This study was designed to assess whether centralized intake and assessment
in a drug abuse treatment system would lead to improved outcomes. Clients
entering treatment through a centralized intake unit (CIU) or through indiv
idual programs (non-CIU) were interviewed at admission, and at I month and
I year postadmission. Interviews included measures of treatment access and
satisfaction, psychiatric symptoms, social support, and Addiction Severity
Index composite scores. At treatment entry, CIU participants had more emplo
yment and psychological problems and lower social support, were more often
required to be in treatment, and were more often placed on a waiting list.
In analyses controlling for baseline differences between groups, there were
main effects of time, but no CIU status effects or CIU status by time inte
ractions. The CIU may have improved access to treatment for a more disabled
population; however, clients entering treatment through the CIU did not ha
ve better outcomes than those entering treatment directly. (C) 2001 Elsevie
r Science Inc. All rights reserved.