Type of Document Dissertation Author Gresham, Debra L. Author's Email Address email@example.com URN etd-01042008-130448 Title A Test of the Predictive Validity of the Florida Supplement to the American Society of Addiction Medicine Patient Placement Criteria Degree Doctor of Philosophy Department Social Work, College of Advisory Committee
Advisor Name Title Bruce Thyer Committee Chair Charles Figley Committee Member Robert Lee Committee Member Keywords
- Substance Abuse
Date of Defense 2007-11-12 Availability unrestricted AbstractThis study examines the predictive validity of the ASAM PPC-2R utilized within the state of Florida for the placement of substance abuse clients receiving treatment.
Archival data collected by the Florida Department of Children and Families Substance Abuse Program Office from state fiscal years 1999 to 2001 of 458 clients were used in this study. The study sample of 458 was drastically reduced to 49 clients due to data collection inconsistencies of the state. Two Institutional Review Boards (IRBs) approvals were required to conduct this study. In addition to the educational institution, the second approval was needed because of the data source--the state government. The second IRB approval from the Florida State Department of Health contributed to collapsing the original sample size and restricting the use of demographic information, such as ethnicity, drug used, gender, age or race.
The study proposed three hypotheses relating to treatment completion, readmission rates and time between treatment completion and readmission. The treatment completion rates were compared for clients placed in treatment in consistent with the ASAM recommended level of care, against those clients placed in treatment not consistent with the ASAM recommended level of care. Chi-square and the Yates’ Correction for Continuity were calculated for the first two hypotheses. The null hypothesis was rejected for the first hypothesis at the 0.05 level with the original Chi-square calculation and at the higher 0.10 with Yates’ Correction for Continuity. The results of the two Chi-square calculations for the second hypothesis rejected the null hypothesis at the 0.05 level.
The readmission rates were also compared for clients placed in treatment in consistent with the ASAM recommended level of care, against those clients placed in treatment not consistent with the ASAM recommended level of care. Twelve percent of the clients were readmitted to treatment, but all had been initially assigned to treatment that was not consistent with the ASAM recommended level of care. Without a comparison group, the length of time between treatment completion and readmission was not examined.
In review of the overall assignment of care, Outpatient treatment was the most frequently assigned level of care. Of the 49 clients in this study, 80% (39) were assigned to Outpatient treatment. Of this total, 36% were assigned to Outpatient consistent with the ASAM recommendations. The remaining 64% were assigned to Outpatient treatment, inconsistent with the ASAM recommendation.
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