CHANGES WITHIN THE health care system have prompted health care providers and researchers to re-evaluate and modify the process of service system evaluation. Evaluation research conducted throughout the 1980s focused primarily on the structure and processes of health care. In contrast, evaluation research shifted its focus to the measurement of treatment outcomes during the 1990s [Jennings et al 1999 and Sederer et al 1996]. Issues that drove the outcomes measurement movement included escalating health care costs, consumer advocacy for needed and appropriate services, increased focus on evidence-based practice, implementation of managed care in both the private and public mental health ...
RECOVERY FROM SUBSTANCE abuse is a recovery phenomenon that is of importance to nursing. Reports in the literature indicate that recovery from substance abuse is a complex multidimensional process that occurs both with and without expert assistance [Prochaska et al 1992]. Whereas a combination of human, social, and economic costs of substance abuse have led to a plethora of research on topics such as the epidemiology of substance abuse, treatment outcomes such as client functioning, relapse phenomena, and most recently matching individual and treatment characteristics [Murphy 1993], very little is known about recovery from substance abuse in African American women. ...
IN THE United States of America, Substance Abuse and Dependence Disorders are a major cause of both health and social problems. Abuse of alcohol, tobacco, and illicit drugs cause a tremendous burden on the country with a current annual cost of over $414 billion. As the nation’s number one health problem, it contributes to illness and death, and strains the health care system. Of the estimated two million deaths of Americans every year, one in four is attributed to alcohol, tobacco, and/or illicit drug use. Substance disorders are known to be the primary cause of illness, disability, and mortality, which ...
RECOVERY FROM SUBSTANCE abuse is a recovery phenomenon that is of importance to nursing. Reports in the literature indicate that recovery from substance abuse is a complex multidimensional process that occurs both with and without expert assistance. Whereas a combination of human, social, and economic costs of substance abuse have led to a plethora of research on topics such as the epidemiology of substance abuse, treatment outcomes such as client functioning, relapse phenomena, and most recently matching individual and treatment characteristics, very little is known about recovery from substance abuse in African American women. Although studies conducted with women have ...