Modified therapeutic community for mentally ill chemical abusers: Outcomes and costs

Michael French, Stanley Sacks, George De Leon, Graham Staines, Karen McKendrick

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Several studies have established that the personal and social consequences of substance abuse are extensive and costly. These consequences are frequently compounded by mental illness. Although interventions that target mentally ill chemical abusers (MICAs) present several challenges, the potential benefits of successful interventions are significant. This article presents outcomes and costs of a modified therapeutic community (TC) intervention for homeless MICAs. Outcomes at follow-up are compared with those for a control group of homeless MICAs receiving standard services in a 'treatment-as-usual' (TAU) condition. Annual economic costs for the modified TC and the average weekly cost of treating a single client are estimated. Treatment and other health service costs at 12 months postbaseline are compared for modified TC and TAU clients. The results of this study indicate that, suitably modified, the TC approach is an effective treatment alternative for homeless MICAs, with the potential to be highly cost- effective relative to standard services.

Original languageEnglish (US)
Pages (from-to)60-85
Number of pages26
JournalEvaluation and the Health Professions
Volume22
Issue number1
DOIs
StatePublished - Mar 1999

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Therapeutic Community
therapeutic community
Mentally Ill Persons
Costs and Cost Analysis
costs
Therapeutics
Health Care Costs
Health Services
Substance-Related Disorders
social effects
mental illness
substance abuse
Economics
health service
Control Groups
economics
Group

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Health Policy

Cite this

Modified therapeutic community for mentally ill chemical abusers : Outcomes and costs. / French, Michael; Sacks, Stanley; De Leon, George; Staines, Graham; McKendrick, Karen.

In: Evaluation and the Health Professions, Vol. 22, No. 1, 03.1999, p. 60-85.

Research output: Contribution to journalArticle

French, Michael ; Sacks, Stanley ; De Leon, George ; Staines, Graham ; McKendrick, Karen. / Modified therapeutic community for mentally ill chemical abusers : Outcomes and costs. In: Evaluation and the Health Professions. 1999 ; Vol. 22, No. 1. pp. 60-85.
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