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

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

Research output: Contribution to journalArticle

42 Scopus citations

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 1 1999

ASJC Scopus subject areas

  • Health Policy

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