Client consensus on beliefs about abstinence: Effects on substance abuse treatment outcomes

Center for the Integration of Research & Practice (CIRP), National Development & Research Institutes Inc (NDRI), New York, NY 10010, USA.
Drug and Alcohol Dependence (Impact Factor: 3.42). 02/2008; 93(1-2):30-7. DOI: 10.1016/j.drugalcdep.2007.08.014
Source: PubMed


Organizational culture, as evinced by consensus regarding staff and client beliefs and values, has been shown to affect client engagement in residential substance abuse treatment. The present paper extends this work to treatment outcomes. Secondary analysis of data from a "Beliefs About Abstinence Scale," used in the Drug Abuse Treatment Outcomes Study (DATOS), was conducted for 76 programs, including outpatient methadone treatment, outpatient drug-free, short-term inpatient, and long-term residential programs. Findings show that higher levels of client consensus after 1 month of treatment were associated with less use of drugs and alcohol at 1-year follow-up, after controlling for the mean of the scale score, gender, age, client substance use at baseline and treatment modality. The implications of the results for substance abuse treatment are discussed.

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    • "Previous research regarding staff-related variables in drug treatment has focused on staff skills as well as similarities in staff and client beliefs about treatment processes and outcomes [20] [21] [22]. For example, concordance between clients and staff views about treatment implementation and outcome predicts treatment engagement by clients [23] [24]. Similarly, therapeutic alliance during drug treatment has been found to predict retention [21] [24]. "
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