Bridging the Gap Between Practice and Research: Forging Partnerships with Community-Based Drug and Alcohol Treatment

TABLE E-8 Revenue Type of Substance Abuse Treatment Facilities (over 12-month reporting period): Percentage Distribution by Sources of Revenue and Mean Percentage of Public Revenue by Ownership

Sources of Revenue
Private	30.3%
Client fees	16.9%
Private insurance, fee for service	6.8%
Private insurance, managed care	6.6%
Public	64.9%
Medicaid, unspecified	10.7%
Medicaid, managed care	1.8%
Medicare	2.3%
Other federal funds (VA, CHAMPUS)	3.1%
Other public funds (federal, state, and local block grants, contracts)	47.1%
Other	4.7%
Other (philanthropy, in-kind)	3.6%
Unknown	1.1%
Total*	100.0%
	Mean Percentage of Revenue from Public Sources
Ownership
Private for-profit	21.7%
Private nonprofit	71.4%
Public	83.7%
Total	62.5%
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 of rounding.

Table of Contents

Front Matter R1-R22

Executive Summary 1-15

1 Introduction 16-26

2 The Gaps Between Research, Treatment, and Policy 27-55

3 Approaches to Closing the Gaps 56-72

4 Benefits and Challenges of Research Collaboration for Community-Based Treatment Providers 73-88

5 Benefits and Challenges of Community-Based Collaboration for Researchers 89-110

6 Findings and Recommendations 111-120

Appendix A: Statment of Task 121-124

Appendix B: Workshops and Roundtable: Agendas and Participants 125-134

Appendix C: Commissioned Paper: Drug Treatment Programs and Research: The Challenge of Bidirectionality 135-146

Appendix D: Commissioned Paper: The Treatment of Addiction: What Can Research Offer Practice? 147-185

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 186-197

Appendix F: National Institute of Health Consensus Development Statement on Effective Medical Treatment of Heroin Addiction 198-225

Appendix G: Useful Internet Resources -- Examples 226-232

Appendix H: List of Currently Available CSAT Tretment Improvement Protocols (TIPs) 233-234

Appendix I: Opportunities for Collaboration 235-245

Appendix J: Summary of Interviews with Minnesota State Alcoholism-Addiction Leaders 246-250

Index 251-264