Comprehensive Alcohol Treatment Planning, Implementation, and Evaluation

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Abstract
The relationship among treatment concepts, staffing patterns and clinical services in a comprehensive alcohol treatment program are reviewed. The service components (i.e., outpatient and intermediate residential care) operational at the time are evaluated. Practical concerns such as staffing patterns and administrative decisions regarding case findings influenced the design of clinical services more than such appropriate concerns as theory or applied-science literature. Outpatient services during the 1st yr were essentially indistinguishable from Alcoholics Anonymous (AA) activities. Intermediate care services represented the program''s pioneering efforts to operationalize treatment concepts independent of the AA model. A therapeutic milieu with an emphasis on group therapy, structured work projects, physical reconditioning, vocational counseling and various elective adjunctive modalities was developed. Issues regarding this and other alcohol program evaluations were outlined.