TY - JOUR KW - Adult KW - Case Management KW - Cohort Studies KW - Employment, Supported KW - Female KW - Humans KW - Male KW - Mental Health Services/standards/utilization KW - Methadone/therapeutic use KW - Middle Aged KW - Narcotic Antagonists/therapeutic use KW - Needs Assessment KW - Opioid-Related Disorders/rehabilitation KW - Program Development KW - Program Evaluation KW - Retrospective Studies KW - Surveys and Questionnaires KW - Young Adult AU - P. J. Abbott A1 - AB - PURPOSE/OBJECTIVE: Case management has been widely used in mental health and substance abuse services. There have been only a few studies that have examined the use of case management in opioid-treatment programs. In a project funded by the Centers of Substance Abuse Treatment, we looked at the use of case managers and specifically at the treatment needs of this unique population. Our case managers, with the aid of research assistants, surveyed the treatment needs of 189 patients entering an opioid-treatment program over a 3-year period. Patients completed the Needs Assessment Instrument at intake, 6 months, and 12 months. PRIMARY PRACTICE SETTING(S): The use of case managers to assess the needs of opioid-dependent patients is applicable to substance abuse treatment setting especially in opioid-treatment programs that provide methadone or buprenorphine maintenance. FINDINGS/CONCLUSIONS: The critical services most requested were vocational, employment, transportation, dental, emotional, and smoking cessation. There were changes over the 12-month follow-up period in the types and priority of services requested. IMPLICATION FOR CASE MANAGEMENT PRACTICE: The Needs Assessment Instrument is a useful tool for case mangers to assess treatment needs of patients and the overall clinic population. Once sufficient patients have been surveyed, the opioid-treatment program can plan needed services for the clinic. Specific social agencies can be contacted to provide key services. Service needs are not static and as patients improve they may need a different mix of services to support their continued abstinence. BT - Professional case management C5 - Opioids & Substance Use; Education & Workforce CP - 3 CY - United States DO - 10.1097/NCM.0b013e3181c8c72c IS - 3 JF - Professional case management N2 - PURPOSE/OBJECTIVE: Case management has been widely used in mental health and substance abuse services. There have been only a few studies that have examined the use of case management in opioid-treatment programs. In a project funded by the Centers of Substance Abuse Treatment, we looked at the use of case managers and specifically at the treatment needs of this unique population. Our case managers, with the aid of research assistants, surveyed the treatment needs of 189 patients entering an opioid-treatment program over a 3-year period. Patients completed the Needs Assessment Instrument at intake, 6 months, and 12 months. PRIMARY PRACTICE SETTING(S): The use of case managers to assess the needs of opioid-dependent patients is applicable to substance abuse treatment setting especially in opioid-treatment programs that provide methadone or buprenorphine maintenance. FINDINGS/CONCLUSIONS: The critical services most requested were vocational, employment, transportation, dental, emotional, and smoking cessation. There were changes over the 12-month follow-up period in the types and priority of services requested. IMPLICATION FOR CASE MANAGEMENT PRACTICE: The Needs Assessment Instrument is a useful tool for case mangers to assess treatment needs of patients and the overall clinic population. Once sufficient patients have been surveyed, the opioid-treatment program can plan needed services for the clinic. Specific social agencies can be contacted to provide key services. Service needs are not static and as patients improve they may need a different mix of services to support their continued abstinence. PP - United States PY - 2010 SN - 1932-8095; 1932-8087 SP - 145 EP - 152 EP - T1 - Case management: ongoing evaluation of patients' needs in an opioid treatment program T2 - Professional case management TI - Case management: ongoing evaluation of patients' needs in an opioid treatment program U1 - Opioids & Substance Use; Education & Workforce U2 - 20467277 U3 - 10.1097/NCM.0b013e3181c8c72c VL - 15 VO - 1932-8095; 1932-8087 Y1 - 2010 ER -