The impact of centralized intake on access to treatment and satisfaction with intake procedures

Abstract
The substance abuse treatment system is currently confronted with not only more clients but also clients with a complex array of health and human service needs. Existing systems often lack both resources and the institutional structure needed to manage clients with multiple and often chronic needs. Presented in this chapter is a review of a federally funded demonstration project designed to address these client management requirements in the treatment system. The project, Target Cities, focused a variety of interventions designed to improve access to assessments and treatment, client-treatment matching procedures, linkages and referrals to other health and human service providers, and client tracking. Discussed are the history, rationale, implementation, and findings produced by these system changes in one main metropolitan area. The results indicated that centralized intake improved access to treatment while maintaining client satisfaction with the intake process.

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