Evaluation of Drug and Alcohol Recovery "Payment by Results" Pilots

Research Context

Road sign for "Recovery - next exit"

Substance abuse continues to be a challenging problem to society, and many drug and alcohol recovery programmes exist, but some work better than others. The UK Department of Health and the National Health Service Treatment Agency for Substance Misuse are interested in knowing whether market forces can encourage the development of more successful treatment efforts.

Project Overview

RAND Europe is part of a consortium awarded a £1millon contract for an independent evaluation of the Department of Health’s drug and alcohol recovery payment-by-results (PbR) pilots programme.

The overall aim of the evaluation is to investigate whether, how, and to what extent a PbR approach can stimulate the market to provide different schemes, co-ordinated across a range of services, that successfully initiate and sustain the recovery of individuals from drug and alcohol dependence, and their successful re-integration into their communities. The pilot schemes will be assessed by both process and impact evaluation.

The Consortium is led by the University of Manchester, and RAND Europe is collaborating with Birkbeck College London to conduct the process evaluation — which will include reviewing existing research, mapping existing service delivery, and describing each PbR model alongside the different approaches developed.

Interim Findings

An interim report (PDF) summarising the project's findings is available on the University of Manchester website.

RAND Europe Research Team

Jennifer Rubin

Emma Disley