A COMPARISON OF COUNTY HOSPITAL UTILIZATION BEFORE AND AFTER INTERVENTION BY THE HOSPITAL'S ALCOHOLISM SERVICES PROGRAM

This study examines the reduction in hospital utilization of 393 public hospital patients who were referred to the hospital's alcoholism screening program for intervention. The 393 patients were the total patient population of the alcoholism screening program for the period of September through December, 1982. Medical records of these patients were investigated to assess the total number of hospital days six months before and six months after intervention. The findings support the hypothesis of decreased utilization. The total number of hospital days for 393 patients before intervention of the alcoholism program was 3,458, with a mean length of stay of 8.80 days. The total number of hospital days after intervention was 458 days, with a mean length of stay of 6.50 days. The average individual difference (decrease) was 7.63 days for one year. From a total of 393 patients counseled by the alcoholism program, 106 (27%) went to treatment for their alcoholism. Other aims were to examine the referral sources (physicians, nurses, social workers and the MAST); study the impact of familial history of alcoholism on referrals, and explore the MAST scores of patients successfully referred. Implications of the study are that it would benefit the public hospital, with their disproportionate numbers of alcoholics, to intervene in the behavioral patterns of alcoholism. Such intervention would be a factor in reducing the overall hospitalization of the alcoholic. ^

THE APPLICATION OF CIRRHOSIS MORTALITY AND SUICIDE MORTALITY AS INDICATORS FOR ALCOHOLISM PLANNING

This study provides a review of the current alcoholism planning process of the Houston-Galveston planning process of the Houston-Galveston Area Council, an agency carrying out planning for a thirteen county region in surrounding Houston, Texas. The four central groups involved in this planning are identified, and the role that each plays and how it effects the planning outcomes is discussed.^ The most substantive outcome of the Houston-Galveston Area Council's alcoholism planning, the Regional Alcoholism/Alcohol Abuse Plan is examined. Many of the shortcomings in the data provided, and the lack of other data necessary for planning are offered.^ A problem oriented planning model is presented as an alternative to the Houston-Galveston Area Council's current service oriented approach to alcoholism planning. Five primary phases of the model, identification of the problem, statement of objectives, selection of alternative programs, implementation, and evaluation, are presented, and an overview of the tasks involved in the application of this model to alcoholism planning is offered.^ A specific aspect of the model, the use of problem status indicators is explored using cirrhosis and suicide mortality data. A review of the literature suggests that based on five criteria, availability, subgroup identification, validity, reliability, and sensitivity, both suicide and cirrhosis are suitable as indicators of the alcohol problem when combined with other indicators.^ Cirrhosis and suicide mortality data are examined for the thirteen county Houston-Galveston Region for the years 1969 through 1976. Data limitations preclude definite conclusions concerning the alcohol problem in the region. Three hypotheses about the nature of the regional alcohol problem are presented. First, there appears to be no linear trend in the number of alcoholics that are at risk of suicide and cirrhosis mortality. Second, the number of alcoholics in the metropolitan areas seems to be greater than the number of rural areas. Third, the number of male alcoholics at risk of cirrhosis and suicide mortality is greater than the number of female alcoholics.^

Proceedings of the National Hispanic Conference on Alcoholism, sponsored by the National Institute on Alcohol Abuse and Alcoholism, September 7-10, 1980, San Antonio, Texas.

Cover title: Alcoholism and the Hispanic, a mutual concern.

Medicare coverage for the treatment of alcoholism : excerpts.

"Excerpts from DHEW's September, 1978 report to Congress required by P.L. 95-210 on The Advantages and disadvantages of extending medicare coverage to Mental Health, Alcohol, and Drug Abuse Centers"--P. [2] of cover.

Alcoholism treatment programs within prepaid group practice HMO's : a final report /

"May 1982."

Development of cost simulation study of alcoholism insurance benefit packages : executive summary.

"May 1983."

Comprehensive report : data from the September 30, 1982 national drug and alcoholism treatment utilization survey (NDATUS).

Mode of access: Internet.

The National Institute on Alcohol Abuse and Alcoholism.

Mode of access: Internet.

Development of cost simulation study of alcoholism insurance benefit packages : project description and recommendations.

Mode of access: Internet.

Los Angeles County Occupational Health Services Employee Alcoholism Program: a performance report for 1975. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

The alcoholism countermeasure: performance report for 1975. Final report.

National Highway Traffic Safety Administration, Office of Alcohol Countermeasures, Washington, D.C.

The Medical Advisory Committee of the President's Committee on Employment of the Handicapped presents alcoholism and substance abuse, trends and choices : a report of the proceedings of a panel discussion held at the annual meeting of the President's Committee on Employment of the Handicapped, May 4, 1983, Washington, D.C. /

Cover title: Alcoholism and substance abuse, trends and choices.

Final report, data from the national drug and alcoholism treatment utilization survey (NDATUS) /

Title varies slightly.