TY - JOUR
T1 - Client incentives versus contracting and staff incentives
T2 - How care continuity interventions in substance abuse treatment can improve residential to outpatient transition
AU - Acquavita, Shauna P.
AU - Stershic, Sandra
AU - Sharma, Rajni
AU - Stitzer, Maxine
N1 - Funding Information:
This study was supported by DA022341 from the National Institute on Drug Abuse . Thanks go to staff and management of the Tuerk House and to the outpatient treatment programs that participated in this project. Thanks also to Wendy Parker and Felicia Yahiro for research support and to Greg Warren and staff at Baltimore Substance Abuse Treatment Systems (BSAS) for their support and encouragement.
PY - 2013/7
Y1 - 2013/7
N2 - Interventions for improving transition from short-term residential to outpatient treatment were examined. Usual care (UC; n= 114) was referral to a preferred outpatient program with advance appointment optional. Client incentive (CI; n= 97) offered up to $100 in gift cards for intake and attendance during the first 30. days of treatment. Contracting with staff incentives (CSI; n= 49) consisted of meeting with an outpatient counselor prior to residential discharge, signing an attendance contract, receiving an appointment and payment to staff if clients attended. CSI significantly improved rates of successful transition (84%) and admission (74%) compared to UC (64% contact; 49% admitted). CI did not result in significantly improved outcomes (74%; 60%). CSI was likely mediated by the reliability (92 versus 52% in UC) and immediacy (1.0 versus 3.9. days) of appointment scheduling. This study supports use of CSI for improving rates of transition between residential and outpatient continuing care treatment.
AB - Interventions for improving transition from short-term residential to outpatient treatment were examined. Usual care (UC; n= 114) was referral to a preferred outpatient program with advance appointment optional. Client incentive (CI; n= 97) offered up to $100 in gift cards for intake and attendance during the first 30. days of treatment. Contracting with staff incentives (CSI; n= 49) consisted of meeting with an outpatient counselor prior to residential discharge, signing an attendance contract, receiving an appointment and payment to staff if clients attended. CSI significantly improved rates of successful transition (84%) and admission (74%) compared to UC (64% contact; 49% admitted). CI did not result in significantly improved outcomes (74%; 60%). CSI was likely mediated by the reliability (92 versus 52% in UC) and immediacy (1.0 versus 3.9. days) of appointment scheduling. This study supports use of CSI for improving rates of transition between residential and outpatient continuing care treatment.
KW - Contracting
KW - Incentives
KW - Outpatient treatment
KW - Residential treatment
KW - Substance abuse treatment
KW - Treatment transients
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U2 - 10.1016/j.jsat.2012.12.010
DO - 10.1016/j.jsat.2012.12.010
M3 - Article
C2 - 23375361
AN - SCOPUS:84876972830
SN - 0740-5472
VL - 45
SP - 55
EP - 62
JO - Journal of Substance Abuse Treatment
JF - Journal of Substance Abuse Treatment
IS - 1
ER -