nach oben

Administration and Policy in Mental Health and Mental Health Services Research

Erschienen in:

01.11.2006 | OriginalPaper

Counselor Incentives to Improve Client Retention in an Outpatient Substance Abuse Aftercare Program

verfasst von: Donald S. Shepard, Jeanne A. B. Calabro, Craig T. Love, James R. McKay, Jill Tetreault, Hyong S. Yeom

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 6/2006

Einloggen, um Zugang zu erhalten

Abstract

Pay for performance, the provision of financial incentives for favorable performance, is increasingly under study as an evidence-based practice. This study estimated the improvement in client retention from offering incentives to 11 substance abuse counselors providing outpatient aftercare treatment. During the incentive period, a counselor could earn a bonus of $100, in addition to his regular compensation, for each client who completed at least five aftercare sessions (the “milestone” which we considered the minimum adequate dose of the aftercare curriculum). We evaluated this and a similar, 12-session incentive using a logistic regression in which the retention “milestone” was the dependent variable and the proportion of time in the incentive condition was the independent variable. Among the 123 clients offered this aftercare program, their probability of completing at least 5 sessions was 59% with the incentive compared to 33% beforehand (odds ratio 4.1, P<.01). These findings suggest that counselor incentives are an effective strategy to improve client retention in substance abuse treatment.

Bachman, J. (2004). Pay for performance in the behavioral healthcare arena. In Depression in primary care journal watch. Pittsburgh, PA: Department of Psychiatry, University of Pittsburgh School of Medicine. At http://www.wpic.pitt.edu/dppc/journalwatch_2004_11.htm, updated December 19, 2004, accessed March 4, 2006.

Beinecke, R. H., Shepard, D. S., & Hurley, C. L. (2006). Guest Editors’ Introduction Implementing evidence-based mental health practices and performance measures in Massachusetts. Administration and Policy in Mental Health(submitted).

Beutler, L. E., Zetzer, H., & Yost, E. (1997). Tailoring interventions to clients: Effects on engagement and retention. In L. S. Onken, J. D. Blaine, & J. J. Boren (Eds.), Beyond the therapeutic alliance: Keeping the drug-dependent individual in treatment. NIDA Research Monograph 165.

Carroll, K. M. (1997). Enhancing retention in clinical trials of psychosocial treatments: Practical strategies. In L. S. Onken, J. D. Blaine, & J. J. Boren (Eds.), Beyond the therapeutic alliance: Keeping the drug-dependent individual in treatment. NIDA Research Monograph 165.

Commons, M., McGuire, T. G., & Riordan, M. H. (1997). Performance contracting for substance abuse treatment. Health Services Research, 32(5), 631–650.PubMed

DiClemente, C. C., & Scott, C. W. (1997). Stages of change: Interactions with treatment compliance and involvement. In L. S. Onken, J. D. Blaine, & J. J. Boren (Eds.), Beyond the therapeutic alliance: Keeping the drug-dependent individual in treatment. NIDA Research Monograph 165.

Dudley, R., Frolic, A., Robinowitz, D., Talavera, J. A., Broadhead, P., & Luft, H. S. (2004). Strategies to support quality-based purchasing: A review of the evidence. Summary, Technical Review Number 10. (Prepared by Stanford University of California, San Francisco. Evidence-based Practice Center under Contract No. 290-02-00017) AHRQ Pub. No. 04-P024. Rockville, MD: Agency for Healthcare Research and Quality, 2004, from http://www.ahrq.gov/clinic/epcsums/qpurchsum.htm

Dudley, R. A., Miller, R. H., Korenbrot, T. Y., & Luft, H. S. (1998). The impact of financial incentives on quality of health care. The Milbank Quarterly, 76(4), 649–686.CrossRefPubMed

Grumbach, K., Osmond, D., Vranizam, K., Jaffe, D., & Bindman, A. B. (1998). Primary care physicians’ experience of financial incentives in managed care systems. The New England Journal of Medicine, 339(21), 1516–1521.CrossRefPubMed

Hanchak, N.A., Schlackman, N., & Harmon-Weiss, S. (1996). U.S. Healthcare’s quality-based compensation model. Health Care Financing Review, 17(3), 143–159.PubMed

Higgins, S. T., & Budney, A. J. (1997). From the initial clinic contact to aftercare: A brief review of effective strategies for retaining cocaine abusers in treatment. In L. S. Onken, J. D. Blaine, & J. J. Boren (Eds.), Beyond the therapeutic alliance: Keeping the drug-dependent individual in treatment. NIDA Research Monograph 165.

Higgins, S. T., Wong, C. J., Badger, G. J., Ogden, D. E., & Dantona, R. L. (2000). Contingent reinforcement increases cocaine abstinence during outpatient treatment and 1 year of follow-up. Journal of Consulting and Clinical Psychology, 68(1), 64–72.CrossRefPubMed

Hubbard, R. L., Craddock, S. G., & Anderson, J. (2003). Overview of 5-year follow-up outcomes in the drug abuse treatment outcome studies (DATOS). Journal of Substance Abuse Treatment, 25(3), 125–134.CrossRefPubMed

Hubbard, R. L., Marsden, M. E., Rachal, J. V., Harwood, H. J., Cavanaugh, E. R., & Ginzburg, H. M. (1989). Drug abuse treatment: A national study of effectiveness. Chapel Hill: The University of North Carolina Press.

Jamtvedt, G., Young, J. M., Kristoffersen, D. T., Thomson O’Brien, M. A., & Oxman, A. D. (2005). Audit and feedback: Effects on professional practice and health care outcomes. Cochrane Database Systematic Review, (3), CD000259.

Kamb, M. L., Rhodes, F., Hoxworth, T., Rogers, J., Lentz, A., Kent, C., MacGowen, R., & Peterman, T. A. (1998). What about money: Effect of small monetary incentives on enrollment, retention, and motivation to change behaviour in an HIV/STD prevention counseling intervention. Sexually Transmitted Infections, 74(4), 253–255.PubMedCrossRef

Kamis-Gould, E. (1987). The New Jersey performance management system: A state system and uses of simple measures. Evaluation and Program Planning, 10, 249–255.CrossRefPubMed

Lane, N. E. (2005). Performance incentives in the Massachusetts behavioral health program. Administration and Policy in Mental Health, 32, 387–401.CrossRefPubMed

Liese, B. S., & Beck, A. T. (1997). Back to basics: Fundamental cognitive therapy skills for keeping drug-dependent individuals in treatment. In L. S. Onken, J. D. Blaine, & J. J. Boren (Eds.), Beyond the therapeutic alliance: Keeping the drug-dependent individual in treatment. NIDA Research Monograph 165.

Luborsky, L., Barber, J. P., Siqueland, L., McLellan, A. T., & Woody, G. (1997). Establishing a therapeutic alliance with substance abusers. In L. S. Onken, J. D. Blaine, & J. J. Boren (Eds.), Beyond the therapeutic alliance: Keeping the drug-dependent individual in treatment. NIDA Research Monograph 165.

Luborsky, L., McLellan, A. T., Woody, G. E., O’Brien, C. P., & Auerbach, A. (1985). Therapist success and its determinants. Archives of General Psychiatry, 42, 602–611.PubMed

McCusker, J., Bigelow, C., Vickerlahti, M., Spotts, D., Garfield, F., & Frost, R. (1997). Planned duration of residential drug abuse treatment: Efficacy versus effectiveness. Addiction, 92(11), 1467–1478.CrossRefPubMed

Newman, C. F. (1997). Establishing and maintaining a therapeutic alliance with substance abuse patients: A cognitive therapy approach. In L. S. Onken, J. D. Blaine, & J. J. Boren (Eds.), Beyond the therapeutic alliance: Keeping the drug-dependent individual in treatment. NIDA Research Monograph 165.

Onken, L. S., Blaine, J. D., & Boren, J. J. (1997). Treatment for drug addiction: It won’t work if they don’t receive it. In L. S. Onken, J. D. Blaine, & J. J. Boren (Eds.), Beyond the therapeutic alliance: Keeping the drug-dependent individual in treatment. NIDA Research Monograph 165.

Piotrowski, N. A., Tusel, D. J., Sees, K. L., Reilly, P. M., Banys, P., Meek, P., & Hall, S. M. (1999). Contingency contracting with monetary reinforcers for abstinence from multiple drugs in a methadone program. Experimental and Clinical Psychopharmacology, 7(4), 399–411.CrossRefPubMed

Ritter, G., Reif, S., Gadzuk, A., Krenzke, T., Mohadjer, L., Lee, M. T., & Horgan, C. M. (2005). Incentive effects on cooperation rates and sample composition in the alcohol and drug services study. Journal of Economic and Social Measurement, 30(2–3), 171–189.

Rosenthal, M. B., Fernandopulle, H. R. S., & Landon, B. (2004). Paying for quality: Providers’ incentives for quality improvement. Health Affairs (Project Hope), 23(2), 127–141.CrossRef

Rothfleisch, J., Elk, R., Rhoades, H., & Schmitz, J. (1999). Use of monetary reinforcers by cocaine-dependent outpatients. Journal of Substance Abuse Treatment, 17(3), 229–236.CrossRefPubMed

Shepard, D.S., Beaston-Blaakman, A., & Horgan, C. (2003). The ADSS cost study: Costs of substance abuse treatment in the specialty sector. Rockville, MD: Substance Abuse and Mental Health Services Administration, Office of Applied Studies, DHHS Publication No. SMA 03-3762, Analytic Series: A-20. Web: http://www.samhsa.gov/oas/adss/ADSSCostStudy.pdf

Shepard, D. S., McKay, J., Love, C., Strickler, G., Bury-Maynard, D. P., Ritter, G., Constantine, R., Jacobson, G., & Calabro, J. (2001). Cost-effectiveness of aftercare in drug abuse treatment. Presented at the 129th Annual Meeting of the American Public Health Association, Atlanta, GA, Oct. 21–25, 2001, Session 5003.0, Abstract #24848. Web: http://www.apha.confex.com/apha/129am/techprogram/paper_24848.htm.

Stark, M. J. (1992). Dropping out of substance abuse treatment: A clinically oriented review. Clinical Psychological Review, 12, 93–116.CrossRef

Stark, M. J., Campbell, B. K., & Brinkerhoff, C. V. (1990). “Hello, may we help you?” A study of attrition prevention at the time of the first phone contact with substance abusing clients. American Journal of Drug and Alcohol Abuse, 16, 67–76.PubMed

Titel: Counselor Incentives to Improve Client Retention in an Outpatient Substance Abuse Aftercare Program
verfasst von: Donald S. Shepard
Jeanne A. B. Calabro
Craig T. Love
James R. McKay
Jill Tetreault
Hyong S. Yeom
Publikationsdatum: 01.11.2006
Verlag: Kluwer Academic Publishers-Plenum Publishers
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 6/2006
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-006-0054-2

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2006

Does Systems Integration Affect Continuity of Mental Health Care?

Public Mental Health Care Utilization by Older Adults

Desired Attributes of Evidence Assessments for Evidence-based Practices

Mental Health Quality and Accountability: The Role of Evidence-Based Practices and Performance Measurement

Project IMPACT: A Report on Barriers and Facilitators to Sustainability

Consumer Perspectives on Quality of Care in the Treatment of Schizophrenia