The Southern California Kaiser-Permanente Chemical Dependency Recovery Program evaluation: results of a treatment outcome study in an HMO setting

J Addict Dis. 1996;15(3):1-25. doi: 10.1300/J069v15n03_01.

Abstract

This report presents the methodology and outcomes of an evaluation of the Chemical Dependency Recovery Program (CDRP) of Southern California Kaiser-Permanente, a large group model HMO. CDRP treatment includes specialized detoxification inpatient facilities, day treatment and outpatient services. Substance use outcomes in a population of 1,986 patients consecutively entering treatment were obtained via telephone at six and twelve months post intake. For patients who consumed only alcohol at baseline (N = 621), significantly higher six month point prevalence abstinence rates were found among those who remained in treatment for a minimum of three months (89%), compared to those patients who failed to return for treatment after their intake (31%). For polydrug users (N = 1365), as contrasted with patients who utilized services only on their intake date, significantly higher six month point prevalence rates were restricted to those who remained in treatment for a minimum of six months (74% versus 21%). The evaluation documented the need for CDRP services, validated program effectiveness and highlighted areas for systematic improvement.

MeSH terms

  • Adult
  • Alcoholics Anonymous
  • Alcoholism / epidemiology
  • Alcoholism / therapy
  • California / epidemiology
  • Confidence Intervals
  • Female
  • Follow-Up Studies
  • Health Maintenance Organizations* / organization & administration
  • Humans
  • Length of Stay
  • Logistic Models
  • Male
  • Odds Ratio
  • Patient Dropouts / statistics & numerical data
  • Program Evaluation*
  • Sampling Studies
  • Severity of Illness Index
  • Socioeconomic Factors
  • Substance Abuse Treatment Centers* / methods
  • Substance Abuse Treatment Centers* / organization & administration
  • Substance-Related Disorders / epidemiology
  • Substance-Related Disorders / therapy*
  • Temperance / statistics & numerical data
  • Treatment Outcome