TY - JOUR KW - Adult KW - Aftercare/methods/psychology KW - Continuity of Patient Care/statistics & numerical data KW - Counseling/methods KW - Feasibility Studies KW - Female KW - Humans KW - Male KW - Patient Compliance/psychology KW - Remote Consultation/methods KW - Residential Treatment/methods KW - Substance Abuse Treatment Centers KW - Substance-Related Disorders/psychology/rehabilitation KW - Telephone AU - J. S. Cacciola AU - A. C. Camilleri AU - D. Carise AU - S. H. Rikoon AU - J. R. McKay AU - A. T. McLellan AU - C. Wilson AU - J. T. Schwarzlose A1 - AB - There is increasing evidence that a chronic care model may be effective when treating substance use disorders. In 1996, the Betty Ford Center (BFC) began implementing a telephone-based continuing care intervention now called Focused Continuing Care (FCC) to assist and support patients in their transition from residential treatment to longer-term recovery in the "real world". This article reports on patient utilization and outcomes of FCC. FCC staff placed clinically directed telephone calls to patients (N=4094) throughout the first year after discharge. During each call, a short survey was administered to gauge patient recovery and guide the session. Patients completed an average of 5.5 (40%) of 14 scheduled calls, 58% completed 5 or more calls, and 85% were participating in FCC two months post-discharge or later. There was preliminary evidence that greater participation in FCC yielded more positive outcomes and that early post-discharge behaviors predict subsequent outcomes. FCC appears to be a feasible therapeutic option. Efforts to revise FCC to enhance its clinical and administrative value are described. BT - Addictive Behaviors C5 - HIT & Telehealth CP - 9 CY - England DO - 10.1016/j.addbeh.2008.05.004 IS - 9 JF - Addictive Behaviors N2 - There is increasing evidence that a chronic care model may be effective when treating substance use disorders. In 1996, the Betty Ford Center (BFC) began implementing a telephone-based continuing care intervention now called Focused Continuing Care (FCC) to assist and support patients in their transition from residential treatment to longer-term recovery in the "real world". This article reports on patient utilization and outcomes of FCC. FCC staff placed clinically directed telephone calls to patients (N=4094) throughout the first year after discharge. During each call, a short survey was administered to gauge patient recovery and guide the session. Patients completed an average of 5.5 (40%) of 14 scheduled calls, 58% completed 5 or more calls, and 85% were participating in FCC two months post-discharge or later. There was preliminary evidence that greater participation in FCC yielded more positive outcomes and that early post-discharge behaviors predict subsequent outcomes. FCC appears to be a feasible therapeutic option. Efforts to revise FCC to enhance its clinical and administrative value are described. PP - England PY - 2008 SN - 0306-4603; 0306-4603 SP - 1208 EP - 1216 EP - T1 - Extending residential care through telephone counseling: initial results from the Betty Ford Center Focused Continuing Care protocol T2 - Addictive Behaviors TI - Extending residential care through telephone counseling: initial results from the Betty Ford Center Focused Continuing Care protocol U1 - HIT & Telehealth U2 - 18539402 U3 - 10.1016/j.addbeh.2008.05.004 VL - 33 VO - 0306-4603; 0306-4603 Y1 - 2008 ER -