Service costs for women with co-occurring disorders and trauma

Several aspects of costs related to health care and other service use at 6-month follow-up are presented for women with co-occurring mental health and substance abuse disorders with histories of physical and/or sexual abuse receiving comprehensive, integrated, trauma-informed and consumer/survivor/r...

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Bibliographic Details
Published in:Journal of substance abuse treatment 2005-03, Vol.28 (2), p.135-143
Main Authors: Domino, Marisa, Morrissey, Joseph P., Nadlicki-Patterson, Terri, Chung, Sukyung
Format: Article
Language:English
Subjects:
Adult
Alcoholism - economics
Alcoholism - rehabilitation
Comorbidity
Cost analysis
Cost-Benefit Analysis - statistics & numerical data
Cost-effectiveness
Domestic violence
Female
Follow-Up Studies
Health Care Costs - statistics & numerical data
Humans
Life Change Events
Medicaid - economics
Mental disorders
Mental health
Middle Aged
Multicenter Studies as Topic
Outcome and Process Assessment (Health Care) - statistics & numerical data
Program Evaluation
Stress Disorders, Post-Traumatic - economics
Stress Disorders, Post-Traumatic - rehabilitation
Substance abuse
Substance abuse treatment
Substance-Related Disorders - economics
Substance-Related Disorders - rehabilitation
Trauma
Violence - economics
Violence - statistics & numerical data
Women
Women's Health Services - economics
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Summary:Several aspects of costs related to health care and other service use at 6-month follow-up are presented for women with co-occurring mental health and substance abuse disorders with histories of physical and/or sexual abuse receiving comprehensive, integrated, trauma-informed and consumer/survivor/recovering person-involved interventions ( n = 1023) or usual care ( n = 983) in a nine-site quasi-experimental study. Results show that, controlling for pre-baseline use, there are no significant differences in total costs between participants in the intervention condition and those in the usual care comparison condition, either from a governmental (avg. $13,500) or Medicaid reimbursement perspectives (avg. just over $10,000). When combined with clinical outcomes analyzed in other works in this issue by Cocozza et al. (2005) and Morrissey et al. (2005), which favored the intervention sites, these cost findings indicate that the treatment intervention services are cost-effective as compared with the usual care received by women at the comparison sites.
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2004.08.011