The national focus upon health care has created an opportunity for substance abuse treatment providers to enter into a process of system review, analysis and redesign. In some states this process has led to dramatic and far-reaching modification of the traditional system of substance abuse treatment. In many states it has provided the opportunity for both treatment providers and insurance/managed care representatives to take a critical look at the most clinically and fiscally sound and effective means of determining appropriate placement for substance abuse patients.
In recognition of the changing health care climate, the Wisconsin Bureau of Prevention, Treatment and Recovery, in close collaboration with the State Council on Alcohol and Other Drug Abuse and key treatment, insurance industry and managed care representatives, entered into a project in 1994 to develop and implement uniform placement criteria for substance abuse treatment in Wisconsin.
This reference manual describing Wisconsin Uniform Placement Criteria (WI-UPC) has been developed through the efforts of a group whose members reflect the geographic diversity of this state. These individuals represent treatment programs along the continuum of care, managed care entities, county board representatives and public policy makers.
The development group met extensively during an 18 month period to review the efforts of other states and ultimately constructed a system of placement which reflects the unique needs of adults in Wisconsin. A similar effort will be initiated to address substance abuse treatment for adolescents. The placement criteria, which evolved through this process, takes into account individual needs of the patient.