The Journal of Behavioral Health Services & Research

, Volume 31, Issue 1, pp 86–97

Designated case managers as facilitators of medical and psychosocial service delivery in addiction treatment programs

Authors

    • Medicine & Community Health, Brown Medical School, Division of General Internal Medicine, Department of MedicineRhode Island Hospital
  • James C. Hendrickson
    • the National Opinion Research Center at the University of Chicago
  • Dean R. Gerstein
    • the National Opinion Research Center at the University of Chicago
  • Zhiwei Zhang
    • the National Opinion Research Center at the University of Chicago
Brief Reports

DOI: 10.1007/BF02287341

Cite this article as:
Friedmann, P.D., Hendrickson, J.C., Gerstein, D.R. et al. The Journal of Behavioral Health Services & Research (2004) 31: 86. doi:10.1007/BF02287341

Abstract

This study examines whether having designated case management staff facilitates delivery of comprehensive medical and psychosocial services in substance abuse treatment programs. A multilevel, prospective cohort study of 2829 clients admitted to selected substance abuse treatment programs was used to study clients from long-term residential, outpatient, and methadone treatment modalities. Program directors reported whether the program had staff designated as case managers. After treatment discharge, clients reported their receipt of 9 supplemental services during the treatment episode. In multivariate models controlling for multiple program-level and client-level factors, program-level availability of designated case managers increased client-level receipt of only 2 of 9 services, and exerted no effect on service comprehensiveness, compared to programs that did not have designated case managers. These findings do not support the common practice of designating case management staff as a means to facilitate comprehensive services delivery in addiction treatment programs.

Copyright information

© National Council for Community Behavioral Healthcare 2004