Iowa Case Management for Rural Drug Abuse

Objective: The purpose of this research was to evaluate the effectiveness of a comprehensive, strengths-based model of case management for clients in drug abuse treatment. Method: 503 volunteers from residential or intensive outpatient treatment were randomly assigned to one of three conditions of I...

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Bibliographic Details
Published in:Research on social work practice 2009-07, Vol.19 (4), p.407-422
Main Authors: Hall, James A., Vaughan Sarrazin, Mary S., Huber, Diane L., Vaughn, Thomas, Block, Robert I., Reedy, Amanda R., MiJin Jang
Format: Article
Language:English
Subjects:
Alcohol Abuse
Case Management
Caseworker Approach
Comparative Analysis
Drug Abuse
Drug Rehabilitation
Drug Therapy
Iowa
Outcomes of Treatment
Persistence
Program Effectiveness
Program Evaluation
Rural Areas
Rural communities
Social research
Social Work
Substance Abuse
Substance abuse treatment
Treatment
Treatment Outcomes
Treatment Programs
Volunteers
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Summary:Objective: The purpose of this research was to evaluate the effectiveness of a comprehensive, strengths-based model of case management for clients in drug abuse treatment. Method: 503 volunteers from residential or intensive outpatient treatment were randomly assigned to one of three conditions of Iowa Case Management (ICM) plus treatment as usual (TAU), or to a fourth condition of TAU only. All were assessed at intake and followed at 3, 6, and 12 months. Results: Clients in all four conditions significantly decreased substance use by 3 months after intake and maintained most gains over time. However, the addition of ICM to TAU did not improve substance use outcomes. Conclusion: Overall, the addition of case management did not significantly improve drug treatment as hypothesized by both researchers and clinicians. Some results were mixed, possibly due to the heterogeneous sample, wide range of case management activities, or difficulty retaining participants over time.
ISSN:1049-7315
1552-7581
DOI:10.1177/1049731509331925