Case Management Enhancements Project

The Case Management Enhancements project (CME) was a research project funded by the National Institute on Drug Abuse (NIDA). The Wright State University School of Medicine Department of Community Health is the awardee and operated the project in cooperation with the Department of Veterans Affairs Medical Center (DVAMC) in Dayton, Ohio. The CME examined the impact of two related interventions, community-based aftercare and strengths-based case management, with persons who are in treatment for substance abuse problems.

The impetus for combining these two approaches grew out of findings from an earlier project, the Enhanced Treatment Project (ETP) that suggested substance abusers would benefit from a closer relationship between aftercare treatment (e.g. relapse prevention) and the resource acquisition focus of case management. Experiences from the ETP and the literature surrounding aftercare treatment offer support for the idea that such services would be most beneficial when offered in a community location.

A total of 550 veterans were randomly assigned between two study groups: (1) veterans who receive aftercare services on-grounds at the DVAMC; and (2) veterans who receive aftercare services at a community site with intensive case management services. The project conducted extensive interviews with veterans at the time of their entry into treatment, at discharge from treatment and at 1, 3, 6, 12, 18, and 42 months following their discharge from treatment. The focus of discharge, 1-, 3-, and 6-month interviews was on the processes of change that accompany treatment for substance abuse problems and the substance abusers' early experiences in attempting to maintain a drug-free lifestyle. All interviews looked at changes in major life domains, including drug use, employment status, psychiatric functioning, relationships, and criminality. This project began on September 1, 1995, and ended August 31, 2001.


Publications

Brun, C., Rapp, R.C. (2001). Strengths-Based Case Management: Individuals' Perspectives of Strengths and the Case Manager Relationship. Social Work, 46(3):278-288. [Abstract]

Cole, P.A., Siegal, H.A., Forney, M.A., Rapp, R.C., Fisher, J.H., Callejo, V.E. (1992). The Enhanced Treatment Project: Focus on New Strategies. Addiction and Recovery, 12(2):72-74.

Mejta, C.L., Bokos, P.J., Mickenberg, J.H., Maslar, E.M., Hasson, A.L., Gil, V., O'Keefe, Z., Martin, S.S., Isenberg, H., Inciardi, J.A., Lockwood, D., Rapp, R.C., Siegal, H.A., Fisher, J.H., Wagner, J.H. (1994).

Approaches to Case Management with Substance Abusing Populations. In: J. Lewis (ed.), Addictions: Concepts and Strategies for Treatment. Gaithersberg, MD: Aspen.

Rapp, R.C. (In press). The Strengths Perspective and Persons with Substance Abuse Problems. In: D. Saleebey (ed.), The Strengths Perspective in Social Work Practice (Third Edition). Longman.

Rapp R.C., Siegal, H.A., Li, L., Saha, P. (1998) Predicting Post-Primary Treatment Services and Drug Use Outcome: A Multivariate Analysis. American Journal of Alcohol and Drug Abuse, 24(4):603-615. [Abstract]

Rapp, R.C., Kelliher, C.W., Fisher, J.H., Hall, F.J. (1996). Strengths-Based Case Management: A Role in Addressing Denial in Substance Abuse Treatment. In: H.A. Siegal, R.C. Rapp (eds.), Case Management and Substance Abuse Treatment: Practice and Experience. New York: Springer.

Rapp, R.C., Kelliher, C.W., Fisher, J.H., Hall, F.J. (1994). Strengths-Based Case Management: A Role in Addressing Denial in Substance Abuse Treatment. Journal of Case Management, 3(4):139-144. [Abstract]

Rapp, R.C., Siegal, H.A., Fisher, J.H., Wagner, J.H., Kelliher, C.W., Bechtolt, J.A. (1993). A "Strengths-Based" Approach to Enhance Treatment Compliance. Addiction and Recovery, November/December, 22-25.

Rapp, R.C., Siegal, H.A., Fisher, J.H. (1992). A Strengths-Based Model of Case Management/Advocacy: Adapting a Mental Health Model to Practice Work with Persons Who Have Substance Abuse Problems. In: R.S. Ashery (ed.), NIDA Research Monograph, pp. 79-91. Rockville, MD: U.S. Department of Health and Human Services.

Siegal, H.A., Rapp, R.C., Fisher, J., Cole, P.A., Wagner, J.H. (1997). Treatment Induction and Case Management: Two Promising Drug Treatment Enhancements. In: B.W. Fletcher, J.A. Inciardi, F.M. Tims, P. Delany, A.M. Horton (eds.), The Effectiveness of Innovative Strategies in the Treatment of Drug Abuse. Westport, CT: Greenwood Press.

Siegal, H.A., Rapp R.C., Li, L., Saha, P., Kirk, K. (1997). The Role of Case Management in Retaining Clients in Substance Abuse Treatment: An Exploratory Analysis. Journal of Drug Issues, 27(4):821-831.

Siegal, H.A., Rapp, R.C. (eds.) (1996). Case Management and Substance Abuse Treatment: Practice and Experience, New York: Springer.

Siegal, H.A., Fisher, J.A., Rapp, R.C., Kelliher, C.W., Wagner, J.H., O'Brien, W.F., Cole, P. A. (1996). Enhancing Substance Abuse Treatment with Case Management: Its Impact on Employment. Journal of Substance Abuse Treatment, 13(2):93-98. [Abstract]

Siegal, H.A., Fisher, J., Rapp, R.C., Wagner, J.H., Forney, M.A., Callejo, V. (1995). Presenting Problems of Substance Abusers in Treatment: Implications for Service Delivery and Attrition. American Journal of Drug and Alcohol Abuse, 21(1):17-26. [Abstract]

Siegal, H.A., Rapp, R.C., Kelliher, C.W., Fisher, J.H., Wagner, J.H., Cole, P.A. (1995). The Strengths Perspective of Case Management: A Promising Inpatient Substance Abuse Treatment Enhancement. Journal of Psychoactive Drugs, 27(1):67-72. [Abstract]

Siegal, H.A., Rapp, R.C., Fisher, J., Cole, P., Wagner, J.H. (1994). Implementing Innovations in Drug Treatment: Case Management and Treatment Induction in the Enhanced Treatment Project. In: B.W. Fletcher, J.A. Inciardi, A. M. Horton (eds.), Drug Abuse Treatment: The Implementation of Innovative Approaches, pp. 131-143. Westport, CT: Greenwood Press.

Siegal, H.A., Rapp, R.C., Fisher, J., Cole, P., Wagner, J.H. (1993). Treatment Dropouts and Noncompliers: Two Persistent Problems and a Programmatic Remedy. In: J.A. Inciardi, F.M. Tims, B.W. Fletcher (eds.), Innovative Approaches in the Treatment of Drug Abuse: Program Models and Strategies, pp. 109-122. Westport, CT: Greenwood Press.

Siegal, H.A., Li, L., Rapp, R.C. (2002). Abstinence Trajectories Among Treated Crack Cocaine Users. Addictive Behaviors, 27(3):437-449. [Abstract]

Siegal, H.A., Rapp, R.C., Lane, D.T. (In press). Corrections Based Case Management and Substance Abuse Treatment. In: C.G. Leukefeld, F. Tims, D. Farahee (eds.), Treatment of Drug Offenders: Policies and Issues.

Siegal, H.A., Li, L., Rapp, R.C. (2002). Case management as a therapeutic enhancement: Impact on post-treatment criminality. Journal of Addictive Disease, 21(4):37-46. [Abstract]

Siegal, H.A., Rapp R.C., Li, L., Saha, P. (In press). Case Management in Substance Abuse Treatment: Perspectives, Impact and Use. In: J.J. Platt (ed.), Relapse and Recovery Processes in the Addictions.

Siegal, H.A., Rapp R.C., Li, L., Saha, P. (2001). Measuring Readiness for Change Among Crack Cocaine Users: A Descriptive Analysis. Substance Use and Misuse, 36(6-7):687-700. [Abstract]


Staff contact information:

Richard C. Rapp, M.S.W., L.I.S.W.


For more information, contact:
Center for Interventions, Treatment and Addictions Research
Wright State University School of Medicine
3640 Colonel Glenn Highway
Dayton, OH 45435
Phone: (937) 775-2066
Fax: (937) 775-2214