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Date: April 30, 2024 Tue
Time: 1:28 am
Time: 1:28 am
Results for payment by results
1 results foundAuthor: Donmall, Michael Title: Evaluation of the Drugs and Alcohol Recovery Payment by Results Pilot Programme: Final Report Summary: In April 2011, the Department of Health (DH) announced that eight local areas had been selected to pilot a new approach to commissioning and delivering drug and alcohol misuse treatment. Under these 'payment by results drug and alcohol recovery pilots', a proportion of provider payments were linked to achievement of specified outcomes representing recovery from problems relating to drugs and alcohol misuse by service users. The pilots started in April 2012. The purpose of the PbR Pilots was to both develop and test out this new approach to the commissioning and delivery of drugs and alcohol services. Alongside the pilots programme, the DH, in partnership with other government departments, commissioned an independent evaluation. This evaluation supports future policy-making by providing a rigorous and independent, formative and summative, evaluation of the pilots programme. The aims of the evaluation were to: robustly assess the effectiveness of the PbR pilots on the provision of treatment; undertake an economic evaluation of the PbR pilots programme; and disseminate lessons for ensuring the quality, effectiveness and efficiency of Drug and Alcohol Recovery PbR models in the future. To meet these aims, the evaluation included process, impact and economic components which were carried out in all eight pilot sites. The evaluation involved undertaking in-depth interviews with a range of stakeholders, and analysis of administrative data on costs, outcomes and impact. The reporting arrangements for the evaluation included publication of a comprehensive Scoping and Feasibility Report in November 2012, which refined the scope of the evaluation and listed the extended set of agreed research questions to be addressed. They also included requirements for annual interim reports, which have been summarised on the project website. The project involved 201 interviews with 356 stakeholders involved in the development, implementation, delivery and receipt of treatment services under the drug and alcohol recovery payment by results (PbR) pilots. The interviewees included policy stakeholders (e.g. from the Department of Health, Ministry of Justice), commissioners, senior managers, service managers, practitioners, carers and services users from across the eight pilot sites. All interviews were conducted between April 2012 and October 2013 to capture views and experiences at different stages of the pilot programme. The findings were also triangulated with data collated and published by the Department of Health (DH) during the course of the piloting process (e.g. monthly, followed by quarterly, update reports provided by the pilot sites to the DH) and on data by the National Drug Treatment Monitoring System (NDTMS). We estimated the impact of the pilot programme using a difference-in-differences methodology. Treatment outcomes were measured by comparing results for the two years prior to implementation (1st April 2010 to 31st March 2012) with the two years post-commencement of PbR piloting (1st April 2012 to 31st March 2014). Data were analysed separately for those presenting with primary drug problems and primary alcohol problems. The primary drug dataset also included information from the Treatment Outcome Profile (TOP) form recorded on initiation to treatment, at set review points and at treatment exit. Analyses of TOP data were restricted to drug cases since these were inconsistently returned for primary alcohol clients over the four-year period examined. Details: Manchester, UK: National Drug Evidence Centre University of Manchester, 2017. 164p. Source: Internet Resource: Accessed November 28, 2017 at: https://www.researchgate.net/profile/Tim_Mcsweeney2/publication/320254325_Evaluation_of_the_Drugs_and_Alcohol_Recovery_Payment_by_Results_Pilot_Programme_Final_Report/links/59d78902aca27213dfa5232d/Evaluation-of-the-Drugs-and-Alcohol-Recovery-Payment-by-Results-Pilot-Programme-Final-Report.pdf Year: 2017 Country: United Kingdom URL: https://www.researchgate.net/profile/Tim_Mcsweeney2/publication/320254325_Evaluation_of_the_Drugs_and_Alcohol_Recovery_Payment_by_Results_Pilot_Programme_Final_Report/links/59d78902aca27213dfa5232d/Evaluation-of-the-Drugs-and Shelf Number: 148520 Keywords: Alcohol Treatment Drug Treatment Payment by ResultsSubstance Abuse Treatment |