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Intro -- MEDICAID AND TREATMENT FOR PEOPLE WITH SUBSTANCE ABUSE PROBLEMS -- MEDICAID AND TREATMENT FOR PEOPLE WITH SUBSTANCE ABUSE PROBLEMS -- CONTENTS -- PREFACE -- Chapter 1 INTRODUCTION: MEDICAID AND MEDICAID COVERAGE FOR TREATMENT OF ALCOHOL AND DRUG DISORDERS -- ACKNOWLEDGEMENT -- REFERENCES -- Chapter 2 OVERVIEW OF MEDICAID AND SUBSTANCE ABUSE TREATMENT -- ABSTRACT -- INTRODUCTION -- MEDICAID REHABILITATION OPTION -- Medicaid Clinic Option -- Early and Periodic Screening, Diagnosis and Treatment (EPSDT) -- Blended/Braided Funding -- Temporary Assistance to Needy Families (TANF) -- Medicaid Waivers Under Social Security Act Section 1115 and Section 1915(B) -- Health Insurance Flexibility and Accountability (HIFA) Demonstration Waiver -- CONCLUSION -- ACKNOWLEDGEMENTS -- REFERENCES -- Chapter 3 INSURANCE INSTABILITY: REPLACEMENT OF AID TO FAMILIES WITH DEPENDENT CHILDREN BY TEMPORARY ASSISTANCE FOR NEEDY FAMILIES AND IMPACT ON MEDICAID CLIENTS WITH SUBSTANCE ABUSE PROBLEMS -- ABSTRACT -- INTRODUCTION -- BACKGROUND -- Instability in Medicaid -- CHAPTER QUESTIONS -- Insurance and Access to Care -- METHODS -- Overview -- Study Site -- Sample -- Baseline Sample -- Follow-Up Procedures -- Sample Characteristics -- Measures -- Data Analysis -- Methodological Limitations -- RESULTS -- Instability in Insurance Coverage -- Instability of Insurance Coverage and Access to Treatment -- Treatment Access among Medicaid Recipients -- CONCLUSION -- Policy Implications -- ACKNOWLEDGEMENTS -- REFERENCES -- Chapter 4 HISTORY OF MEDICAID MANAGED CARE AND SUBSTANCE ABUSE TREATMENT -- ABSTRACT -- INTRODUCTION -- SERVICES AND THEIR VALUE FOR PEOPLE WITH SUBSTANCE ABUSE PROBLEMS -- MANAGED CARE AND ITS IMPACT ON SUBSTANCE ABUSE TREATMENT -- PUBLIC SECTOR MANAGED CARE FOR SUBSTANCE ABUSE TREATMENT.

The current climate of increasing performance expectations and diminishing resources, along with innovations in evidence-based practices (EBPs), creates new dilemmas for substance abuse treatment providers, policymakers, funders, and the service delivery system. This paper describes findings from baseline interviews with representatives from 49 state substance abuse authorities (SSAs). Interviews assessed efforts aimed at facilitating EBP adoption in each state and the District of Columbia. Results suggested that SSAs are concentrating more effort on EBP implementation strategies such as education, training, and infrastructure development, and less effort on financial mechanisms, regulations, and accreditation. The majority of SSAs use EBPs as a criterion in their contracts with providers, and just over half reported that EBP use is tied to state funding. To date, Oregon remains the only state with legislation that mandates treatment expenditures for EBPs; North Carolina follows suit with legislation that requires EBP promotion within current resources.

Background: The purpose of this study was to examine the psychological status of Russian immigrants who have recently come to the United States. Aims: The project included creation of a Russian version of the Hopkins Symptom Checklist-25 (HSCL-25) in order to identify anxiety and depression in members of the Russian-speaking immigrant population. Methods: Translation and adaptation included (a) cross-cultural adaptation; (b) translation; (c) pre-testing; and (d) analysis of validity, reliability and internal consistency. Seventeen Russian-speaking patients at a Russian psychiatric clinic were recruited for the study and were compared with a sample of 42 Russianspeaking members of the community. Results: The instrument showed internal consistency when evaluated with coefficient alpha. Clinic patients had significantly higher anxiety and depression symptom scores than community subjects. Russian immigrants' scores on the anxiety and depression scales were less than comparative data for the United States and notably less than similar measures for Russian immigrants to Israel. Conclusions: Recent Russian immigrants to the United States appear to have low prevalences of anxiety and depression.