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Factors Associated With Use of ASAM Criteria and Service Provision in a National Sample of Outpatient Substance Abuse Treatment Units

Chuang, Emmeline BA; Wells, Rebecca PhD; Alexander, Jeffrey A. PhD; Friedmann, Peter D. MD; Lee, I-Heng MA

doi: 10.1097/ADM.0b013e31818ebb6f
Original Article

Standardized patient placement criteria such as those developed by the American Society of Addiction Medicine are increasingly common in substance abuse treatment, but it is unclear what factors are associated with their use or with treatment units’ provision of related services. This study examined these issues in the context of a national survey of outpatient substance abuse treatment units. Regressions using 2005 data revealed that both public and private managed care were associated with a greater likelihood of using American Society of Addiction Medicine criteria to develop client treatment plans. However, only public managed care was associated with a greater likelihood of offering more resource-intensive services. Associations between client population severity and resource-intensive service provision were sparse but positive.

From the Department of Health Policy and Management (EC, RW, I-HL), Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC; Department of Health Management and Policy (JAA), School of Public Health, University of Michigan, Ann Arbor, MI; and Rhode Island Hospital (PDF), Alpert Medical School of Brown University, Providence, RI.

Received for publication July 19, 2008; accepted September, 21, 2008.

Supported by The National Institute on Drug Abuse from Grant 5 R01 DA003272.

Send correspondence and reprint requests to Emmeline Chuang, BA, Department of Health Policy and Administration, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7411. e-mail: emchuang@email.unc.edu

© 2009 American Society of Addiction Medicine