Historique
Périodique
The value of vocational rehabilitation in substance user treatment : a cost-effectiveness framework
(La valeur de la réinsertion professionnelle pour le traitement des usagers de substances psychoactives : un cadre pour évaluer le coût par rapport à l'efficacité)
Auteur(s) :
SHEPARD, D. S. ;
REIF S.
Année
2004
Page(s) :
2581-2609
Langue(s) :
Anglais
Refs biblio. :
36
Domaine :
Plusieurs produits / Several products
Thésaurus mots-clés
EMPLOI
;
REINSERTION PROFESSIONNELLE
;
TRAITEMENT
;
EFFICACITE
;
ABSTINENCE
;
COUT
;
EVALUATION
Note générale :
Substance Use and Misuse, 2004, 39, (13-14), 2581-2609
Note de contenu :
graph. ; tabl.
Résumé :
ENGLISH :
Vocational rehabilitation (VR) programs within addiction treatment traditionally consider employment as the desired outcome. This singular focus ignores other benefits, such as reduced substance use. A framework for evaluating the cost-effectiveness of VR within addiction treatment is presented and illustrated with data from the Alcohol and Drug Services Study (ADSS, 19961999). VR was associated with a 2.5% increase in probability of abstinence at an $883 increase in cost per admission. Thus, the estimated cost-effectiveness of VR in promoting abstinence is $35,000 per additional abstinent client ($883/0.025), indicating that VR is a cost-effective contributor to other goals of addiction treatment. (Editor's abstract.)
Affiliation :
Schneider Institute for Health Policy, Heller School, MS 035, Brandeis University, Waltham, MA 02454-9110. E-mail : shepard@brandeis.edu
Etats-Unis. United States.
Etats-Unis. United States.