Академический Документы
Профессиональный Документы
Культура Документы
Colleen Boehme
Contingency Management
19 cocaine-dependent patients divided into a CM and control group.
Biweekly drug testing.
CM group: 2.9 weeks of continuous abstinence vs 0.6 weeks in control
Motivational Interviewing
104 patients w/ hazardous drinking habits, drug use within last thirty
As a direct result of services I received, I deal more effectively with daily problems.
Text Messaging
2008 (648) =no reminder
2009 (1081)=7 and 5 days
2010 (1088) =7 and 3 days
Overbooking
Increases Provider Productivity
Valuing the Variables
Extra patient=1
Increased Wait=-.5
Overtime Costs=-1.2
5 weeks later
39% of those who were automatically rescheduled
17% of those asked to reschedule
9% of control group
Another Study
New Patients Referred to Clinic
Letter with pre-assigned appt time
Letter instructing them to call and make appt
scheduled an appointment
The attendance rate in the self-scheduling group was 97%,
which was higher than the pre-assigned group
And another
Patients randomly assigned to 4 possible interventions
Orientation script read to pt when clinic called to schedule appt
Orientation script plus telephone reminder and clinic directions
Only the telephone reminder
Control: only appt time when initial visit was scheduled
Results:
28%
20% (69%)
32% (76%)
56%
Smart Strategies
Schedule appointment for as soon as possible (within a week ideally)
Phone calls (& letters) are cheap and effective, especially when done
Reminders work best when the patient feels like youre calling because
you care about their well-being, and sincere attempts are made to
overcome obstacles
Rewards
Parking passes, food coupons, bowling passes, $3.00/session, milk coupons
Laganga, L., & Lawrence, S. (n.d.). Clinic Overbooking to Improve Patient Access and Increase Provider
Productivity. Decision Sciences, 251-276.
Lefforge, N., Donohue, B., & Strada, M. (2007). Improving Session Attendance in Mental Health and Substance Abuse
Settings: A Review of Controlled Studies. Behavior Therapy,1-22.
Mcniel, D., Gormley, B., & Binder, R. (2013). Leverage, the Treatment Relationship, and Treatment
Participation. Psychiatric Services, 431-431.
Molfenter, T. (n.d.). Reducing Appointment No-Shows: Going from Theory to Practice.Substance Use & Misuse, 743749.
Petry, N., Alessi, S., & Rash, C. (n.d.). A randomized study of contingency management in cocaine-dependent patients
with severe and persistent mental health disorders. Drug and Alcohol Dependence, 234-237.
Satre, D., Delucchi, K., Lichtmacher, J., Sterling, S., & Weisner, C. (n.d.). Motivational interviewing to reduce
hazardous drinking and drug use among depression patients.Journal of Substance Abuse Treatment, 323-329.
Sims, H. (2012). Text Message Reminders of Appointments: A Pilot Intervention at Four Community Mental Health
Clinics in London. Psychiatric Services, 161-161.