Suchergebnisse

TREATING DRUG PROBLEMS -- Copyright -- Preface -- Contents -- A Century of American Narcotic Policy -- THE SOCIAL AND LEGISLATIVE ORIGINS OF NARCOTIC CONTROL -- LIFE UNDER ANSLINGER -- MINORITIES AND NARCOTIC USE: THE SECOND TRANSFORMATION -- THE END OF THE CLASSIC PERIOD, 1960-1965 -- DRUG POLICY AND DRUG USE SINCE 1965 -- NOTES -- Federal Leadership in Building the National Drug Treatment System -- EARLY PROGRAMS -- EARLY LEGISLATIVE REFORM -- National Addict Rehabilitation Act -- Other Legislation -- LEGISLATIVE EXPANSION -- Special Action Office for Drug Abuse Prevention -- Governmental Reorganization -- Management Procedures -- The Ford Administration-A Turning Point -- CONSOLIDATION -- Block Grants -- CONCLUSIONS -- ACKNOWLEDGMENT -- REFERENCES -- APPENDIX: FEDERAL FUNDING POLICIES FROM 1967 TO 1980 -- 1967-1972 -- 1972 -- 1973 -- 1974 -- 1975 -- 1977 -- 1978 -- 1979 -- Drug Treatment in State Prisons -- OPPOSITION TO PRISON-BASED DRUG TREATMENT: A RESPONSE -- The Belief That ''Nothing Works" in Rehabilitation -- Belief in Imprisonment -- THE NEED FOR DRUG TREATMENT IN PRISONS -- The Relationship Between Drug Use and Crime -- Assessing the Drug-Crime Connection from a Treatment Perspective -- EVALUATION RESEARCH ON PRISON-BASED AND COMMUNITY DRUG TREATMENT PROGRAMS -- Prison-Based Drug Treatment Programs -- Stay'n Out -- Cornerstone -- The Simon Fraser University Program -- The Wharton Tract Narcotics Treatment Program -- The Terminal Island Drug Treatment Program -- Community-Based Drug Treatment -- WHAT WORKS AND WHAT DOES NOT WORK IN PRISON-BASED TREATMENT -- Impediments to Prison-Based Drug Treatment -- Elements of Effective Correctional Treatment Programs -- Guidelines for Effective Treatment -- PROJECT REFORM: A NATIONAL PROJECT TO ESTABLISH DRUG TREATMENT PROGRAMS IN CORRECTIONS.

Political and social demands for effective and cost-effective treatments for drug and alcohol dependence challenge public policy makers and services researchers to assess provider performance, monitor client outcomes, and document effectiveness and cost-effectiveness of care. The information systems built and maintained by the public authorities that fund substance abuse treatment services are an underused source of information on provider performance, client characteristics, treatment completion, readmission rates, treatment outcomes, and costs of care. An overview of performance measurement and state substance abuse databases sets the context for the article. The authors' work with the Maine, Massachusetts, and Ohio substance abuse information systems demonstrates ways services researchers can investigate the organization, use, costs, and cost-effectiveness of publicly funded substance abuse treatment services. Finally, challenges of working with state databases—they are hard to access, must be handled carefully, can be difficult to interpret, and require collaboration with policy makers and treatment providers—are addressed.