To provide readers with illustrative data on the costs of running
programs for patients with dual disorders, the consensus panel Chair obtained data
on actual costs during fiscal year 1991-1992 from three programs in urban
areas. One program, on the West Coast, provided day and evening intensive outpatient
services. The second, in the Northeast, provided intensive outpatient services during
the day. In the third program, in the Northwest, daytime intensive outpatient
services,
partial hospitalization, and intensive case management were provided.
Included
in the tables below are descriptive data for each program, including institutional
status (for example, private for-profit or public), payer mix (for example, Medicaid
or self-pay patients), number of clients served (at 100 percent capacity),
salary ranges of various levels of staff, and other expenses (for example, facility
costs). Total expenses and total revenues for each program are listed
at the end.
TREATMENT OF PATIENTS WITH DUAL DISORDERS SAMPLE COST DATA
Program 1
Program 2
Program 3
PROGRAM TYPE
Evening Intensive Outpatient
X
Day Intensive Outpatient
X
X
X
Partial Hospitalization
X
Other
Day treatment and intensive case management
REGION
West Coast
Northeast
Northwest
LOCALE
Urban
Urban
Urban
INSTITUTIONAL STATUS
Private for-profit
X
Private nonprofit
Public
X
X
Other
PAYER MIX (BY PERCENT)
Insurance/Managed Care
X
Medicaid
66%
30%
Medicare
X
25%
Self-pay
X
4%
HMO contract
X
State grant/purchase of care
30%
45%
Program 1
Program 2
Program 3
NUMBER OF PATIENTS SERVED (AT 100 PERCENT CAPACITY)
Daily
50+
45
100
Weekly
320
225
300
SALARY RANGES
Administrators/managers
$60,000 to 70,000
$38,000 to 50,000
$35,000 to 60,000
Physicians
$70/Hour to 100/Hour
$85,00
$70,000 to 90,000
Social workers
$30,000 to 50,00
$30,000
$26,000 to 35,000
Psychologists
$50,000 to 60,000
n/a
$50,000 to 70,000
Support staff
$18,000 to 27,000
$20,000 to 29,000
$22,000 to 28,000
Other
Addiction counselors, $23,000 to 35,000
Nurses, counselors and recreational therapists, $25,000 to 38,000
Addiction mental health specialists, $23,000 to 33,000