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Bridging the Gap Between Practice and Research: Forging Partnerships with Community-Based Drug and Alcohol Treatment (1998)
Institute of Medicine (IOM)

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. "Appendix E: Commissioned Paper: The Substance Abuse Treatment System: What Does It Look Like and Whom Does It Serve? Preliminary Findings from the Alcohol and Drug Services Study." Bridging the Gap Between Practice and Research: Forging Partnerships with Community-Based Drug and Alcohol Treatment. Washington, DC: The National Academies Press, 1998.

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summarizes the types of services offered in treatment facilities during the course of their most recent 12-month reporting period. It should be noted that ADSS determined only if the services were offered at the facility during the twelve-month reporting period. The data do not indicate how frequently the services were available and whether they were available to all clients, targeted subpopulations, or on an ad hoc basis. Well over 90 percent of facilities offered comprehensive assessment and diagnosis, individual therapy, and group therapy. More than 75 percent provided family counseling, HIV/AIDS counseling, relapse prevention, and aftercare (after the cessation of routine treatment) services. Far fewer facilities were likely to offer services of a nonmedical nature. Employment counseling/training was offered in 41 percent of facilities; academic education/GED classes in 17 percent; and child care in 13 percent.

TABLE E-7 Percentage of Facilities Offering Selected Services in Substance Abuse Treatment Facilities (over 12-month reporting period)

Facilities Offering:*

 

Individual therapy

96.6%

Comprehensive assessment/diagnosis

93.7%

Group therapy (not including relapse prevention)

91.7%

Family counseling

85.6%

Aftercare

82.3%

Relapse prevention groups

78.4%

HIV/AIDS counseling

75.5%

Self-help or mutual-help groups

71.3%

Outcome follow-up

66.8%

Combined substance abuse and mental health

66.5%

Transportation

48.6%

TB screening

42.1%

Employment counseling/training

40.7%

Detoxification

25.6%

Smoking cessation

24.4%

Academic education/GED classes

17.2%

Child care

12.9%

Prenatal care

11.7%

Acupuncture

4.7%

SOURCE: 1997 Alcohol and Drug Services Study—Phase I—Preliminary Data. Office of Applied Studies, Substance Abuse and Mental Health Services Administration.

* Does not total to 100% because facilities indicated as many services as they offered.

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