Despite recent cost-containment pressures, 28-day inpatient treatment continues to predominate in the field of alcoholism treatment. This paper presents some clinical, pragmatic and fiscal disadvantages of the inpatient model. Day treatment is discussed as an alternative modality and the results of a study supporting day treatment are also presented. Several hypotheses to explain the continued predominance of inpatient treatment are offered.
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References
1.
BeauchampD.1980Beyond Alcoholism, Temple University Press.
2.
BensingerA.PilkingtonC.1983An alternative method in the treatment of alcoholism: The united technologies corporation day treatment program, Journal of Occupational Medicine, 25(4):300–303.
3.
FinkE.B.LongabaughR.McCradyB.StoutR.BeattieM.Ruggieri-AutheletA.McNeilD.1985Effectiveness of alcoholism treatment in partial versus inpatient settings: Twenty-four month outcomes. Addictive Behaviors, 10:235–248.
4.
GooginsB.1988Survey of Strategic Issues conducted for ALMACA, February.
5.
GooginsB.CollierA.1985Day treatment in the workplace, EAP Digest, 5(4):19–26.
6.
HoppockR.1935Job Satisfaction. New York: Harper.
7.
KutnerB.FanshelD.LangerT.1956Five Hundred Over Sixty. New York: Russel Sage Foundation.
8.
LongabaughR.McCradyB.FinkE.StoutR.McAuleyT.DoyleC.McNeillD.1983Cost-effectiveness of alcoholism treatment in partial vs. inpatient settings: Six month outcomes, Journal of Studies on Alcohol, 44:1049–1071.
9.
McLachlanJ.SteinR.1982Evaluation of a day clinic for alcoholics. Journal of Studies on Alcohol, 43:261–272.
10.
MillerW.HesterR.1986Inpatient alcoholism treatment: Who benefits? American Psychologist:194–805.
11.
MoosR.CronkiteR.BillingsA.FinneyJ.1985Health and Daily Living Form, Social Ecology Laboratory, Veterans Administration and Stanford University Medical Centers, Pala Alto, California.
12.
SaxeL. D. DoughertyEstyK.FineM.1983The Effectiveness and Costs of Alcoholism Treatment. Office of Technology Assessment, U.S. Government Printing Office.
13.
SchneiderR.1987Company-based day treatment versus hospital rehabilitation for alcoholic employee (Doctoral Dissertation, Boston University), Dissertation Abstracts International, 48:1001-b.
14.
U.S. Department of Health and Human Services1987Sixth Special Report to the U.S. Congress on Alcohol and Health. DHHS Pub. No. (ADM) 87–1519. Washington, D.C.: Supt. of Docs., U.S. Government Printing Office.
15.
WalshD.HingsonR.1985Where to refer employees for treatment of drinking problems. Journal of Occupational Medicine, 27(10):745–752.
