A T McLellan

Summary

Affiliation: Treatment Research Institute
Country: USA

Publications

  1. ncbi Can the national addiction treatment infrastructure support the public's demand for quality care?
    A Thomas McLellan
    The Treatment Research Institute, 600 Public Ledger Building, 150 South Independence Mall West, Philadelphia, PA 19106, USA
    J Subst Abuse Treat 25:117-21. 2003
  2. ncbi Reconsidering the evaluation of addiction treatment: from retrospective follow-up to concurrent recovery monitoring
    A Thomas McLellan
    Treatment Research Institute, University of Pennsylvania, USA
    Addiction 100:447-58. 2005
  3. ncbi Improving continuity of care in a public addiction treatment system with clinical case management
    A Thomas McLellan
    Treatment Research Institute, 600 Public Ledger Bldg, 150 S Independence Mall, West, Philadelphia, PA 19106, USA
    Am J Addict 14:426-40. 2005
  4. ncbi The Addiction Severity Index at 25: origins, contributions and transitions
    A Thomas McLellan
    The Treatment Research Institute, Philadelphia, Pennsylvania, USA
    Am J Addict 15:113-24. 2006
  5. ncbi Moving toward a "third generation" of contingency management studies in the abuse treatment field: comment on Silverman et al. (2001)
    A T McLellan
    Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, USA
    Exp Clin Psychopharmacol 9:29-32; discussion 35-9. 2001
  6. ncbi Five year outcomes in a cohort study of physicians treated for substance use disorders in the United States
    A Thomas McLellan
    Treatment Research Institute, 600 Public Ledger Building, 150 S Independence Mall, Philadelphia, PA 19106, USA
    BMJ 337:a2038. 2008
  7. ncbi Outcomes, performance, and quality: what's the difference?
    A Thomas McLellan
    Treatment Research Institute, Public Ledger Bldg, 150 Independence Mall, Philadelphia, PA 19106, USA
    J Subst Abuse Treat 32:331-40. 2007
  8. ncbi Reducing heavy drinking: a public health strategy and a treatment goal?
    A Thomas McLellan
    Treatment Research Institute, Philadelphia, PA 19106, USA
    J Subst Abuse Treat 33:81-3. 2007
  9. ncbi Implicit demand characteristics in research funding sources--it's not just some sources
    A Thomas McLellan
    Treatment Research Institute and University of Pennsylvania, Philadelphia, PA, USA
    Addiction 102:1035-7; discussion 1039-40. 2007
  10. ncbi Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation
    A T McLellan
    The Treatment Research Institute, 150 S Independence Mall W, Suite 600, Philadelphia, PA 19106 3475, USA
    JAMA 284:1689-95. 2000

Detail Information

Publications53

  1. ncbi Can the national addiction treatment infrastructure support the public's demand for quality care?
    A Thomas McLellan
    The Treatment Research Institute, 600 Public Ledger Building, 150 South Independence Mall West, Philadelphia, PA 19106, USA
    J Subst Abuse Treat 25:117-21. 2003
  2. ncbi Reconsidering the evaluation of addiction treatment: from retrospective follow-up to concurrent recovery monitoring
    A Thomas McLellan
    Treatment Research Institute, University of Pennsylvania, USA
    Addiction 100:447-58. 2005
    ..We refer to this paradigm as 'concurrent recovery monitoring' and discuss its potential for producing more timely, efficient, clinically relevant and accountable evaluations...
  3. ncbi Improving continuity of care in a public addiction treatment system with clinical case management
    A Thomas McLellan
    Treatment Research Institute, 600 Public Ledger Bldg, 150 S Independence Mall, West, Philadelphia, PA 19106, USA
    Am J Addict 14:426-40. 2005
    ....
  4. ncbi The Addiction Severity Index at 25: origins, contributions and transitions
    A Thomas McLellan
    The Treatment Research Institute, Philadelphia, Pennsylvania, USA
    Am J Addict 15:113-24. 2006
    ..Finally, some recent ASI data collected from over 8,400 patients admitted to a nationally representative sample of U.S. addiction treatment programs are presented...
  5. ncbi Moving toward a "third generation" of contingency management studies in the abuse treatment field: comment on Silverman et al. (2001)
    A T McLellan
    Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, USA
    Exp Clin Psychopharmacol 9:29-32; discussion 35-9. 2001
    ..Suggestions are offered for moving the next generation of studies toward less complicated populations and using more robust reinforcements within the constraints of contemporary financial and administrative boundaries...
  6. ncbi Five year outcomes in a cohort study of physicians treated for substance use disorders in the United States
    A Thomas McLellan
    Treatment Research Institute, 600 Public Ledger Building, 150 S Independence Mall, Philadelphia, PA 19106, USA
    BMJ 337:a2038. 2008
    ..To evaluate the effectiveness of US state physician health programmes in treating physicians with substance use disorders...
  7. ncbi Outcomes, performance, and quality: what's the difference?
    A Thomas McLellan
    Treatment Research Institute, Public Ledger Bldg, 150 Independence Mall, Philadelphia, PA 19106, USA
    J Subst Abuse Treat 32:331-40. 2007
    ..This article thus helps build a common understanding about how these efforts to bring greater accountability can be combined and integrated to improve the attractiveness and effectiveness of addiction treatments...
  8. ncbi Reducing heavy drinking: a public health strategy and a treatment goal?
    A Thomas McLellan
    Treatment Research Institute, Philadelphia, PA 19106, USA
    J Subst Abuse Treat 33:81-3. 2007
  9. ncbi Implicit demand characteristics in research funding sources--it's not just some sources
    A Thomas McLellan
    Treatment Research Institute and University of Pennsylvania, Philadelphia, PA, USA
    Addiction 102:1035-7; discussion 1039-40. 2007
  10. ncbi Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation
    A T McLellan
    The Treatment Research Institute, 150 S Independence Mall W, Suite 600, Philadelphia, PA 19106 3475, USA
    JAMA 284:1689-95. 2000
    ..Drug dependence should be insured, treated, and evaluated like other chronic illnesses. JAMA. 2000;284:1689-1695...
  11. ncbi Improving public addiction treatment through performance contracting: the Delaware experiment
    A Thomas McLellan
    Treatment Research Institute, 600 Public Ledger Building, 150 South Independence Mall West, Philadelphia, PA 19106 3475, USA
    Health Policy 87:296-308. 2008
    ....
  12. ncbi Alcoholism treatment after liver transplantation: lessons learned from a clinical trial that failed
    R M Weinrieb
    Department of Psychiatry, The University of Pennsylvania, Philadelphia, USA
    Psychosomatics 42:110-6. 2001
    ..Barriers to posttransplant alcoholism included infirmity, intensive medical management, and denial for alcoholism treatment. Because 30%-50% of alcoholic patients drink after transplant, the authors suggest using MET alone pretransplant...
  13. ncbi Treatment services received by supplemental security income drug and alcoholic clients
    A I Alterman
    University of Pennsylvania School of Medicine, Treatment Research Center, 3900 Chestnut Street, Philadelphia, PA 19104, USA
    J Subst Abuse Treat 18:209-15. 2000
    ..The data are consistent with other findings that indicate that treatment for substance dependence provides only limited services other than those for alcohol and drug abuse...
  14. ncbi Random versus nonrandom assignment in the evaluation of treatment for cocaine abusers
    J R McKay
    Department of Psychiatry, University of Pennsylvania, USA
    J Consult Clin Psychol 66:697-701. 1998
    ..Findings suggest that randomized studies of treatment for cocaine abuse may produce somewhat larger estimates of improvement than what is observed in more typical treatment situations...
  15. ncbi Interpreting the significance of drinking by alcohol-dependent liver transplant patients: fostering candor is the key to recovery
    R M Weinrieb
    Department of Psychiatry, Philadelphia Veterans Affairs Medical Center and The University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    Liver Transpl 6:769-76. 2000
    ..Consequently, we advocate a flexible approach to clinical decision making for the transplant professional caring for an alcoholic patient who has resumed drinking and provide specific guidelines for patient management...
  16. ncbi Developing a national addiction treatment information system. An introduction to the Drug Evaluation Network System
    D Carise
    Treatment Research Institute, University of Pennsylvania School of Medicine, Philadelphia, USA
    J Subst Abuse Treat 17:67-77. 1999
    ..Data is presented on 4,300 adults entering drug and/or alcohol treatment at the nonrandomly selected DENS pilot programs between June 1996, and April 6, 1998. Various examples of how DENS data can be used are presented...
  17. ncbi Development of a "treatment program" descriptor: the addiction treatment inventory
    D Carise
    The Treatment Research Institute and the Center for Studies of Addiction, University of Pennsylvania School of Medicine, Philadelphia 19103, USA
    Subst Use Misuse 35:1797-818. 2000
    ..Specifically, we present development of the Addiction Treatment Inventory (ATI), a standardized measurement instrument to characterize these service delivery units and their services...
  18. ncbi Comparison of outcomes by gender and for fee-for-service versus managed care: a study of nine community programs
    A I Alterman
    The PENN VA Center for Studies of Addiction and the Treatment Research Institute, University of Pennsylvania School of Medicine, 3900 Chestnut Street, 19104, Philadelphia, PA, USA
    J Subst Abuse Treat 19:127-34. 2000
    ..The only difference noted was that patients treated via managed care showed more improvement in the drug area. The need for further evaluation of the effects of managed care is emphasized...
  19. ncbi Drinking behavior and motivation for treatment among alcohol-dependent liver transplant candidates
    R M Weinrieb
    Department of Psychiatry, The University of Pennsylvania School of Medicine and the Philadelphia Veterans Affairs Medical Center, USA
    J Addict Dis 20:105-19. 2001
    ..Alcoholism interventions should accommodate their medical condition and boost motivation for continued abstinence...
  20. ncbi Suggested specifications for a standardized Addiction Severity Index database
    D Carise
    The Treatment Research Institute, The University of Pennsylvania, Philadelphia, PA, USA
    J Subst Abuse Treat 20:239-44. 2001
    ..The potential applications from such a database would benefit treatment providers/clinicians and researchers as well as payers and policy makers...
  21. ncbi Multidimensional assessment of perceived treatment-entry pressures among substance abusers
    D B Marlowe
    Treatment Research Institute, University of Pennsylvania, 600 Public Ledger Building, 150 South Independence Mall West, Philadelphia, Pennsylvania 19106 3475, USA
    Psychol Addict Behav 15:97-108. 2001
    ..These data support the discriminative and predictive utility of performing a multidimensional assessment of pressures to enter treatment...
  22. ncbi Establishing the feasibility of performance measures for alcohol and other drugs
    Deborah W Garnick
    Schneider Institute for Health Policy, Heller School for Social Policy and Management, Brandeis University, 415 South Street, Waltham, MA 02454 9110, USA
    J Subst Abuse Treat 23:375-85. 2002
    ..The article discusses issues in interpreting performance measures in several areas: organizational structure of alcohol and other drug services, information available for measurement, and computational issues...
  23. ncbi Getting patients the services they need using a computer-assisted system for patient assessment and referral--CASPAR
    Deni Carise
    Treatment Research Institute and University of Pennsylvania, 600 Public Ledger Building, 150 South Independence Mall West, Philadelphia, PA 19106 3475, USA
    Drug Alcohol Depend 80:177-89. 2005
    ..They did not have higher levels of patient satisfaction or helping alliance scores. These findings are discussed with regard to integrating empirically supported procedures into contemporary, community-based substance abuse treatment...
  24. ncbi Identifying United States substance abuse treatment programs: a test in one mid-sized city
    Deni Carise
    Treatment Research Institute, 600 Public Ledger Building, 150 South Independence Mall West, Philadelphia, PA 19106 3475, USA
    Subst Abus 25:21-8. 2004
    ....
  25. ncbi Benefit-cost analysis of addiction treatment: methodological guidelines and empirical application using the DATCAP and ASI
    Michael T French
    Department of Economics, Pompeu Fabra University, Barcelona, Spain
    Health Serv Res 37:433-55. 2002
    ..The study demonstrates one way to combine economic and clinical data and offers a methodological foundation for future economic evaluations of addiction treatment...
  26. ncbi Predicting DSM-IV dependence diagnoses from Addiction Severity Index composite scores
    Samuel H Rikoon
    Treatment Research Institute, Philadelphia, PA 19106, USA
    J Subst Abuse Treat 31:17-24. 2006
    ..We recommend strategies for using ASI CSs as a diagnostic screening instrument in both research and treatment delivery environments...
  27. ncbi The Internet as a source of drugs of abuse
    Robert F Forman
    Alkermes, 88 Sidney Street, Cambridge, MA 02139, USA
    Curr Psychiatry Rep 8:377-82. 2006
    ..The emergence of NPWs requires new law enforcement and public health initiatives; continued monitoring efforts will determine whether efforts to reduce the availability of NPWs are successful...
  28. ncbi The business of addiction treatment: A research agenda
    John R Kimberly
    The Wharton School, University of Pennsylvania, Philadelphia, PA 19104 6370, USA
    J Subst Abuse Treat 31:213-9. 2006
    ..COMAT is dedicated to implementing and testing evidence-based methods from other industries to improve the outcomes performance and, ultimately, the clinical effectiveness of service providers in the addiction treatment field...
  29. ncbi DATStats: results from 85 studies using the Drug Abuse Treatment Cost Analysis Program
    M Christopher Roebuck
    AdvancePCS, 11350 McCormick Road, Executive Plaza II, Suite 1000, Hunt Valley, MD 21031, USA
    J Subst Abuse Treat 25:51-7. 2003
    ..Addiction researchers, program administrators, and policymakers now have cost estimates and resource distribution information for various treatment modalities serving diverse populations...
  30. ncbi Initial reliability and validity studies of the revised Treatment Services Review (TSR-6)
    John S Cacciola
    University of Pennsylvania Center for Studies of Addiction, Philadelphia, PA 19104, USA The Treatment Research Institute, Philadelphia, PA 19106, USA
    Drug Alcohol Depend 92:37-47. 2008
    ..Report the results of initial reliability and validity analyses for a revised Treatment Services Review (TSR-6) instrument which measures a broader range of services than the original TSR...
  31. ncbi Prescription OxyContin abuse among patients entering addiction treatment
    Deni Carise
    Treatment Systems Section, Treatment Research Institute, 600 Public Ledger Building, 150 South Independence Mall West, Philadelphia, PA 19106 3475, USA
    Am J Psychiatry 164:1750-6. 2007
    ..The purpose of this study was to characterize the nature and origins of pharmaceutical opioid addiction among patients presenting at substance abuse treatment programs...
  32. ncbi Developing CASPAR: a computer-assisted system for patient assessment and referral
    Ozge Gurel
    Treatment Research Institute, University of Pennsylvania, 600 Public Ledger Building, 150 South Independence Mall West, Philadelphia, PA 19106-3475, USA
    J Subst Abuse Treat 28:281-9. 2005
    ....
  33. ncbi Contemporary addiction treatment: a review of systems problems for adults and adolescents
    A Thomas McLellan
    Treatment Research Institute, Philadelphia, Pennsylvania 19106, USA
    Biol Psychiatry 56:764-70. 2004
    ..These problems are serious in the adult system and even worse in the adolescent system. The article concludes with suggestions for improving systems integration to improve the quantity and quality of available care...
  34. ncbi Potential barriers to work for substance-abusing women on welfare. Findings from the CASAWORKS for Families pilot demonstration
    Marjorie A Gutman
    Treatment Research Institute, University of Pennsylvania, USA
    Eval Rev 27:681-706. 2003
    ..Few single barriers were significantly related to employment at 12 months. However, the total number of potential barriers to work experienced, particularly at 6 months, was related to employment at 12 months...
  35. ncbi Treatment services received in the CASAWORKS for Families program
    James R McKay
    Treatment Research Institute, University of Pennsylvania, USA
    Eval Rev 27:629-55. 2003
    ..Longer retention was associated with better alcohol use outcomes but was unrelated to employment or drug use outcomes...
  36. ncbi Drug policy by popular referendum: This, too, shall pass
    Douglas B Marlowe
    Treatment Research Institute at the University of Pennsylvania, 600 Public Ledger Bldg, 150 S Independence Mall West, 19106 3475, Philadelphia, PA, USA
    J Subst Abuse Treat 25:213-21. 2003
    ....
  37. ncbi Status hearings in drug court: when more is less and less is more
    David S Festinger
    Treatment Research Institute, University of Pennsylvania, 600 Public Ledger Building, 150 South Independence Mall West, Philadelphia, PA 19106 3475, USA
    Drug Alcohol Depend 68:151-7. 2002
    ..These findings lend useful guidance to drug courts. Status hearings are expensive and time consuming and should be targeted to clients who would benefit most from them...
  38. ncbi Cost-effectiveness analysis of addiction treatment: paradoxes of multiple outcomes
    Jody L Sindelar
    School of Public Health and Medical School, Yale University, LEPH 304, New Haven, CT 06520 8034, USA
    Drug Alcohol Depend 73:41-50. 2004
    ..However, incorporating multiple outcomes into a CEA of addiction treatment is difficult. Cost-benefit analysis (CBA) may be a preferable and more appropriate approach in some cases...
  39. ncbi Characteristics of substance-abusing women on welfare. Findings from the evaluation of CASAWORKS for Families pilot demonstration
    Marjorie A Gutman
    Treatment Research Institute, University of Pennsylvania, USA
    Eval Rev 27:597-628. 2003
    ..Compared with women on TANF from standard addiction-treatment programs, CWF women exhibited similar substance-use problems but generally more severe co-occurring problems...
  40. ncbi Crime and punishment and treatment: latest findings in the treatment of drug-related offenders
    A Thomas McLellan
    J Subst Abuse Treat 25:187-8. 2003
  41. ncbi Self-help organizations for alcohol and drug problems: toward evidence-based practice and policy
    Keith Humphreys
    SAMHSA Veterans Health Administration Workgroup on Substance Abuse Self Help Organizations, c o Program Evaluation and Resource Center, Veterans Affairs Health Care System 152 MPD, 795 Willow Road, Menlo Park, CA 94025, USA
    J Subst Abuse Treat 26:151-8; discussion 159-65. 2004
    ..Implementing such policies could strengthen alcohol and drug self-help organizations, and thereby enhance the national response to the serious public health problem of substance abuse...
  42. ncbi Estimating the client costs of addiction treatment: first findings from the client drug abuse treatment cost analysis program (Client DATCAP)
    Helena J Salomé
    Health Services Research Center, University of Miami, Miami, FL 33136, USA
    Drug Alcohol Depend 71:195-206. 2003
    ..Findings from the Pilot Study led to the development and release of edition 2 of the outpatient and inpatient modules of the Client DATCAP...
  43. ncbi Services integration and cost-effectiveness
    Michael E Hilton
    Division of Clinical and Prevention Research, NIAAA, Bethesda, Maryland 20892 7003, USA
    Alcohol Clin Exp Res 27:271-80. 2003
    ..This symposium presents some recent studies in this area. The small but growing body of studies in this area has great potential to inform public policy debates...
  44. ncbi One-year outcomes from the CASAWORKS for Families intervention for substance-abusing women on welfare
    A Thomas McLellan
    Treatment Research Institute, University of Pennsylvania, USA
    Eval Rev 27:656-80. 2003
    ..Future work will require a more closely specified, manual-guided form of the intervention plus the inclusion of control groups and cost measures to fully evaluate the cost benefits from the final form of the intervention...
  45. ncbi Alcohol use patterns before and after September 11th
    Patrick B Johnson
    National Center on Addiction and Substance Abuse, Columbia University, New York, NY, USA
    Am Clin Lab 21:25-7. 2002
  46. ncbi The status of addiction treatment research with co-occurring substance use and psychiatric disorders
    Mark P McGovern
    Department of Psychiatry, Dartmouth Medical School, Lebanon, NH 03766, USA
    J Subst Abuse Treat 34:1-2. 2008
  47. ncbi Initial evidence for the reliability and validity of a "Lite" version of the Addiction Severity Index
    John S Cacciola
    University of Pennsylvania Center for Studies of Addiction, 3440 Market Street, Philadelphia, PA 19104, USA
    Drug Alcohol Depend 87:297-302. 2007
    ..To evaluate the psychometric properties of a shortened version of the baseline ASI-5, the ASI-L-VA...
  48. ncbi Technology transfer and the treatment of addiction: what can research offer practice?
    A Thomas McLellan
    J Subst Abuse Treat 22:169-70. 2002
  49. ncbi Have we evaluated addiction treatment correctly? Implications from a chronic care perspective
    A Thomas McLellan
    Addiction 97:249-52. 2002
  50. ncbi Telescoping of drinking-related behaviors: gender, racial/ethnic, and age comparisons
    Patrick B Johnson
    Dept of Human Development and Learning, Dowling College, Oakdale, NY 11769, USA
    Subst Use Misuse 40:1139-51. 2005
    ....
  51. ncbi Consensus statement on office-based treatment of opioid dependence using buprenorphine
    David A Fiellin
    Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA
    J Subst Abuse Treat 27:153-9. 2004
    ....
  52. ncbi Cost estimation when time and resources are limited: the Brief DATCAP
    Michael T French
    Department of Sociology, University of Miami, Coral Gables, FL 33124 2030, USA
    J Subst Abuse Treat 27:187-93. 2004
    ..These results have important research and policy implications because a shorter yet reasonably accurate cost instrument will enhance the feasibility and precision of future economic evaluations of addiction interventions...
  53. ncbi Communicating across the "chasm": Journal of Substance Abuse Treatment and Counselor initiate cooperative agreement
    A Thomas McLellan
    J Subst Abuse Treat 31:1. 2006