This project builds upon an ongoing investigation funded by a private foundation. Research data pertaining to the efficacy and cost of treatment services for alcohol-and-drug-involved adolescents have been collected as part of a process evaluation of Youth Evaluation Services, an assessment and case management program operating in Connecticut's greater Bridgeport area. Funds are requested to analyze the existing database. In combination with the results of a comprehensive diagnostic baseline evaluation, parent interviews, and record reviews, data collected from 300 adolescents at program intake and a follow-up will be used to address four specific aims: 1. To assess the effects of treatment setting and intensity on client outcomes six months following intake assessment. Of particular interest will be comparisons between clients receiving inpatient, outpatient, or no conventional treatment, statistically controlling for intake severity and other client characteristics related to outcome. 2. To determine the predictors of treatment outcomes, service utilization, and service costs. The predictive utility of demographic characteristics, type of insurance coverage, problem severity, and concomitant psychosocial problems will be explored using logistic and linear multiple regression techniques. 3. To examine the effects of case management of service utilization, cost, and outcomes. Case management coordinates services, monitors client recovery, and attempts to contain treatment costs. The proposed study will examine the effects of case management activities on treatment utilization, efficacy, and costs.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
1R01DA008727-01
Application #
2121408
Study Section
Special Emphasis Panel (SRCD (43))
Project Start
1994-09-30
Project End
1996-08-31
Budget Start
1994-09-30
Budget End
1995-08-31
Support Year
1
Fiscal Year
1994
Total Cost
Indirect Cost
Name
University of Connecticut
Department
Psychiatry
Type
Schools of Medicine
DUNS #
City
Farmington
State
CT
Country
United States
Zip Code
06030
Kosten, T R; Kosten, T A; McDougle, C J et al. (1996) Gender differences in response to intranasal cocaine administration to humans. Biol Psychiatry 39:147-8
Del Boca, F K; Babor, T F; McLaney, M A (1995) Youth Evaluation Services (YES): assessment, systems of referral, and treatment effects. NIDA Res Monogr 156:325-40