This payer presents a methodology far estimating costs of delivering s
pecific substance abuse treatment services. Data collected from 13 pro
grams indicate that the mean cost of residential treatment is $2,773 p
er patient per month, and outpatient treatment costs average $636 per
patient per month. Data are presented on the cost per patient per mont
h for individual treatment and nontreatment services, average number o
f services, cost PET unit of service, and intensity of services. III a
ddition to their application to insurance benefit cost estimation, the
se data illustrate the costing of best-practice adolescent treatment c
onsistent with a Center for Substance Abuse Treatment (CSAT) Treatment
Improvement Protocol. In the emerging policy environment, derailed co
st estimates like these will aid the design of cost-effective treat me
nt programs, and serve the development of the substance abuse benefit
in a health care reform insurance package. (C) 1998 Elsevier Science I
nc.