Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Identifying methadone maintenance clients at risk for poor treatment response: pretreatment and early progress indicators
Autore:
Morral, AR; Belding, MA; Iguchi, MY;
Indirizzi:
Univ Penn, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104Univ Penn, Philadelphia, PA 19104 USA
Titolo Testata:
DRUG AND ALCOHOL DEPENDENCE
fascicolo: 1-2, volume: 55, anno: 1999,
pagine: 25 - 33
SICI:
0376-8716(19990601)55:1-2<25:IMMCAR>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
DRUG-ABUSE TREATMENT; ADDICTION SEVERITY INDEX; REINFORCEMENT THERAPY; TREATMENT SERVICES; COCAINE USE; FOLLOW-UP; ABSTINENCE; VALIDITY; OUTCOMES; ALCOHOL;
Keywords:
substance abuse treatment; treatment outcomes; prognosis; methadone maintenance therapy; urinalyses;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Morral, AR RAND,ADrug Policy Res Ctr, POB 2138,1700 Main St, Santa Monica,CA 90407 US RAND POB 2138,1700 Main St Santa Monica CA USA 90407 A 90407 US
Citazione:
A.R. Morral et al., "Identifying methadone maintenance clients at risk for poor treatment response: pretreatment and early progress indicators", DRUG AL DEP, 55(1-2), 1999, pp. 25-33

Abstract

Exhaustive searches have uncovered few demographic or other pretreatment factors that reliably predict performance in substance abuse treatments. In this study we evaluate whether early treatment response offers improved prediction of treatment response 6 and 9 months later. New admissions to methadone maintenance treatment (n = 59) were dichotomized into outcome groups based on treatment retention and ongoing drug use as revealed by urinalysis results 6 and 9 months after admission. Regression analyses revealed two early (week 2) performance measures, counseling attendance and opiate abstinence, could be used to correctly classify the outcomes of more than 80% of the sample. Strikingly, of the 20 participants who neither submitted an opiate-negative urine sample in week 2 nor attended at least two scheduled counseling sessions by that time, not one achieved a superior 6-month outcome. The odds of having a superior outcome increased considerably for those who submitted two opiate negative urine samples and attended two counseling sessions by week 2. Thus, 6-month outcomes were well predicted by treatment performance in week 2. Similar results are reported for month 9 outcomes. (C)1999 Elsevier Science Ireland Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/06/20 alle ore 09:43:12