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Evaluates drug and alcohol abuse treatment systems and their effects on individual alcohol and drug abusers.
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.
"Stephens, Scott and Muck have set a high standard of excellence in describing the evaluation of efforts to re-engineer complex health and human service systems. This is a 'must read' for planners, policy makers, evaluators, and treatment program administrators looking for ways to improve the quality of addiction treatment in urban communities." — Evaluation and Program Planning
"What I like most about the book is that it provides the drug field with some useful outcome data on a very large—and expensive—government initiative. We don't see many comprehensive evaluations like this. It makes a nice contribution to the literature." — James A. Inciardi, author of The War on Drugs III: The Continuing Saga of the Mysteries and Miseries of Intoxication, Addiction, Crime, and Public Policy
Acknowledgments
1. Background and Overview of the Target Cities Demonstration Program
Christy K Scott and Randolph D. Muck
2. Methodological Issues in the Development of the Target Cities Multisite Databases
Peter J. Leahy, Richard C. Stephens, Heather K. Huff, and Russell S. Kaye
3. Participants in the Target Cities Program
Ronald E. Claus and René M. Dailey
4. Identifying Service Needs among Substance Abuse Treatment Participants
Mark A. Foss, Nancy Barron, and Cynthia L. Arfken
5. The Target Cities Participants: From Centralized Intake to Treatment Entry
Ronald E. Claus, Nancy Barron, and Kimberly A. Pascual
6. Effects of Centralized Intake on Participant Satisfaction with Treatment and Ancillary Services
Christy K Scott, Mark A. Foss, and Richard E. Sherman
7. Implementation of Selected Target Cities Components: Analysis of Matching, Case Management, and Linkages
Cynthia L. Arfken, Chris Klein, Elizabeth J. Agius, and Salvatore di Menza
8. Does Centralized Intake Improve Substance Abuse Outcomes?: A Multisite Analysis
Joseph Guydish, Alan Bostrom, Sven Klingemann, Christy K Scott, Mark A. Foss, and Nancy Barron
9. Outcomes Before and After Implementing Centralized Intake Services
Christy K Scott, Mark A. Foss, and Richard E. Sherman
10. Effectively Assessing and Preparing Inmates for Community Substance Abuse Treatment: The Portland Target Cities Project In-Jail Intervention
Michael W. Finigan, Nancy Barron, and Shannon Carey
11. Lessons Learned from the National Target Cities Initiative to Improve Publicly Funded Substance Abuse Treatment Systems
Joseph Guydish, Richard C. Stephens, and Randolph D. Muck
References
Contributors
Index