Pay-for-performance in a community substance abuse clinic

Ryan G Vandrey, Maxine L Stitzer, Shauna P. Acquavita, Patricia Quinn-Stabile

Research output: Contribution to journalArticle

Abstract

Pay-for-performance (P4P) strategies improve employee productivity and morale in business settings and are increasingly being implemented in medical care settings. This study investigated whether P4P could improve treatment utilization and retention at a community drug treatment clinic. Counselors had the opportunity to earn cash bonuses based on therapy attendance rates of individual clients and on the quarterly retention rates of their caseload. Using a pre-post study design, average therapy sessions attended during the first month of treatment increased from 4.6 sessions prior to the intervention to 5.5 sessions per client during the intervention. The 90-day client retention rate increased from 40% to 53%. Additional analyses suggest that the improvement in the 90-day retention was mediated by the increase in attendance during the first month of treatment. This project demonstrates that implementing a P4P incentive program in community drug abuse treatment clinics is feasible and effective at improving utilization and retention.

Original languageEnglish (US)
Pages (from-to)193-200
Number of pages8
JournalJournal of Substance Abuse Treatment
Volume41
Issue number2
DOIs
StatePublished - Sep 2011

Fingerprint

Incentive Reimbursement
Substance-Related Disorders
Therapeutics
Morale
Motivation

Keywords

  • Contingency management
  • Incentives
  • Pay-for-performance
  • Retention
  • Treatment utilization

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology
  • Phychiatric Mental Health
  • Medicine (miscellaneous)

Cite this

Pay-for-performance in a community substance abuse clinic. / Vandrey, Ryan G; Stitzer, Maxine L; Acquavita, Shauna P.; Quinn-Stabile, Patricia.

In: Journal of Substance Abuse Treatment, Vol. 41, No. 2, 09.2011, p. 193-200.

Research output: Contribution to journalArticle

Vandrey, Ryan G ; Stitzer, Maxine L ; Acquavita, Shauna P. ; Quinn-Stabile, Patricia. / Pay-for-performance in a community substance abuse clinic. In: Journal of Substance Abuse Treatment. 2011 ; Vol. 41, No. 2. pp. 193-200.
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