Can the national addiction treatment infrastructure support the public's demand for quality care?

摘要: As part of a larger study the national substance abuse treatment system, authors had an opportunity to interview directors and key staff from nationally representative sample 175 drug alcohol programs. Results indicated that within previous 16 months, 15% facilities closed or stopped addiction additional 29% been reorganized under different agency. There was 53% turnover among similar rate counselors year. Less than half programs full-time physician nurse, very few social worker psychologist. The predominant form abstinence-oriented group counseling. intake process typically required 2 4 hours collect data by managed care city, state, federal agencies. Very computers for clinical operations decision support. These findings are disturbing call into question ability system meet complex demands both patients enter this agencies refer it.