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Titolo:
A national evaluation of treatment outcomes for cocaine dependence
Autore:
Simpson, DD; Joe, GW; Fletcher, BW; Hubbard, RL; Anglin, MD;
Indirizzi:
Texas Christian Univ, Inst Behav Res, Ft Worth, TX 76129 USA Texas Christian Univ Ft Worth TX USA 76129 av Res, Ft Worth, TX 76129 USA NIDA, Serv Res Branch, Rockville, MD USA NIDA Rockville MD USANIDA, Serv Res Branch, Rockville, MD USA Natl Dev & Res Inst Inc, Raleigh, NC USA Natl Dev & Res Inst Inc Raleigh NC USA v & Res Inst Inc, Raleigh, NC USA Univ Calif Los Angeles, Drug Abuse Res Ctr, Los Angeles, CA USA Univ CalifLos Angeles Los Angeles CA USA e Res Ctr, Los Angeles, CA USA
Titolo Testata:
ARCHIVES OF GENERAL PSYCHIATRY
fascicolo: 6, volume: 56, anno: 1999,
pagine: 507 - 514
SICI:
0003-990X(199906)56:6<507:ANEOTO>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
DRUG-ABUSE TREATMENT; FOLLOW-UP OUTCOMES; TREATMENT RETENTION; TIME SPENT; DATOS; HISTORY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Life Sciences
Citazioni:
37
Recensione:
Indirizzi per estratti:
Indirizzo: Simpson, DD TexasAChristian Univ, Inst Behav Res, TCU Box 298740, Ft Worth, TX 76129 US Texas Christian Univ TCU Box 298740 Ft Worth TX USA 76129 9 US
Citazione:
D.D. Simpson et al., "A national evaluation of treatment outcomes for cocaine dependence", ARCH G PSYC, 56(6), 1999, pp. 507-514

Abstract

Background: This national study focused on post-treatment outcomes of community treatments of cocaine dependence. Relapse to weekly (or more frequent) cocaine use in the first year after discharge from 3 major treatment modalities was examined in relation to patient problem severity at admission tothe treatment program and length of stay. Methods: We studied 1605 cocaine-dependent patients from 11 cities locatedthroughout the United Stares using a naturalistic, nonexperimental evaluation design. They were sequentially admitted from November 1991 to December 1993 to 55 community-based treatment programs in the national Drug Abuse Treatment Outcome Studies. Included were 542 patients admitted to 19 long-term residential programs, 458 patients admitted to 24 outpatient drug-free programs, and 605 patients admitted to 12 short-term inpatient programs. Results: Of 1605 patients, 377 (23.5%) reported weekly cocaine use in the year following treatment (dropping from 73.1% in the year before admission). An additional 18.0% had returned to another drug treatment program. Higher severity of patient problems at program intake and shorter stays in treatment (<90 days) were related to higher cocaine relapse rates. Conclusions: Patients with the most severe problems were more likely to enter long-term residential programs, and better outcomes were reported by those treated 90 days or longer. Dimensions of psychosocial problem severity and length of stay are, therefore, important considerations in the treatment of cocaine dependence. Cocaine relapse rates for patients with few problems at program intake were most favorable across all treatment conditions, but better outcomes for patients with medium- to high-level problems were dependent on longer treatment stays.

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Documento generato il 21/09/20 alle ore 06:32:00