Historique
Périodique
Service costs for women with co-occurring disorders and trauma
(Coût de la prise en charge de femmes traumatisées souffrant d'une comorbidité de troubles addictifs et mentaux)
Auteur(s) :
M. DOMINO ;
MORRISSEY J. P. ;
T. NADLICKI-PATTERSON ;
S. CHUNG
Article en page(s) :
135-143
Refs biblio. :
35
Domaine :
Plusieurs produits / Several products
Langue(s) :
Anglais
Thésaurus mots-clés
SEXE FEMININ
;
COMORBIDITE
;
ETAT DE STRESS POST-TRAUMATIQUE
;
PSYCHOPATHOLOGIE
;
ADDICTION
;
TRAITEMENT
;
COUT
Note générale :
Journal of Substance Abuse Treatment, 2005, 28, (2), 135-143
Note de contenu :
tabl.
Résumé :
ENGLISH :
Several aspects of costs related to health care and other service use at 6-month follow-up are presented for women with co-occurring mental health and substance abuse disorders with histories of physical and/or sexual abuse receiving comprehensive, integrated, trauma-informed and consumer/survivor/recovering person-involved interventions (n = 1023) or usual care (n = 983) in a nine-site quasi-experimental study. Results show that, controlling for pre-baseline use, there are no significant differences in total costs between participants in the intervention condition and those in the usual care comparison condition, either from a governmental (avg. $13,500) or Medicaid reimbursement perspectives (avg. just over $10,000). When combined with clinical outcomes analyzed in other works in this issue by Cocozza et al. (2005) and Morrissey et al. (2005), which favored the intervention sites, these cost findings indicate that the treatment intervention services are cost-effective as compared with the usual care received by women at the comparison sites. (Review' s abstract)
ENGLISH :
Several aspects of costs related to health care and other service use at 6-month follow-up are presented for women with co-occurring mental health and substance abuse disorders with histories of physical and/or sexual abuse receiving comprehensive, integrated, trauma-informed and consumer/survivor/recovering person-involved interventions (n = 1023) or usual care (n = 983) in a nine-site quasi-experimental study. Results show that, controlling for pre-baseline use, there are no significant differences in total costs between participants in the intervention condition and those in the usual care comparison condition, either from a governmental (avg. $13,500) or Medicaid reimbursement perspectives (avg. just over $10,000). When combined with clinical outcomes analyzed in other works in this issue by Cocozza et al. (2005) and Morrissey et al. (2005), which favored the intervention sites, these cost findings indicate that the treatment intervention services are cost-effective as compared with the usual care received by women at the comparison sites. (Review' s abstract)
Affiliation :
Department of Health Policy and Administration, School of Public Health, University of North Carolina at Chapel Hill, 1104G McGavran-Greenberg Hall, CB 7411, Chapel Hill, NC 27599-7411. E-mail : dominounc.edu
Etats-Unis. United States.
Etats-Unis. United States.
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