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Titolo:
"I already stopped": abstinence prior to treatment
Autore:
Rosengren, DB; Downey, L; Donovan, DM;
Indirizzi:
Project STOP, Seattle, WA 98104 USA Project STOP Seattle WA USA 98104Project STOP, Seattle, WA 98104 USA
Titolo Testata:
ADDICTION
fascicolo: 1, volume: 95, anno: 2000,
pagine: 65 - 76
SICI:
0965-2140(200001)95:1<65:"ASAPT>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
READINESS; PREDICTORS; MOTIVATION; DRINKERS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Rosengren, DB Univ Washington, Inst Alcohol & Drug Abuse, 3937-15th Ave NE, Seattle, WA 98105 USA Univ Washington 3937-15th Ave NE Seattle WA USA 98105 05 USA
Citazione:
D.B. Rosengren et al., ""I already stopped": abstinence prior to treatment", ADDICTION, 95(1), 2000, pp. 65-76

Abstract

Aims. To determine pre-treatment abstinence rates among treatment seekers and identify factors associated with pre-treatment abstinence. To evaluate the association between pre-treatment abstinence and subsequent outcome. Design. An observational study using data collected for a randomized, experimental design. Setting. Conducted with participants immediately after assessment for publicly funded substance abuse treatment at the King County Assessment Center (KCAC) in Seattle. Participants. People referred for outpatient or inpatient treatment by KCAC who had illicit drug use in the previous 90 days (N = 565). Participants waited a median of 12 days (range = 0-108 days) until either treatment entry or waiting-list dropout. Measurements. A modified Drug History Questionnaire quantified drug use at baseline, treatment entry or waiting-list dropout and 3 months later Other measurement methods: Stages of Change Readiness and Treatment Eagerness Scale, participant confidence ratings and KCAC chart review. Findings. Sample-wide, 45% of participants reported abstinence from initial assessment to when they entered or failed to enter treatment. Higher rates of abstinence were associated with shorter waiting periods, less substance use prior to initial assessment and higher scores on change readiness. Pre-treatment abstinence was nor associated with either treatment entry or completion. There was a non-significant trend towards less improvement in substance use with pre-treatment abstinence, with the greatest effect observed for short waits. Conclusions. Participants can become abstinent prior to treatment, but this is not a good predictor of treatment entry, completion or outcome. A decisional balance strategy may be a more productive use of client and treatment program energy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/08/20 alle ore 20:54:50