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Journal of Studies on Alcohol and Drugs. Supplement

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https://read.qxmd.com/read/30681960/needs-based-planning-for-substance-use-treatment-systems-progress-prospects-and-the-search-for-a-new-perspective
#1
Thomas F Babor, Brian Rush, Joël Tremblay
The articles presented in this issue of the Journal of Studies on Alcohol and Drugs (Supplement No. 18) describe the rapid improvements over the past decade in methods, theories, and data systems used for needs-based planning of addiction treatment services. In this concluding essay, the editors describe the progress, prospects, and implications of this new wave of research. It is concluded that these developments can be used to maximize the impact of treatment services at the population level.
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681959/system-performance-measurement-implications-for-service-planning
#2
Marie-JosÉe Fleury
No abstract text is available yet for this article.
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681958/the-experience-of-the-treatment-demand-indicator-in-europe-a-common-monitoring-tool-across-30-countries
#3
Linda Montanari, Alessandro Pirona, Bruno Guarita, Dagmar Hedrich, Jane Mounteney, Julian Vicente
OBJECTIVE: The article describes an epidemiological indicator called Treatment Demand Indicator (TDI). The TDI aims to provide professionals and researchers with a common European methodology for collecting and reporting core data on drug users in contact with treatment services. The article discusses the implementation of the TDI in the European countries and describes the main results, limitations, and future perspectives. METHOD: The TDI provides a common format for reporting data on clients entering treatment as a result of their drug use and related problems during each calendar year...
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681957/a-mixed-methods-evaluation-of-the-implementation-of-a-performance-measurement-system-for-south-africa-s-substance-use-treatment-services
#4
Bronwyn Myers, Petal Petersen Williams, Rajen Govender, Ron Manderscheid, J Randy Koch
OBJECTIVE: Minimal knowledge exists on the factors that affect implementation of performance measurement systems, particularly in low- and middle-income countries (LMICs). To address this, we describe the implementation of a performance measurement system for South Africa's substance abuse treatment services known as the Service Quality Measures (SQM) initiative. METHOD: We conducted a mixed-methods evaluation of system implementation. We surveyed 81 providers about the extent of system implementation within their agencies and the factors that facilitated implementation...
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681956/performance-measurement-in-mental-health-and-addictions-systems-a-scoping-review
#5
Karen Urbanoski, Dakota Inglis
OBJECTIVE: The purpose of this study was to evaluate how performance is defined, conceptualized, and measured in mental health and addiction service systems around the world. METHOD: We conducted a systematic scoping review of English-language scientific and gray literature published from 2005 to 2015. Eligible documents (n = 222) described performance measurement systems and outlined the theory or empirical evidence for indicators. We used a structured approach for data extraction and descriptive and thematic analysis, supplemented with stakeholder consultation...
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681955/the-need-for-needs-based-planning-a-commentary
#6
Jeremy W Bray
No abstract text is available yet for this article.
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681954/addiction-treatment-who-needs-it
#7
Colin Drummond
No abstract text is available yet for this article.
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681953/modeling-the-potential-impact-of-changing-access-rates-to-specialist-treatment-for-alcohol-dependence-for-local-authorities-in-england-the-specialist-treatment-for-alcohol-model-stream
#8
Alan Brennan, Daniel Hill-McManus, Tony Stone, Penny Buykx, Abdallah Ally, Robert E Pryce, Robert Alston, Andrew Jones, Donal Cairns, Tim Millar, Michael Donmall, Tom Phillips, Petra Meier, Colin Drummond
OBJECTIVE: We modeled the impact of changing Specialist Treatment Access Rates to different treatment pathways on the future prevalence of alcohol dependence, treatment outcomes, service capacity, costs, and mortality. METHOD: Local Authority numbers and the prevalence of people "potentially in need of assessment for and treatment in specialist services for alcohol dependence" (PINASTFAD) are estimated by mild, moderate, severe, and complex needs. Administrative data were used to estimate the Specialist Treatment Access Rate per PINASTFAD person and classify 22 different treatment pathways...
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681952/estimating-service-needs-for-alcohol-and-other-drug-users-according-to-a-tiered-framework-the-case-of-the-s%C3%A3-o-paulo-brazil-metropolitan-area
#9
Daniela Cristina Belchior Mota, Camila MagalhÃes Silveira, Erica Siu, Henrique Pinto Gomide, Laura Helena Andrade Guerra, Telmo Mota Ronzani, Brian Rush
OBJECTIVE: The purpose of this study was to estimate the need for population-level services for alcohol and other drug abuse in support of local planning. METHOD: Data were drawn from a subsample of 2,942 interviewees from the São Paulo Megacity Study, which evaluated mental health in the general population (18 years and older) of residents in the São Paulo metropolitan area. This population was classified into five hierarchical categories of severity, making it possible to obtain estimates of need for services, combining evaluation criteria regarding drug and alcohol use and general and mental health comorbidities over the last 12 months...
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681951/estimating-the-needs-of-substance-problem-use-services-an-exercise-in-seven-finnish-municipalities-using-nationally-collected-municipal-level-survey-and-register-data%C3%A2
#10
Tanja Hirschovits-Gerz, Kristiina Kuussaari, Kerstin Stenius, Tuukka Tammi
OBJECTIVE: The needs of substance problem use services (SPUSs) should ideally be assessed locally to support the provision of appropriate, cost-effective services for the population. In this article we present a model for estimating the adult population's potential needs for and actual use of SPUSs. We used Finnish survey and register data as material for a qualitative assessment. The purpose of our article is to contribute to a discussion on the dimensions of assessment of the need for SPUSs at a local level...
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681950/estimation-of-needs-for-addiction-services-a-youth-model
#11
Joël Tremblay, Karine Bertrand, Nadine Blanchette-Martin, Brian Rush, Annie-Claude Savard, Nadia L'Espérance, Geneviève Demers-Lessard, Rosalie Genois
OBJECTIVE: In the field of health care services, resource allocation is increasingly determined based on a population needs model. Although service needs models have been developed for adults with substance use problems, it would seem inappropriate to apply them indiscriminately to young people. METHOD: The method used proposes six steps: (1) targeting the population, (2) estimating the proportion of the population affected by substance misuse and (3) the proportion of youths who should receive services, (4) identifying categories of services, (5) estimating the proportions of youths who should have access to each category of services, and (6) applying the model to real use of services by youths to recalibrate it...
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681949/development-of-a-needs-based-planning-model-to-estimate-required-capacity-of-a-substance-use-treatment-system
#12
Brian Rush, Joël Tremblay, David Brown
OBJECTIVE: Substance use services and supports have traditionally been funded without the benefit of a comprehensive, quantitative planning model closely aligned with population needs. This article describes the methodology used to develop and refine key features of such a model, gives an overview of the resulting Canadian prototype, and offers examples and lessons learned in pilot work. METHOD: The need for treatment was defined according to five categories of problem severity derived from national survey data and anticipated levels of help-seeking estimated from a narrative synthesis of international literature...
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681948/measuring-unmet-demand-for-alcohol-and-other-drug-treatment-the-application-of-an-australian-population-based-planning-model
#13
Alison Ritter, Jenny Chalmers, Maria Gomez
OBJECTIVE: The estimation of demand for treatment is one of the important elements in planning for alcohol and other drug treatment services. This article reports on a demand-projection model used in Australia to estimate the extent of unmet treatment demand by drug type. METHOD: The model incorporated the prevalence of substance use disorders (by drug type and age), with the application of a severity distribution, which distributed the substance abuse disorders into three disability categories: mild, moderate, and severe...
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681947/two-polar-considerations-in-treatment-system-planning-infrastructure-development-and-real-time-management
#14
Arnie Aldridge
No abstract text is available yet for this article.
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681946/why-research-should-pay-attention-to-effects-of-marketization-of-addiction-treatment-systems
#15
Jessica Storbjörk, Kerstin Stenius
OBJECTIVE: Researchers generally assume that addiction treatment systems can be viewed as entities and planned with the citizens' best interests in mind. We argue that another steering principle, the market logic, has permeated many Western World treatment systems but is neglected in research. We demonstrate how it may affect system-level planning, service provision, and the service users. METHOD: We draw on an ongoing Swedish study, with some Nordic references, using several data sources: (1) public statistics on treatment expenditures and purchases; (2) interviews with service users (n = 36) and their service providers (n = 23) on different market features; (3) an observation of a large public procurement process concluding framework agreements based on competitive tendering; (4) interviews with officials involved with steering of the system and procurement (n = 16); (5) a workshop on procurement in the Nordic countries (n = 11 participants); and (6) 77 interviews with professionals, managers, and elected representatives...
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681945/key-considerations-in-planning-for-substance-use-treatment-estimating-treatment-need-and-demand
#16
Alison Ritter, Richard Mellor, Jenny Chalmers, Matthew Sunderland, Kari Lancaster
OBJECTIVE: Estimates of the extent of treatment need (defined by the presence of a diagnosis for which there is an effective treatment available) and treatment demand (defined as treatment seeking) are essential parts of effective treatment planning, service provision, and treatment funding. This article reviews the existing literature on approaches to estimating need and demand and the use of models to inform such estimation, and then considers the implications for health planners. METHOD: A thematic review of the literature was undertaken, with a focus on covering the key concepts and research methods that have been used to date...
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681944/seven-core-principles-of-substance-use-treatment-system-design-to-aid-in-identifying-strengths-gaps-and-required-enhancements
#17
Brian Rush, Karen Urbanoski
OBJECTIVE: System planners and funders encounter many challenges in taking action toward evidence-informed enhancement of substance use treatment systems. Researchers are increasingly asked to contribute expertise to these processes through comprehensive system reviews. In this role, all parties can benefit from guiding frameworks to help organize key questions and data collection activities, and thereby set the stage for both high-level and on-the-ground strategic directions and recommendations...
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/30681943/needs-based-planning-for-substance-use-treatment-systems-the-new-generation-of-principles-methods-and-models
#18
Brian Rush, Joël Tremblay, Thomas F Babor
No abstract text is available yet for this article.
January 2019: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/24565319/alcohol-studies-and-science-trapped-in-the-velvet-cage-of-medical-research-an-editorial
#19
EDITORIAL
Paul M Roman
OBJECTIVE: This article offers the author's assessment of the progress in research on alcohol related to alcohol misuse and alcohol use disorders. METHOD: The historical background of alcohol-problem research is reviewed in the context of defining problems for study and the pattern by which research is funded. RESULTS: Progress in terms of cumulative research has been affected by the lack of central authority and the National Institutes of Health structure within which almost all funding for alcohol research in the United States has occurred...
2014: Journal of Studies on Alcohol and Drugs. Supplement
https://read.qxmd.com/read/24565318/seventy-five-years-of-policy-on-alcohol-problems-an-american-perspective
#20
REVIEW
Paul M Roman
OBJECTIVE: This article traces the evolution of alcohol-related social policy over the past 75 years. METHOD: The literature was reviewed and is critically discussed. RESULTS: The social history of alcohol policies over the last 75 years began with the scientific approach to alcohol in the 1930s and later shifted to a central interest in the disease of alcoholism. Beginning with the National Council on Alcoholism Education, advocates struggled to "mainstream" treatment for this disease into the health care system...
2014: Journal of Studies on Alcohol and Drugs. Supplement
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