ASAM Patient Placement Criteria Treatment Levels: Do They Correspond to Care Actually Received by Homeless Substance Abusing Adults?

We report findings from a community-based two-city survey of homeless adults comparing the level of substance abuse treatment assigned to them using the ASAM Patient Placement Criteria with care actually received during the previous 12 months. Overall 531 adults were surveyed with 382 meeting DSM-II...

Full description

Saved in:
Bibliographic Details
Published in:Journal of addictive diseases 2004-01, Vol.23 (1), p.1-15
Main Authors: O'toole, Thomas P., Freyder, Paul J., Gibbon, Jeanette L., Hanusa, Barbara J., Seltzer, Debora, Fine, Michael J.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adults
Cohort Studies
Community Mental Health Services - supply & distribution
Community Mental Health Services - utilization
Cross-Sectional Studies
Drug abuse
Female
Health Services Needs and Demand - statistics & numerical data
Homeless people
Homeless Persons - classification
Homeless Persons - psychology
Homeless Persons - statistics & numerical data
Homelessness
Humans
Interviews as Topic
Male
Middle Aged
Patient Selection
Pennsylvania - epidemiology
Philadelphia - epidemiology
Substance Abuse
Substance abuse treatment
Substance Abuse Treatment Centers - utilization
Substance-Related Disorders - epidemiology
Substance-Related Disorders - therapy
Surveys and Questionnaires
Treatment
Treatment Compliance
Urban Health Services
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We report findings from a community-based two-city survey of homeless adults comparing the level of substance abuse treatment assigned to them using the ASAM Patient Placement Criteria with care actually received during the previous 12 months. Overall 531 adults were surveyed with 382 meeting DSM-IIIR criteria of being in need of treatment or having a demand for treatment. Of those with a treatment need, 1.5% met criteria for outpatient care, 40.3% intensive outpatient/ partial hospitalization care, 29.8% medically monitored care and 28.8% managed care levels. In contrast, of those receiving treatment (50.5%, 162 persons), almost all care received by this cohort was either inpatient or residential based (83.6%). Unsheltered homeless persons and those without insurance were significantly more likely to report not receiving needed treatment. Lack of treatment availability or capacity, expense, and changing one's mind while on a wait list were the most commonly cited reasons for no treatment.
ISSN:1055-0887
1545-0848
DOI:10.1300/J069v23n01_01