Making "stone soup": Improvements in clinic access and retention in addiction treatment

Victor A. Capoccia, Frances Cotter, David H. Gustafson, Elaine F. Cassidy, James H. Ford, Lynn Madden, Betta H. Owens, Scott O. Farnum, Dennis McCarty, Todd Molfenter

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Background: The Network for Improvement of Addiction Treatment (NIATx) provides 39 treatment organizations with collaborative learning opportunities and technical support to reduce waiting time between the first request for service and the first treatment session, reduce the number of patients who do not keep an appointment (no-shows), increase the number of people admitted to treatment, and increase continuation from the first through the fourth treatment session. Acadia's Story-Treatment on Demand: Given capacity constraints, only 25% of the clients scheduled for outpatient care at Acadia Hospital (Bangor, Maine) showed up for their assessment appointments, and only 19% made it into treatment. A variety of changes were introduced, including increasing staff availability to provide clients with assessments immediately on arrival (at 7:30 A.M.), establishing a clinician pool to handle client overflow, and allowing for same-day admission to intensive outpatient or chemical dependency services. These process improvements reduced the time from first contact to the first treatment session from 4.1 to 1.3 days (68%), reduced client no-shows, and increased continuation in treatment and transfers across levels of care. Discussion: The successes experienced by organizations in the NIATx initiative should be useful for implementing change in other fields of service delivery.

Original languageEnglish (US)
Pages (from-to)95-103
Number of pages9
JournalJoint Commission Journal on Quality and Patient Safety
Volume33
Issue number2
StatePublished - Feb 2007

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Therapeutics
Appointments and Schedules
Ambulatory Care
Outpatients
Learning
Dependency (Psychology)

ASJC Scopus subject areas

  • Leadership and Management

Cite this

Capoccia, V. A., Cotter, F., Gustafson, D. H., Cassidy, E. F., Ford, J. H., Madden, L., ... Molfenter, T. (2007). Making "stone soup": Improvements in clinic access and retention in addiction treatment. Joint Commission Journal on Quality and Patient Safety, 33(2), 95-103.

Making "stone soup" : Improvements in clinic access and retention in addiction treatment. / Capoccia, Victor A.; Cotter, Frances; Gustafson, David H.; Cassidy, Elaine F.; Ford, James H.; Madden, Lynn; Owens, Betta H.; Farnum, Scott O.; McCarty, Dennis; Molfenter, Todd.

In: Joint Commission Journal on Quality and Patient Safety, Vol. 33, No. 2, 02.2007, p. 95-103.

Research output: Contribution to journalArticle

Capoccia, VA, Cotter, F, Gustafson, DH, Cassidy, EF, Ford, JH, Madden, L, Owens, BH, Farnum, SO, McCarty, D & Molfenter, T 2007, 'Making "stone soup": Improvements in clinic access and retention in addiction treatment', Joint Commission Journal on Quality and Patient Safety, vol. 33, no. 2, pp. 95-103.
Capoccia VA, Cotter F, Gustafson DH, Cassidy EF, Ford JH, Madden L et al. Making "stone soup": Improvements in clinic access and retention in addiction treatment. Joint Commission Journal on Quality and Patient Safety. 2007 Feb;33(2):95-103.
Capoccia, Victor A. ; Cotter, Frances ; Gustafson, David H. ; Cassidy, Elaine F. ; Ford, James H. ; Madden, Lynn ; Owens, Betta H. ; Farnum, Scott O. ; McCarty, Dennis ; Molfenter, Todd. / Making "stone soup" : Improvements in clinic access and retention in addiction treatment. In: Joint Commission Journal on Quality and Patient Safety. 2007 ; Vol. 33, No. 2. pp. 95-103.
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