Journal of Substance Abuse Treatment
Volume 38, Issue 1 , Pages 3-11, January 2010

The Washington Circle continuity of care performance measure: Predictive validity with adolescents discharged from residential treatment

  • Bryan R. Garner, Ph.D.

      Affiliations

    • Chestnut Health Systems, Normal, IL 61761, USA
    • Corresponding Author InformationCorresponding author. Chestnut Health Systems, 448 Wylie Drive, Normal, IL 61761, USA. Tel.: +1 309 451 7809; fax: +1 309 451 7761.
    • ,
  • Mark D. Godley, Ph.D.

      Affiliations

    • Chestnut Health Systems, Normal, IL 61761, USA
    • ,
  • Rodney R. Funk, B.S.

      Affiliations

    • Chestnut Health Systems, Normal, IL 61761, USA
    • ,
  • Margaret T. Lee, Ph.D.

      Affiliations

    • Institute for Behavioral Health, Schneider Institutes for Health Policy, Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454, USA
    • ,
  • Deborah W. Garnick, Sc.D.

      Affiliations

    • Institute for Behavioral Health, Schneider Institutes for Health Policy, Heller School for Social Policy and Management, Brandeis University, Waltham, MA 02454, USA

Received 12 February 2009; received in revised form 12 May 2009; accepted 21 May 2009. published online 25 June 2009.

Abstract 

This study examined the predictive validity of the Washington Circle (WC) continuity of care after long-term residential treatment performance measure, as well as the impact of assertive continuing care interventions on achieving continuity of care. This measure is a process measure that focuses on timely delivery of a minimal floor of services that are necessary to provide sufficient quality of treatment but should not be construed to be the optimal continuity of care after residential treatment for any specific adolescent. Participants included 342 adolescents who were admitted to long-term residential treatment and randomly assigned to either standard continuing care or an assertive continuing care condition. Overall, results provide initial support for the WC continuity of care after residential treatment performance measure as a useful predictor of 3-month recovery status. In addition, assignment to an assertive continuing care condition was found to significantly increase the likelihood of achieving continuity of care.

Keywords: Adolescent, Continuing care, Substance use treatment, Performance measures, Washington Circle

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PII: S0740-5472(09)00092-0

doi:10.1016/j.jsat.2009.05.008

Journal of Substance Abuse Treatment
Volume 38, Issue 1 , Pages 3-11, January 2010

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