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Research on Social Work Practice, Vol. 16, No. 1, 38-47 (2006)
DOI: 10.1177/1049731505276408

Cost-Effectiveness of Case Management in Substance Abuse Treatment

Shadi S. Saleh

State University of New York at Albany

Thomas Vaughn

Samuel Levey

Laurence Fuortes

Tanya Uden-Holmen

James A. Hall

University of Iowa

Objective: The purpose of this study, which is part of a larger clinical trial, was to examine the cost-effectiveness of case management for individuals treated for substance abuse in a residential setting. Method: Clients who agreed to participate were randomly assigned to one of four study groups. Two groups received face-to-face case management and one telecommunication case management, and the fourth was the control group. Results: Using a ratio of cost to days free from substance abuse, the case management groups were less cost-effective than the control group at 3 months, 6 months, and 12 months. The telecommunication case management was least cost-effective of the three case management conditions. Conclusion: Results from the analysis revealed case management is not cost-effective as a supplement to traditional drug treatment over a 12-month follow-up period.

Key Words: case management • substance abuse treatment • cost-effectiveness • social work


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