Substance abuse intensive outpatient programs

Assessing the evidence

Dennis McCarty, Lisa Braude, D. Russell Lyman, Richard H. Dougherty, Allen S. Daniels, Sushmita Shoma Ghose, Miriam E. Delphin-Rittmon

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Objective: Substance abuse intensive outpatient programs (IOPs) are direct services for people with substance use disorders or co-occurring mental and substance use disorders who do not require medical detoxification or 24-hour supervision. IOPs are alternatives to inpatient and residential treatment. They are designed to establish psychosocial supports and facilitate relapse management and coping strategies. This review assessed the evidence base for IOPs. Methods: Authors searched major databases: PubMed, PsycINFO, Applied Social Sciences Index and Abstracts, Sociological Abstracts, Social Services Abstracts, Published International Literature on Traumatic Stress, ERIC, and CINAHL. They identified 12 individual studies and one review published between 1995 and 2012. They chose from three levels of research evidence (high, moderate, and low) based on benchmarks for the number of studies and quality of their methodology. They also described evidence of service effectiveness. Results: Based on the quality of trials, diversity of settings, and consistency of outcomes, the level of evidence for IOPs was rated high. Multiple randomized trials and naturalistic analyses that compared IOPs with inpatient or residential care found comparable outcomes. All studies reported reductions in alcohol and drug use. However, substantial variability in the operationalization of IOPs and outcome measures was apparent. Conclusions: IOPs are an important part of the continuum of care for substance use disorders. They are as effective as inpatient treatment for most individuals. Public and commercial health plans should consider IOP services as a covered health benefit. Standardization of the elements included in IOPs may improve their quality and effectiveness.

Original languageEnglish (US)
Pages (from-to)718-726
Number of pages9
JournalPsychiatric Services
Volume65
Issue number6
DOIs
StatePublished - Jun 1 2014

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Substance-Related Disorders
Outpatients
Inpatients
Residential Treatment
Benchmarking
Continuity of Patient Care
Social Sciences
Insurance Benefits
Ambulatory Care
Social Work
PubMed
Public Health
Alcohols
Outcome Assessment (Health Care)
Databases
Recurrence
Research
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Medicine(all)

Cite this

McCarty, D., Braude, L., Lyman, D. R., Dougherty, R. H., Daniels, A. S., Ghose, S. S., & Delphin-Rittmon, M. E. (2014). Substance abuse intensive outpatient programs: Assessing the evidence. Psychiatric Services, 65(6), 718-726. https://doi.org/10.1176/appi.ps.201300249

Substance abuse intensive outpatient programs : Assessing the evidence. / McCarty, Dennis; Braude, Lisa; Lyman, D. Russell; Dougherty, Richard H.; Daniels, Allen S.; Ghose, Sushmita Shoma; Delphin-Rittmon, Miriam E.

In: Psychiatric Services, Vol. 65, No. 6, 01.06.2014, p. 718-726.

Research output: Contribution to journalArticle

McCarty, D, Braude, L, Lyman, DR, Dougherty, RH, Daniels, AS, Ghose, SS & Delphin-Rittmon, ME 2014, 'Substance abuse intensive outpatient programs: Assessing the evidence', Psychiatric Services, vol. 65, no. 6, pp. 718-726. https://doi.org/10.1176/appi.ps.201300249
McCarty D, Braude L, Lyman DR, Dougherty RH, Daniels AS, Ghose SS et al. Substance abuse intensive outpatient programs: Assessing the evidence. Psychiatric Services. 2014 Jun 1;65(6):718-726. https://doi.org/10.1176/appi.ps.201300249
McCarty, Dennis ; Braude, Lisa ; Lyman, D. Russell ; Dougherty, Richard H. ; Daniels, Allen S. ; Ghose, Sushmita Shoma ; Delphin-Rittmon, Miriam E. / Substance abuse intensive outpatient programs : Assessing the evidence. In: Psychiatric Services. 2014 ; Vol. 65, No. 6. pp. 718-726.
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