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Titolo:
The impact of substance abuse treatment modality on birth weight and health care expenditures
Autore:
Daley, M; Argeriou, M; McCarty, D; Callahan, JJ; Shepard, DS; Williams, CN;
Indirizzi:
Brandeis Univ, Heller Grad Sch, Schneider Inst Hlth Policy, Waltham, MA 02454 USA Brandeis Univ Waltham MA USA 02454 nst Hlth Policy, Waltham, MA 02454 USA Res Designs Int, Providence, RI USA Res Designs Int Providence RI USARes Designs Int, Providence, RI USA Oregon Hlth Sci Univ, Portland, OR 97201 USA Oregon Hlth Sci Univ Portland OR USA 97201 i Univ, Portland, OR 97201 USA
Titolo Testata:
JOURNAL OF PSYCHOACTIVE DRUGS
fascicolo: 1, volume: 33, anno: 2001,
pagine: 57 - 66
SICI:
0279-1072(200101/03)33:1<57:TIOSAT>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
PREGNANT-WOMEN; THERAPEUTIC-COMMUNITY; TREATMENT RETENTION; POSTPARTUM WOMEN; MOTHERS PROJECT; DRUG; PROGRAM; PREDICTORS; ADDICTION; OUTCOMES;
Keywords:
birth weight; cost-effectiveness analysis; perinatal health; pregnancy; substance abuse; treatment outcomes;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Daley, M Brandeis Univ, Heller Grad Sch, Schneider Inst Hlth Policy, MS035, Waltham, MA 02454 USA Brandeis Univ MS035 Waltham MA USA 02454 5, Waltham, MA 02454 USA
Citazione:
M. Daley et al., "The impact of substance abuse treatment modality on birth weight and health care expenditures", J PSYCH DR, 33(1), 2001, pp. 57-66

Abstract

During the 1990s, substance abuse treatment programs were developed for pregnant women to help improve infant birth outcomes, reduce maternal drug dependency and promote positive lifestyle changes. This study compared the relative impact of five treatment modalities-residential, outpatient, residential/outpatient, methadone and detoxification-only-on infant birth weight and perinatal health care expenditures for a sample of 445 Medicaid-eligiblepregnant women who received treatment in Massachusetts between 1992 and 1997. Costs and outcomes were measured using the Addiction Severity Index anddata from birth certificates, substance abuse treatment records and Medicaid claims. Multiple regression was used to control for intake differences between the groups. Results showed a near linear relationship between birth weight and amount of treatment received. Women who received the most treatment (the residential/outpatient group) delivered infants who were 190 gramsheavier than those who received the least treatment (the detoxification-only group) for an additional cost of $17,211. Outpatient programs were the most cost-effective option, increasing birth weight by 139 grams over detoxification-only for an investment of only $1,788 in additional health care and treatment costs. A second regression using five intermediate treatment outcomes-prenatal care, weight gain, relapse, tobacco use and infection-suggested that increases in birth weight were due primarily to improved nutrition and reduced drug use, behaviors which are perhaps more easily influenced in residential settings.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/21 alle ore 02:54:03