The Value of Vocational Rehabilitation in Substance User Treatment: A Cost-Effectiveness Framework
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...
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| Veröffentlicht in: | Substance use & misuse 2004, Vol.39 (13-14), p.2581-2609 |
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| container_end_page | 2609 |
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| container_issue | 13-14 |
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| container_title | Substance use & misuse |
| container_volume | 39 |
| creator | Shepard, Donald S. Reif, Sharon |
| description | 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, 1996-1999). 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. |
| doi_str_mv | 10.1081/JA-200034732 |
| format | Article |
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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, 1996-1999). VR was associated with a 2.5% increase in probability of abstinence at an $883 increase in cost per admission. 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Psychiatry</subject><subject>Substance abusers</subject><subject>Substance use</subject><subject>Substance-Related Disorders - economics</subject><subject>Substance-Related Disorders - rehabilitation</subject><subject>Treatment</subject><subject>USA</subject><subject>Vocational Guidance - economics</subject><subject>Vocational rehabilitation</subject><issn>1082-6084</issn><issn>1532-2491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kU1v1DAQQCMEoqVw44x8gRNpbU8SJ9xWqxaoKlWCba_WxBlrXZy42A6o_56UXVohwWlGozcfelMUrwU_FrwVJ-erUnLOoVIgnxSHogZZyqoTT5ect7JseFsdFC9SuuFctALE8-JA1A0HLurDot9siV2jn4kFy66DwezChJ59oS32zrv8u8DcxL7Ofco4GWJXiSLbRMI80pQ_sBVbh5TLU2vJZPeDJkqJnUUc6WeI314Wzyz6RK_28ai4OjvdrD-VF5cfP69XF6WpqjqXqFQDrcLB9tB10ElpWgmmtf0gm6ZDkH0lhAUlhTTQd4PqoJIAhjpTA9ZwVLzbzb2N4ftMKevRJUPe40RhTrpWQkilYAHf70ATQ0qRrL6NbsR4pwXX9071-Uo_OF3wN_u5cz_S8AjvJS7A2z2AyaC3cZHk0iPXyG4h7_eqHecmG-KIixw_6Ix3PsQ_TfCfE5q_OreEPm8NRtI3YY7Lv9K_b_8F0syhMA</recordid><startdate>2004</startdate><enddate>2004</enddate><creator>Shepard, Donald S.</creator><creator>Reif, Sharon</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope></search><sort><creationdate>2004</creationdate><title>The Value of Vocational Rehabilitation in Substance User Treatment: A Cost-Effectiveness Framework</title><author>Shepard, Donald S. ; Reif, Sharon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-a776387adfb3993922c823c8fbd2669a32b411f37212c3b9d7934233ce9c53a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Addictive behaviors</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Cost effectiveness</topic><topic>Cost-Benefit Analysis</topic><topic>Data Collection</topic><topic>Employment</topic><topic>Female</topic><topic>Focus Groups</topic><topic>Fundamental and applied biological sciences. 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| fulltext | fulltext |
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| ispartof | Substance use & misuse, 2004, Vol.39 (13-14), p.2581-2609 |
| issn | 1082-6084 1532-2491 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Taylor & Francis; MEDLINE; Taylor & Francis Medical Library - CRKN |
| subjects | Addictive behaviors Adult Adult and adolescent clinical studies Biological and medical sciences Cost effectiveness Cost-Benefit Analysis Data Collection Employment Female Focus Groups Fundamental and applied biological sciences. Psychology Humans Male Medical sciences Outcomes Psychoanalysis Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Substance abusers Substance use Substance-Related Disorders - economics Substance-Related Disorders - rehabilitation Treatment USA Vocational Guidance - economics Vocational rehabilitation |
| title | The Value of Vocational Rehabilitation in Substance User Treatment: A Cost-Effectiveness Framework |
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