NCJ Number
179801
Journal
Journal of Psychoactive Drugs Volume: 31 Issue: 3 Dated: July-September 1999 Pages: 233-239
Date Published
September 1999
Length
7 pages
Annotation
An estimated 73,000 people in Detroit have alcohol-related treatment needs and 66,000 people have drug-related treatment needs, and the city has attempted to respond to these needs with the Target Cities project.
Abstract
Project goals were to increase access to treatment and to improve treatment outcomes. Each component of the project was designed to enhance the effectiveness of existing systems and services for treating indigent clients. The capacity of Detroit's Central Diagnostic and Referral Service (CDRS) was expanded by adding assessment staff, the Addiction Severity Index was adopted to determine the appropriate level of care required for each client, a fully automated system was developed to monitor and control access to the provider treatment network, crisis screening case management services and pretreatment case management were added to the CDRS, and a management information system was used to provide access to critical information. A detailed plan was devised to evaluate the impact of treatment initiatives in terms of access to treatment, treatment effectiveness, treatment coordination, and treatment for jail inmates. Evaluation findings showed that the proportion of clients referred by the CDRS who were actually admitted into a treatment program increased significantly after full implementation of the Target Cities project. 12 references