Document Detail


Randomized trial of enhanced profiling in substance abuse treatment.
MedLine Citation:
PMID:  20680676     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A randomized trial of substance abuse treatment programs tested whether "enhanced profiles," consisting of feedback and coaching about performance indicators, improved the performance of residential, methadone, and detoxification programs. These enhanced profiles were reviewed during quarterly on-site visits between October 2005 and July 2007. The performance indicators were the percentage of clients completing referrals to a lower level of care, and the percentage of clients admitted to a higher level of care within 30 days of discharge. Control programs received only "basic profiles," consisting of emailed quarterly printouts of these performance indicators. Effectiveness was evaluated using hierarchical linear models with client-level information nested within agencies and regions of the state. Treatment programs receiving enhanced profiles (n = 74) did not perform significantly differently from those receiving only basic profiles (n = 29) on either performance measure. To improve performance, interventions with greater scope and incentives may be needed.
Authors:
Marilyn Daley; Donald S Shepard; Christopher Tompkins; Robert Dunigan; Sharon Reif; Jennifer Perloff; Lauren Siembab; Constance Horgan
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Administration and policy in mental health     Volume:  38     ISSN:  1573-3289     ISO Abbreviation:  Adm Policy Ment Health     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-02     Completed Date:  2011-06-23     Revised Date:  2012-03-08    
Medline Journal Info:
Nlm Unique ID:  8914574     Medline TA:  Adm Policy Ment Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  96-104     Citation Subset:  IM    
Affiliation:
Schneider Institutes for Health Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA 02454-9110, USA.
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MeSH Terms
Descriptor/Qualifier:
Continuity of Patient Care / statistics & numerical data
Humans
Medical Audit / organization & administration*,  statistics & numerical data
Mental Health Services / standards
Methadone / therapeutic use
Opiate Substitution Treatment / standards
Outcome Assessment (Health Care)
Patient Readmission / statistics & numerical data
Quality Indicators, Health Care
Quality of Health Care / standards*
Substance Abuse Treatment Centers / standards*
Substance-Related Disorders / rehabilitation*
Grant Support
ID/Acronym/Agency:
P50 DA010233/DA/NIDA NIH HHS; P50 DA010233-10/DA/NIDA NIH HHS
Chemical
Reg. No./Substance:
76-99-3/Methadone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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