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Titolo:
Relationships between counseling rapport and drug abuse treatment outcomes
Autore:
Joe, GW; Simpson, DD; Dansereau, DF; Rowan-Szal, GA;
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
Titolo Testata:
PSYCHIATRIC SERVICES
fascicolo: 9, volume: 52, anno: 2001,
pagine: 1223 - 1229
SICI:
1075-2730(200109)52:9<1223:RBCRAD>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
FOLLOW-UP OUTCOMES; METHADONE TREATMENT; TIME SPENT; RETENTION; DATOS; REPRESENTATION; ENGAGEMENT; STRATEGIES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Joe, GW Texas Christian Univ, Inst Behav Res, TCU Box 298740, Ft Worth, TX76129 USA Texas Christian Univ TCU Box 298740 Ft Worth TX USA 76129 6129 USA
Citazione:
G.W. Joe et al., "Relationships between counseling rapport and drug abuse treatment outcomes", PSYCH SERV, 52(9), 2001, pp. 1223-1229

Abstract

Objective: This study examined the association between counseling rapport and drug abuse treatment outcomes. Methods: Two cohorts of outpatients who were being treated with methadone in four cities were studied. Cohort 1 comprised 354 patients in community-based nonprofit programs, and cohort 2 comprised 223 patients from a private for-profit program. Logistic regression analyses were used to assess the importance of counseling rapport as a predictor of drug use and criminality relative to treatment retention in the index treatment, satisfaction with treatment, and whether additional treatment was received after the index treatment. Results: In both cohorts, ratingsmade by counselors, during treatment, of therapeutic involvement and relationships with patients provided a useful measure of counseling rapport. A lower level of rapport during treatment predicted worse post-index treatmentoutcomes, including more cocaine use and criminality, both by itself and after adjustment for treatment retention, satisfaction with treatment, and post-index treatment status. Counseling strategies were associated with the development of counseling rapport. Conclusions: Counseling rapport is a vital part of the therapeutic process and helps explain why and when treatmentis effective. It contributes explicitly to the prediction of outcomes, apart from treatment retention, and accounts in part for the usual associationbetween treatment retention and outcomes.

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Documento generato il 21/09/20 alle ore 06:05:18