Hi
Please find below part of a mail sent to me off-list by George De Leon which I have agreed with him I would forward to the list for discussion. In this mail, George suggests a new terminology to standardise the way we talk about intake, occupancy, activity etc.
FORWARDED MAIL:
"Rowdy;
With respect to the beds issue some distinctions may help EFTC clarify its responses to enquiries. You may wish to circulate this email.
My hope is that the entire TC field adopts a uniform set of definitions as to organizaional and admininstrative matters. Below are examples that we have proposed over the years which help to illuminate the diversity of programs and permit appropriate comparisons and indeed improvements.
Definitions and Distinctions
•Residential treatment is a general term describing different treatment approaches implemented in residential settings.
• The term TC refers to a treatment approach or model, not a setting, but one which is often implemented in residential settings but also in non residential settings.
• The terms Beds or spaces define the "static capacity" of a program, that is, the maximum number of residents (patients; clients, admissions) who can be "treated" on a given day.
•Utilization Rate ("Dynamic Capacity): The average number of residents in the program on a day(number of "occupied beds' per day averaged across a year).
Thus if the Static cpacity is 30 , but on average (over 350 days), there are 20 people in treatment on any day, the average utilization rate would be 66% .
•Admission: an individual who is an "official intake" into the residental setting.
•Annual Admission rates ("Traffic Rates): The actual number of bonafde admissions to the residential setting each year.
•Planned Duration of Treatment ( PDT). Minimum number of days recommended or required to complete an the full plan of treatment in a residential TC.
•Completion Rates; The proportion of annual admissions who successfully complete the planned duration of treatment.
•Annual Retention Rates: the average number of days in treatment (from intake to separation) based upon all admissions for a given year. On average, how long did an admission stay in treatment.?
•Dropout rates: the proportion of annual admissions who do not complete the planned duration of treatment.
Note: Some estimates: In North America for programs with PDT of 9-12 months;
•Annual retention rates (RR) average(across programs) 140-180days
•Completion rates are about 45%
•Dropout rates are about 55% (most of which occurs by month 3)
•Admission rates are generally 3-4 x higher than static capacity which reflects the dropout rate. For example, programs with a 30 bed capacity would need an annual admission rate of 90-120 intakes to maintain a 100% static capacity through the year.
I hope this helps.
Incidently perhaps we could schedule a conversation about these terms at EFTC this June for those interested ."
Rowdy Yates
Senior Research Fellow
Scottish Addiction Studies
Dept. of Applied Social Science
University of Stirling
Scotland
T: +44 (0) 1786-467737
F: +44 (0) 1786-466299
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