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Research on Social Work Practice
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Iowa Case Management for Rural Drug Abuse

James A. Hall

University of Iowa, jall1{at}sw.ua.edu

Mary S. Vaughan Sarrazin

Veterans Affairs Medical Center-Iowa City

Diane L. Huber

University of Iowa

Thomas Vaughn

University of Iowa

Robert I. Block

University of Iowa

Amanda R. Reedy

University of Iowa

MiJin Jang

University of Iowa

Objective: The purpose of this research was to evaluate the effectiveness of a comprehensive, strengths-based model of case management for clients in drug abuse treatment. Method: 503 volunteers from residential or intensive outpatient treatment were randomly assigned to one of three conditions of Iowa Case Management (ICM) plus treatment as usual (TAU), or to a fourth condition of TAU only. All were assessed at intake and followed at 3, 6, and 12 months. Results: Clients in all four conditions significantly decreased substance use by 3 months after intake and maintained most gains over time. However, the addition of ICM to TAU did not improve substance use outcomes. Conclusion: Overall, the addition of case management did not significantly improve drug treatment as hypothesized by both researchers and clinicians. Some results were mixed, possibly due to the heterogeneous sample, wide range of case management activities, or difficulty retaining participants over time.

Key Words: case management • substance abuse treatment

This version was published on July 1, 2009

Research on Social Work Practice, Vol. 19, No. 4, 407-422 (2009)
DOI: 10.1177/1049731509331925
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