Publication:
Facilitating targeted intervention in substance abuse treatment programs via a risk scoring methodology

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Authors
Fricker, Ronald D., Jr.
Coté, David J.
Subjects
homeless
addiction
substance abuse
treatment retention
Advisors
Date of Issue
2014-04
Date
April 2014
Publisher
Monterey, California. Naval Postgraduate School
Language
Abstract
To facilitate targeted intervention in substance abuse treatment programs, a scoring methodology is developed to identify clients at risk of premature program exit. Designed to be simple enough for a clinician to easily apply in practice, the risk score is derived from self-reported and observable client characteristics collected at program intake. Our motivating problem is improving a residential substance abuse treatment program for military veterans, and we demonstrate the risk score applied to data from 680 veterans who exited from a San Diego-based rehabilitation program from 2009 to 2011. For this program, the existence of a mental health condition, chronic physical health condition, and the client’s residence prior to program admission were predictive of successfully completing 150 days of treatment. Length of stay and residence prior to program admission were predictive of successful program completion. The risk score methodology is generalizable and can be customized for any treatment program.
Type
Technical Report
Description
Series/Report No
Department
Operations Research
Identifiers
NPS Report Number
NPS-OR-14-002
Sponsors
Funder
Format
Citation
Distribution Statement
Approved for public release; distribution is unlimited.
Rights
This publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.