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药物治疗服务:资金与收治情况

Drug treatment services: funding and admissions.

作者信息

Butynski W

机构信息

National Association of State Alcohol and Drug Abuse Directors, Inc., Washington, DC 20001.

出版信息

NIDA Res Monogr. 1991;106:20-52.

PMID:1656262
Abstract

Data from SADAP indicate that total alcohol and other drug treatment monies expended during FY 1988 in programs that receive at least some State funds were more than $1.6 billion. Also, data from NDATUS for the fiscal year encompassing October 30, 1987, demonstrate that total monies from all sources for drug abuse treatment (excluding alcohol, but including non-State-funded programs) exceeded $1.3 billion. Total other drug client treatment admissions as reported in SADAP for FY 1988 were 518,851; the number of other drug abuse clients in treatment as reported in NDATUS as of October 30, 1987, was 260,151. From a meeting of experts convened by NASADAD on September 2, 1987, the annual estimated cost of drug treatment (excluding detoxification) for needle users at that time ranged from $2,300 for outpatient drug-free, to $3,000 for outpatient methadone maintenance, to $14,600 for adult nonhospital residential drug-free, to $18,000 for adolescent nonhospital residential drug-free. The above data and lack of data point to the need for more extensive well-designed data collection studies on the cost, capacity, and utilization of drug treatment services. Today, significant information gaps exist. Such data are required for the administration, Congress, and States to better plan for the availability, accessibility, and support of expanded alcohol and other drug dependency treatment services for persons in need of such treatment services.

摘要

来自药物滥用治疗项目年度数据报告系统(SADAP)的数据表明,在1988财年中,那些至少获得部分州政府资金的项目所花费的酒精及其他药物治疗资金总额超过了16亿美元。此外,来自国家药物滥用治疗利用情况调查系统(NDATUS)涵盖1987年10月30日的财年数据显示,用于药物滥用治疗(不包括酒精,但包括非州政府资助项目)的所有来源资金总额超过了13亿美元。SADAP报告的1988财年其他药物客户治疗入院总数为518,851人;截至1987年10月30日,NDATUS报告的接受治疗的其他药物滥用客户数量为260,151人。根据全国酒精和药物滥用主任协会(NASADAD)于1987年9月2日召集的一次专家会议,当时针对注射吸毒者的年度药物治疗估计费用(不包括戒毒)范围从门诊非药物治疗的2300美元,到门诊美沙酮维持治疗的3000美元,再到成人非住院非药物治疗的14,600美元,以及青少年非住院非药物治疗的18,000美元。上述数据以及数据的缺失表明,需要针对药物治疗服务的成本、能力和利用情况开展更广泛且设计完善的数据收集研究。如今,存在重大的信息缺口。管理部门、国会和各州需要此类数据,以便更好地规划为有此类治疗服务需求的人群提供更多的酒精及其他药物依赖治疗服务,确保这些服务可获取且能得到支持。

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