Clinical Assessment and Substance Abuse Treatment: The Target Cities Experience

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Richard C. Stephens, Christy K Scott, Randolph D. Muck
SUNY Press, 2003 - Health & Fitness - 233 pages
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During the 1990s, in response to the multi-faceted phenomenon of substance abuse, the federal government’s Center for Substance Abuse Treatment funded the Target Cities project in nineteen U.S. cities. This volume evaluates how the Target Cities project affected both treatment systems and individuals with drug and alcohol problems. In each city, programs were established to evaluate the impact of these substances on an individual’s mental and physical health, housing, family relationships, and involvement with the criminal justice system. A brief summary of the evolution of national perceptions of drug and alcohol problems is followed by a description of the project, its participants, the process of entering treatment, an organizational analysis of the project’s many components, participant satisfaction and adjustment, and the implications of the research findings for policy makers and treatment personnel.
 

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Contents

Background and Overview of the Target Cities Demonstration Program
1
Methodological Issues in the Development of the Target Cities Multisite Databases
17
Participants in the Target Cities Program
35
Identifying Service Needs among Substance Abuse Treatment Participants
55
The Target Cities Participants From Centralized Intake to Treatment Entry
73
Effects of Centralized Intake on Participant Satisfaction with Treatment and Ancillary Services
87
Implementation of Selected Target Cities Components Analysis of Matching Case Management and Linkages
103
Does Centralized Intake Improve Substance Abuse Outcomes? A Multisite Analysis
129
Outcomes Before and After Implementing Centralized Intake Services
149
Effectively Assessing and Preparing Inmates for Community Substance Abuse Treatment The Portland Target Cities Project InJail Intervention
165
Lessons Learned from the National Target Cities Initiative to Improve Publicly Funded Substance Abuse Treatment Systems
179
References
201
Contributors
215
Index
225
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About the author (2003)

Richard C. Stephens is Director of the Institute for Health and Social Policy and Professor of Sociology at the University of Akron. He is the author of The Street Addict Role: A Theory of Heroin Addiction, also published by SUNY Press, and Mind-Altering Drugs: Use, Abuse and Treatment.

Christy K Scott is Regional Manager of Chestnut Health Systems at the Lighthouse Institute in Chicago, Illinois.

Randolph D. Muck is Team Leader at the U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment, Systems Development and Integration Branch in Rockville, Maryland.