The Intensive Treatment Unit: A brief inpatient detoxification facility demonstrating good postdetoxification treatment entry

Factors Associated with Frequent Utilization of Crisis Substance Use Detoxification Services

“…Even in the brief 6-month period of our analysis, almost onethird of participants were admitted more than once, and approximately half of those (14%) were admitted three or more times. Consistent with previous studies, 9 we found that demographic factors were not strongly associated with repeated admission.…”

“…A 1992 study of highly disadvantaged alcoholics undergoing 5-day inpatient detoxification treatment in New York City similarly found low rates of aftercare use. 9 Barriers impeding successful transition from detoxification to rehabilitation therapy have been identified, and interventions have shown some success in improving the uptake of noncrisis services. 9,[11][12][13][14] However, the participants we analyzed showed relatively robust rates of referral to and initiation of noncrisis therapy, of which the effect on subsequent crisis use was modest and only evident when initiated immediately (within 3 days) of discharge.…”

Closing the Gaps: The Impact of Inpatient Detoxification and Continuity of Care on Client Outcomes

“…In addition to proactive discharge planning, the provision of transportation to the post -detoxi fication program also enhanced follow-up treatment rates. Similar fi ndings were fo und in a study by Carroll, Triplett, and Mondimore (2009), which noted post-detoxification admission rates of 55% to 83% and associated successful treatment linkage with active discharge planning involving client input, provision of transportation, and escort to the fo llow-up treatment program.…”

“…Since detoxification episodes provided by TIC are relatively brief, typically between five and 10 days, the addition of follow-up treat ment would essentially extend the treatment length of stay and allow for improved outcomes. Follow-up treatment in either residential or outpatient modes, rather than the more traditional path through the continuum of care from detoxification to residential to outpatient treatment, was encouraged for several reasons: managed care constraints and increasingly scarce public resources have drastically reduced the availability of residential beds, client motivation to utilize residential programs is often lacking, and studies have shown conflicting results in the differential effective ness between residential and outpatient programs (Carroll, Triplett & Mondimore 2009;Burdon et a!. 2007).…”

Performance contracting to engage detoxification-only patients into continued rehabilitation

“…First, although much has been written about the need to create a continuum of care for addiction treatment services (Carroll, Triplett, & Mondimore, 2009;McLellan, 2002;Saitz, Larson, LaBelle, Richardson, & Samet, 2008;Simpson, 2004), to our knowledge, Delaware is the first state to employ financial contingencies to increase the number of detoxification patients directly entering treatment. Importantly, the contract was initiated after other attempts to improve provider's performance had stalled.…”