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Titolo:
Psychiatric comorbidity measures as predictors of retention in drug abuse treatment programs
Autore:
Broome, KM; Flynn, PM; Simpson, DD;
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 Natl Dev & Res Inst Inc, New York, NY 10013 USA Natl Dev & Res Inst Inc New York NY USA 10013 Inc, New York, NY 10013 USA
Titolo Testata:
HEALTH SERVICES RESEARCH
fascicolo: 3, volume: 34, anno: 1999,
pagine: 791 - 806
SICI:
0017-9124(199908)34:3<791:PCMAPO>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
FOLLOW-UP OUTCOMES; THERAPEUTIC COMMUNITIES; SUBSTANCE-ABUSE; METHADONE-MAINTENANCE; TIME SPENT; DATOS; PSYCHOPATHOLOGY; DEPRESSION; VALIDITY; LENGTH;
Keywords:
drug treatment; retention; psychiatric comorbidity; ancillary services;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
45
Recensione:
Indirizzi per estratti:
Indirizzo: Broome, KM Texas Christian Univ, Inst Behav Res, TCU Box 298740, Ft Worth,TX 76129 USA Texas Christian Univ TCU Box 298740 Ft Worth TX USA 76129 9 USA
Citazione:
K.M. Broome et al., "Psychiatric comorbidity measures as predictors of retention in drug abuse treatment programs", HEAL SERV R, 34(3), 1999, pp. 791-806

Abstract

Objective. To examine lifetime and current psychiatric comorbidity measures as predictors of drug abuse treatment retention, and to test the generalizability of results across treatment agencies in diverse settings and with varying practices. Data Sources/ Study Setting. The national Drug Abuse Treatment Outome Studies (DATOS), a longitudinal study of clients from 96 treatment agencies in 11 U.S. cities. Study Design. The design is naturalistic and uses longitudinal analysis oftreatment retention in long-term residential, outpatient drug-free, and out patient methadone treatment modalities; client background (including psychiatric comorbidity) and program service provision are predictors. Clinicalthresholds for adequate treatment retention were 90 days for long-term residential and outpatient drug-free, and 360 days for outpatient methadone. Psychiatric indicators included lifetime, DSM-III-R diagnoses of depression/anxiety and antisocial personality, and dimensional measures of current symptoms for depression and hostility. Data Collection/Extraction Methods. Data include structured interviews with clients, a survey of treatment program administrators, and program discharge records. Principal Findings. Dimensional measures of current psychiatric symptoms emerged as better predictors than lifetime DSM-III-R diagnoses. In addition,the predictive association of hostility with retention varied significantly across treatment agencies, both in the long-term residential and outpatient drug-free modalities. Other notable findings were that on-site mental health services in long-term residential programs were associated with betterretention for clients with symptoms of hostility. Conclusions. Assessment issues and stability of results across programs are important considerations for treatment research and practice.

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Documento generato il 10/07/20 alle ore 15:56:56