Cost-effectiveness of inpatient substance abuse treatment

During the 1980s, short-term hospital stays became an increasingly important treatment for substance abuse disorders (Gfroerer, Adams, and Moien 1988). Many states enacted laws requiring employers to include substance abuse treatment in their insurance plans, and the use of inpatient treatment increased sharply (Weisner, Greenfield, and Room 1995). Although the advent of managed care has curtailed the growth of the inpatient sector, hospital and residential stays still account for nearly one-half of the funds spent on substance abuse treatment in the United States, or more than $2 billion a year (Barnett and Rodgers 1997).

Drug and Alcohol Rehab Resouces

Below is a list of drug rehab related websites.


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Narconon Drug Rehab. The Real Dangers of Alcohol Rehab with Narconon

Author: Christian Shire

Although she is a branch of the Church of Scientology for a number of reasons, which hide this fact, and no promotional material will never reveal this Narconon Narconon program membership Scientology.The drug and alcohol rehabs based on the works and writings of Scientology founder L. Ron Hubbard and gurus, and even if did not have actual scientific training (addressed in this song), the science on which the organization bases its treatment methods depend Narconon all professionals works.Medical enough basic scientific claims are disproved treatments go ahead, but the faithful from Narconon for more of their science, their claims seem to be back. You see not allow independent confirmation of the data, and are very secretive about, alcohol, alcohol rehab, rehab, all the information and use statistics.Why Narconon could youOne aspect of Narconon's philosophy, which seems at face value to a sense of killing, that is, because the drug has created dependence and related problems as in life, drug use (drugs) in the treatment of drug addiction only worsened the problems.Of course, if you think about it you can see that the drugs are medically and Necessary medicines Completely independent! and that the use of aspirin is very unlikely, the worst problem with addiction is, unfortunately, their philosophy of abstinence from all drugs, not only ridiculous, it is also dangerous, so dangerous that the American Medical Association expressed concern about the safety of the Narconon detox program (the dangers of the Narconon). The Detox off of some drugs, like alcohol, can be very dangerous, and in some cases even be fatal if administered pharmaceuticals, and is a serious risk of seizures, convulsions and even fatal heart problems. Fortunately, these risks can be controlled by the minimal use of certain central nervous system depressants, and these drugs is to reduce the symptoms of alcohol detoxification, but in a rehabilitation Narconon, alcoholics Given unnecessary drugs, and are left to take their opportunities scientist.Narconon with back spasms and convulsions of a wrong and bad for a philosophy equally absurd and dangerous, and not the workMost treatments in a facility offering Narconon do about as much sense as a source of drugs necessary for cardiac failure and human risk of this drug and alcohol rehabs enter.If a legitimate threat to the health and wellbeing of those you need medication, especially if you need rehabilitation and alcohol detox, you should not think of any Narconon program distributed as safe or appropriate in care.Anyone should be considering a rehab to make sure it is their time, energy and money to a treatment facility that offers them the best way to ensure a full recovery and the required service life of sobriety in order to obtain a system, not scientific and clinical use proven therapies, and a device that is not the risk is not your health and your life Necessary Possibly by withholding and not intoxicating medications.Do you search find, ask your doctor, a challenging program and get the help you deserve. Do not take a chance with Narconon.

Office-Based Treatment of Opiate Addiction with a Sublingual-Tablet Formulation of Buprenorphine and Naloxone

Addiction to opiates, usually to heroin, remains a continuing problem in the United States and is increasing in Europe.1-5 Opiate-substitution pharmacotherapy reduces the use of illicit opiates and the high-risk and criminal behaviors associated with it.6-8 However, two currently available opiate-substitution therapies, methadone and levomethadyl acetate, are provided only in a strictly regulated environment in which medication is taken under clinical observation, with limited provision for take-at-home dosing.9 Such monitoring is necessary because of concern about the diversion of these drugs to illicit use but is also known to dissuade many addicted persons from seeking help.10 Furthermore, under the same regulations, access to opiate-substitution pharmacotherapy is limited to persons with defined histories of documented, chronic opiate addiction; those with relatively recent addiction are ineligible.9  

How to Find the Best Drug and Alcohol Rehabilitation Center

One of the truths with the addicts of drug or alcohol is that before getting treatment they need to accept that they have a disease and they need the treatment.

Marijuana Arrests Fuel Increase in Teen Drug Treatment Numbers

The number of American teenagers in drug treatment increased dramatically during the 1990s, but that jump was fueled almost entirely by teen marijuana users arrested and ordered into treatment by the courts. According to a study released earlier this fall by the Substance Abuse and Mental Health Services Administration (SAMHSA), the number of youth aged 12 to 17 placed in drug treatment programs rose from 95,000 in 1993 to 138,000 in 1998, an increase of 46% in five years. But the study, "Coerced Treatment Among Youths: 1993-1998," reported that "the increase was largely driven by marijuana-involved admissions referred through the criminal justice system."

"What an incredible waste," said retired American University law professor Arnold Trebach, founder of the Drug Policy Foundation and currently head of the Trebach Institute (http://www.trebach.org). "The idea that every teenage pot-smoker needs treatment is absurd," he told DRCNet. "I'm opposed to kids smoking pot," he added. "That could lead to tobacco use, which could be dangerous, but the notion that they need treatment is a reflection of how messed up our drug policy is at its core."

The study, which relied on data from SAMHSA's Drug and Alcohol Services Information System's Treatment Episode Data Set (TEDS), a nationwide compilation of treatment episodes in centers receiving federal funding, found that teen drug treatment referrals from other sources remained stable over the five-year period. Teens referred to drug treatment by schools have declined slightly to about 15,000 after peaking at about 20,000 in 1995. Self-referrals, where either the teen or a friend or family member arranged the intervention, hovered at about 20,000 in 1998, down slightly from the mid-1990s. All other referrals, which include health care providers and community, government or religious social service providers, increased from 20,000 to 30,000 between 1993 and 1995, but have remained at that level since then.

Criminal justice system referrals, either for marijuana alone or for marijuana and alcohol, have gone through the roof, however, increasing from about 37,000 in 1993 to more than 60,000 in 1998. According to the study, by 1998 almost half (49%) of all teen drug treatment admissions came through the courts, and people admitted for marijuana alone or marijuana and alcohol combined constituted three-quarters of all admissions. (Over the five-year period, alcohol alone and marijuana alone switched positions. In 1993, alcohol alone was named in 24.4% of admissions and marijuana alone in 11.9%. By 1998, alcohol alone had dropped to 9.3%, while marijuana alone had increased to 24.9%. Marijuana and alcohol combined grew slightly from 45.4% in 1993 to 51.2% in 1998.)

During the five-year period, in the midst of rapidly rising marijuana arrests during the Clinton administration, the number of teens forced into drug treatment by the criminal justice system increased 73%.

Despite the increases in overall marijuana arrests and in teens sent to drug treatment by courts, "there is very little evidence of a teen pot problem," said Trebach. "I just checked the data on child deaths from drug abuse from 1996-1999," he explained. "There are roughly a hundred per year, for all drugs. Kids are fairly sensible about this," said Trebach. "There is no great need for treatment [for teenagers], but there is a real need for getting honest information to the kids. Some kids do get in trouble with drugs, and they could use the help, but it has to be intelligent help, not the harsh regimen they often find in drug treatment today."

Visit http://www.samhsa.gov/OAS/coercedTX.pdf to read the study in full.