Skip to main content

Advertisement

Log in

Improving Care for the Treatment of Alcohol and Drug Disorders

  • Special Issue
  • Published:
The Journal of Behavioral Health Services & Research Aims and scope Submit manuscript

Abstract

The Network for the Improvement of Addiction Treatment (NIATx) teaches alcohol and drug treatment programs to apply process improvement strategies and make organizational changes that improve quality of care. Participating programs reduce days to admission, increase retention in care, and spread the application of process improvement within their treatment centers. More generally, NIATx provides a framework for addressing the Institute of Medicine’s six dimensions of quality care (i.e., safe, effective, patient-centered, efficient, timely, and equitable) in treatments for alcohol, drug, and mental health disorders. NIATx and its extensions illustrate how the behavioral health field can respond to the demand for higher quality treatment services.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Institute of Medicine. To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press; 2000.

    Google Scholar 

  2. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.

    Google Scholar 

  3. Deming WE. Out of the Crisis. Cambridge, MA: MIT-CAES; 1986.

    Google Scholar 

  4. Imai M. Kaizen: The Key to Japan’s Competitive Success. New York: McGraw-Hill Publishing Company; 1986.

    Google Scholar 

  5. Juran JM. Juran’s Quality Control Handbook. New York: McGraw-Hill Publishing Company; 1988.

    Google Scholar 

  6. Barney M, McCarty T. The New Six Sigma: A Leader’s Guide to Achieving Rapid Business Improvement and Sustainable Results. Upper Saddle River, NJ: Prentice Hall PTR; 2003.

    Google Scholar 

  7. Eckes G. The Six Sigma Revolution: How General Electric and Others Turned Process Into Profits. New York: Wiley; 2001.

    Google Scholar 

  8. McLellan AT, Carise D, Kleber HD. Can the national addiction treatment infrastructure support the public’s demand for quality care? Journal of Substance Abuse Treatment. 2003;25:117–121.

    Article  PubMed  Google Scholar 

  9. Fishbein R, McCarty D. Quality improvement for publicly-funded substance abuse treatment services. In: Gibelman M, Demone HW, eds. Private Solutions to Public Problems: Volume 2. New York: Springer; 1997:39–57.

    Google Scholar 

  10. Patel KK, Butler B, Wells KB. What is necessary to transform the quality of mental care. Health Affairs. 2006;25(3):681–693.

    Article  PubMed  Google Scholar 

  11. Young AS, Magnabosco JL. Services for adults with mental illness. In: Lubotsky Levin B, Petrila J, Hennessy KD, eds. 2nd edn. Mental Health Services: A Public Health Perspective. New York: Oxford University Press; 2004:177–208.

    Google Scholar 

  12. Institute of Medicine. Improving the Quality of Health Care for Mental and Substance-Use Disorders: Quality Chasm Series. Washington, DC: National Academy Press; 2006.

    Google Scholar 

  13. McCarty D, Gustafson DH, Wisdom JP, et al. The Network for the Improvement of Addiction Treatment (NIATx): Enhancing access and retention. Drug and Alcohol Dependence. 2007;88:138–145.

    Article  PubMed  Google Scholar 

  14. Capoccia VA, Cotter F, Gustafson DH, et al. Making “stone soup”: How process improvement is changing the addiction treatment field. Joint Commission Journal on Quality and Patient Safety. 2007;33:95–103 February 1.

    PubMed  Google Scholar 

  15. Wisdom JP, Ford J, Hayes RA, et al. Addiction treatment agencies’ use of data: A qualitative assessment. Journal of Behavioral Health Services & Research. 2006;33(4):394–407.

    Article  Google Scholar 

  16. Ford J, Green CA, Hoffman KA et al. Process improvement needs in substance abuse treatment: Admissions walkthrough results. Journal of Substance Abuse Treatment. 2007;33:379–389.

    Article  PubMed  Google Scholar 

  17. Gitlow H, Gitlow S, Oppenheim A, et al. Tools and Methods for the Improvement of Quality. Homewood, IL: Irwin; 1989.

    Google Scholar 

  18. Shewart WA. Statistical Method from the Viewpoint of Quality Control. Lancaster, PA: Lancaster Press; 1939.

    Google Scholar 

  19. The Robert Wood Johnson Foundation. Substance Abuse: The Nation’s Number One Health Problem. Princeton, NJ: The Robert Wood Johnson Foundation; 2001.

    Google Scholar 

  20. Prescott DL, Madden LM, Dennis M, et al. Reducing mechanical restraints in scute psychiatric care settings using rapid response teams. The Journal of Behavioral Health Services & Research. 2007;34:96–105.

    Article  Google Scholar 

  21. Fixsen DL, Naoom SF, Blase KA, et al. Implementation Research: A Synthesis of the Literature. Tampa, Fl: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network; 2005.

    Google Scholar 

  22. Power EJ, Nishimi RY, Kizer KW. Evidence-Based Treatment Practices for Substance Use Disorders. Washington, DC: National Quality Forum; 2005.

    Google Scholar 

  23. Shojania KG, Grimshaw JM. Evidence-based quality improvement: The state of the science. Health Affairs. 2005;24(1):138–150.

    Article  PubMed  Google Scholar 

  24. Coye MJ. No Toyotas in health care: Why medical care has not evolved to meet patient’s needs. Health Affairs. 2001;20(6):44–56.

    Article  PubMed  CAS  Google Scholar 

  25. Chassin MR. Is health care ready for Six Sigma quality? The Milbank Quarterly. 1998;76(4):565–591.

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgements

An earlier version of this paper was presented at the 2006 Addiction Health Services Research Conference in Little Rock, Arkansas. The Network for the Improvement of Addiction Treatment (NIATx) was supported through grants from the Robert Wood Johnson Foundation and cooperative agreements from the Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment. The National Evaluation Team at Oregon Health and Science University was supported through awards from the Robert Wood Johnson Foundation (46876 and 50165), the Center for Substance Abuse Treatment (through subcontracts from Northrop Grumman Corporation—PIC-STAR-SC-03-044, SAMHSA SC-05-110), and the National Institute on Drug Abuse (R01 DA018282). National Program Office activities at the University of Wisconsin were supported through awards from the Robert Wood Johnson Foundation (48364) and the Center for Substance Abuse Treatment (through a subcontract from Northrop Grumman Corporation—PIC-STAR-SC-04-035). The National Institute on Drug Abuse supports NIATx 200 (R01 DA 020832) and the Robert Wood Johnson Foundation supports Advancing Recovery (56762, 56891, 56894–56898, 57786). The Center for Substance Abuse Treatment and the Robert Wood Johnson Foundation support STAR-SI.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Dennis McCarty PhD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

McCarty, D., Gustafson, D., Capoccia, V.A. et al. Improving Care for the Treatment of Alcohol and Drug Disorders. J Behav Health Serv Res 36, 52–60 (2009). https://doi.org/10.1007/s11414-008-9108-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11414-008-9108-4

Keywords

Navigation