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.

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Submissions from 2002

The Strengths Perspective and Persons with Substance Abuse Problems, Richard C. Rapp

Abstinence Trajectories Among Treated Crack Cocaine Users, Harvey A. Siegal, Li Li, and Richard C. Rapp

Case Management as a Therapeutic Enhancement: Impact on Post-Treatment Criminality, Harvey A. Siegal, Li Li, and Richard C. Rapp

Corrections-Based Case Management and Substance-Abuse Treatment Programming, Harvey A. Siegal, Richard C. Rapp, and D. Timothy Lane

Submissions from 2001

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Strengths-Based Case Management: Individuals' Perspectives of Strengths and the Case Manager Relationship, Carl Brun and Richard C. Rapp

Case Management in Substance Abuse Treatment: Perspectives, Impact, and Use, Harvey A. Siegal, Richard C. Rapp, Li Li, and Pranjit Saha

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Measuring Readiness for Change Among Crack Cocaine Users: A Descriptive Analysis, Harvey A. Siegal, Richard C. Rapp, Li Li, and Pranjit Saha

Submissions from 1998

Predicting Postprimary Treatment Services and Drug Use Outcome: A Multivariate Analysis, Richard C. Rapp, Harvey A. Siegal, Li Li, and Pranjit Saha

Submissions from 1997

Treatment Induction and Case Management: Two Promising Drug Treatment Enhancements, Harvey A. Siegal, Richard C. Rapp, James H. Fisher, Phyllis A. Cole, and Joseph H. Wagner

The Role of Case Management in Retaining Clients in Substance Abuse Treatment: An Exploratory Analysis, Harvey A. Siegal, Richard C. Rapp, Li Li, Pranjit Saha, and Karen D. Kirk

Submissions from 1996

Strengths-Based Case Management: A Role in Addressing Denial in Substance Abuse Treatment, Richard C. Rapp

Enhancing Substance Abuse Treatment with Case Management: Its Impact on Employment, Harvey A. Siegal; James H. Fisher; Richard C. Rapp; Casey W. Kelliher; Joseph H. Wagner; and William F. O'Brien,

Case Management and Substance Abuse Treatment: Practice and Experience, Harvey A. Siegal and Richard C. Rapp

Submissions from 1995

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Presenting Problems of Substance Abusers in Treatment: Implications for Service Delivery and Attrition, Harvey A. Siegal, James H. Fisher, Richard C. Rapp, Joseph H. Wagner, Mary Ann Forney, and Vincinte E. Callejo

The Strengths Perspective of Case Management: A Promising Inpatient Substance Abuse Treatment Enhancement, Harvey A. Siegal, Richard C. Rapp, Casey W. Kelliher, James H. Fisher, Joseph H. Wagner, and Phyllis A. Cole

Submissions from 1994

Approaches to Case Management with Substance Abusing Populations, Cheryl L. Mejta, Peter J. Bokos, Judith H. Mickenberg, E. Michael Maslar, Albert L. Hasson, Virginia Gil, Zane O'Keefe, Steven S. Martin, Howard Isenberg, James A. Inciardi, Dorothy Lockwood, Richard C. Rapp, Harvey A. Siegal, James H. Fisher, and Joseph H. Wagner

Strengths-Based Case Management: A Role in Addressing Denial in Substance Abuse Treatment, Richard C. Rapp, Casey W. Kelliher, James H. Fisher, and F. Joseph Hall

Implementing Innovations in Drug Treatment: Case Management and Treatment Induction in the Enhanced Treatment Project, Harvey A. Siegal, Richard C. Rapp, James H. Fisher, Phyllis A. Cole, and Joseph H. Wagner

Submissions from 1993

A "Strengths-Based" Approach to Enhance Treatment Compliance, Richard C. Rapp, Harvey A. Siegal, James H. Fisher, Joseph H. Wagner, Casey W. Kelliher, and J. A. Bechtolt

Treatment Dropouts and Noncompliers: Two Persistent Problems and a Programmatic Remedy, Harvey A. Siegal, Richard C. Rapp, James H. Fisher, Phyllis A. Cole, and Joseph H. Wagner

Submissions from 1992

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The Enhanced Treatment Project: Focus on New Strategies, Phyllis A. Cole, Harvey A. Siegal, Mary Ann Forney, Richard C. Rapp, James H. Fisher, and Vincinte E. Callejo

A Strengths-Based Model of Case Management/Advocacy: Adapting a Mental Health Model to Practice Work with Persons Who Have Substance Abuse Problems, Richard C. Rapp, Harvey A. Siegal, and James H. Fisher