The original task force report, completed in the summer of 1994,
reflected the current state of addiction treatment and provided
recommendations for improving these services in the future. That
monograph is reproduced in this book, which accomplishes the
following: Define psychiatrists& rsquo; current roles and
practices in the treatment of substance-dependent patients in
relationship to that of other practitioners, with particular
attention to issues such as dual diagnosis, methadone treatment,
and detoxification Develop suggestions for appropriate funding
mechanisms for the payment of addicted patients& rsquo;
treatment in the context of managed care and indemnity benefit
programs Examine issues related to the funding of public sector
programs, including funding of Department of Veterans Affairs
programs, block grant funding of state and city programs, as well
as funding of voluntary treatment programs within and outside the
criminal justice system.
This book is divided into four sections. Chapter 1 reviews the
history of American psychiatry& rsquo;s interest in addiction
disorders and the development of the current network of addiction
treatment services. Chapter 2 is a snapshot of the current
addiction treatment system, with a description of the services
provided in general medical settings, psychiatric hospitals,
freestanding residential facilities, and private practice and other
outpatient settings. Chapter 3 explores the economics of the
treatment system: the costs of addictive diseases to American
society and the costs and sources of support for their treatment.
Chapter 4 examines the range of system modifications and resource
allocations needed to bring high quality, cost-effective treatment
to addicted patients and their families. These needs range from
improving data collection and treatment research to increasing
community involvement and the application of current research
findings.
General
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