Effectiveness and Cost of Alcohol Rehabilitation in the United States Air Force

by Bruce R. Orvis, David J. Armor, Christine E. Williams, Andrea J. Barras, Donna S. Schwarzbach


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Evaluates the scope and outcome of rehabilitation efforts, the success of the Alcohol Rehabilitation Program in identifying impaired persons for treatment, and the cost-effectiveness of different interventions. Conclusions are that clients show substantial improvement after treatment and that the less intensive treatments are as effective as more intensive interventions for persons with comparable impairment at admission. However, less than 10 percent of the problem population appears to be identified for treatment annually and the use of intensive interventions may be overemphasized. Recommendations are that identifications be increased and that the higher resultant costs be accommodated through greater use of the less intensive interventions. Other suggestions to optimize efficiency include assigning some clients to 14-day inpatient programs instead of 28-day programs; eliminating Awareness Seminar attendance for clients receiving more intensive services; emphasizing group counseling as opposed to individual counseling; and placing reasonable limits on the maximum number of counseling sessions that a client may attend.

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