report of the Cost-Effectiveness of the Profession and Practice of Marriage and Family Therapy

A Summary Report of the Cost-Effectiveness of the Profession and Practice of Marriage and Family Therapy

Treatment strategy profiles in substance use disorder treatment programs: A latent class analysis

Practical support aids addiction recovery: the positive identity model of change

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