The relation of time spent in drug abuse treatment to posttreatment outcome.
ABSTRACT The author examined follow-up outcomes in the first year after treatment in relation to time spent in treatment in the Drug Abuse Reporting Program. Follow-up interviews were completed with more than 3,000 people admitted to drug abuse treatment during 1969--1972, including clients treated with methadone maintenance, therapeutic communities, outpatient drug-free programs, and outpatient detoxification, as well as a group who completed intake procedures but did not return for treatment. Longer time in treatment was related to better posttreatment outcome, but clients who spent less than 3 months in treatment were not significantly different from the detoxification-only group or the intake-only group.
SourceAvailable from: Erick Guerrero[Show abstract] [Hide abstract]
ABSTRACT: Women and racial and ethnic minorities face significant challenges to successfully completing substance abuse treatment. There is limited knowledge about factors that affect women and minorities' treatment careers over several treatment episodes. Survival Cox regression was used to model time and episodes to treatment completion. Using multiyear (2006–2009) data, the sample consisted of 52,799 clients from 276 treatment programs in Los Angeles County, California. Findings supported the role of homelessness and mental health status and their association with more episodes to complete treatment. Results also showed that the rate of completion was 41% lower among African Americans and 17% lower among Latinos compared to Whites. With each additional treatment episode, the rate of treatment completion increased by 73% for all groups. Compared to minorities, Whites and men were more likely to complete treatment throughout their treatment career trajectories. Implications for social work interventions to enhance treatment adherence and reduce disparities are discussed.Journal of Social Work Practice in the Addictions 07/2013; 13(3):227-243. DOI:10.1080/1533256X.2013.812011
Technical Report: Evaluation of the Substance Abuse and Crime Prevention Act 2009 Report
Article: Failure After Success[Show abstract] [Hide abstract]
ABSTRACT: A subset of criminal offenders diverted from prison to treatment return to crime after successful completion of treatment. Identifying correlates of recidivism among treatment completers will improve our ability to help treated offenders to better capitalize on their treatment experiences. Data from 156 mandated clients of long-term residential treatment who successfully completed the Drug Treatment Alternative to Prison (DTAP) program (Brooklyn, New York) were examined. Findings revealed that recidivists among DTAP graduates were younger, had more juvenile arrests, disliked treatment rules, found treatment rules oppressive, viewed treatment as unnecessarily long, and were unemployed and living alone after treatment. Theory and policy implications are discussed.Journal of Offender Rehabilitation 09/2005; 42(1):75-97. DOI:10.1300/J076v42n01_04