Table 3.
Determinants of Client Outcomes: GLMs Coefficients and Standard Error
| Proportion in Care 10 Sessions | Proportion in Care 20 Sessions | Proportion Completing Care | Proportion Abuse Free or Controlled | |
|---|---|---|---|---|
| Structural dimensions | ||||
| Review centralization | −0.208 (0.115)* | −0.282 (0.090)** | 0.052 (0.073) | −0.049 (0.077) |
| Review formalization | 0.052 (0.069) | −0.028 (0.056) | 0.030 (0.064) | 0.038 (0.042) |
| Criteria control | −0.219 (0.109)*** | 0.062 (0.084) | −0.304 (0.112)** | 0.105 (0.098) |
| Treatment specification | 0.104 (0.105) | 0.012 (0.043) | 0.055 (0.080) | −0.221 (0.096)*** |
| Communication specialization | 0.004 (0.060) | 0.024 (0.044) | −0.032 (0.051) | −0.037 (0.060) |
| Discharge specialization | 0.316 (0.107)** | 0.212 (0.107)*** | 0.143 (0.082)* | 0.015 (0.110) |
| Financial mechanisms | ||||
| BHMCO stops payment | −0.126 (0.042)** | −0.122 (0.043)** | 0.091 (0.044)*** | −0.022 (0.040) |
| BHMCO disallows claims | 0.118 (0.049)*** | 0.005 (0.039) | −0.105 (0.126) | 0.042 (0.060) |
| BHMCO reimburses for less than cost | −0.063 (0.073) | −0.135 (0.052)*** | −0.126 (0.140) | −0.102 (0.066) |
| Control variables | ||||
| Proportion in care ten sessions | — | — | −0.017 (0.113) | 0.244 (0.105)*** |
| No methadone treatment | −0.406 (0.114)** | −0.387 (0.106)** | 0.234 (0.296) | 0.368 (0.110)** |
| Size (staff) | −0.008 (0.002)** | −0.005 (0.002)** | 0.007 (0.014) | −0.000 (0.002) |
| Public auspices | −0.056 (0.114) | −0.043 (0.102) | 0.434 (0.299) | −0.183 (0.107) |
| For-profit auspices | 0.179 (0.097) | 0.141 (0.111) | 0.783 (0.213)** | −0.095 (0.122) |
| Has parent organization | −0.070 (0.100) | −0.097 (0.103) | 0.040 (0.220) | −0.133 (0.121) |
| Percent clients employed | −0.003 (0.002) | −0.008 (0.001)** | −0.018 (0.008)*** | 0.003 (0.002) |
| Percent clients black | −0.002 (0.002) | 0.001 (0.002) | −0.021 (0.009)*** | −0.002 (0.002) |
| Intercept | 1.626 (0.232)** | 1.438 (0.211)** | 1.619 (1.023) | 0.0921 (0.283) |
| Person χ2 | 10.016 | 7.979 | 5.753 | 10.548 |
| N | 137 | 137 | 135 | 131 |
*
p<.05, one tailed test, structural variables.
**
p<.01;
***
p<.05.
BHMCO=behavioral health managed care organization; GLM=generalized linear modeling.