Outpatient treatment for substance dependence : using empirical findings about retention and substance use outcomes to shape treatment services
Notice bibliographique
Résumé
The literature has indicated that frequently examined patient variables at intake have shown mixed results in the prediction of dropout from outpatient substance abuse treatment. In this research sociodemographic characteristics, substance use and psychological problem severity at intake were examined as predictors of early dropout in 411 patients enrolled in a 6-month outpatient substance abuse treatment program. Early dropout was defined as participation of less than 6 weeks, the first phase of treatment. Another focus of the research was to determine how patients who dropped out of treatment early fared in terms of substance use at 6 months compared to those retained longer. It was found that being younger, unmarried or not cohabitating, and having a greater severity of employment problems at intake were associated with early treatment dropout. Substance abuse and psychological problem severity at intake were not associated with dropout from the first phase of treatment. Patients who left treatment early had some reduction in alcohol consumption at 6-month follow-up, but overall, those retained in treatment longer had better alcohol and drug use outcomes at 6 months. Both the outcomes on retention and substance use were examined in order to explore possible solutions to dropout from the perspective of health services. Despite the improvements in substance abuse for patients retained longer than 6 weeks, it was determined that only 40% of patients were retained for 6 months, thereby indicating that the majority of patients had not received the planned 6-month intervention. In response to these facts, a brief intervention consisting of 5 individual therapy sessions based on coping skills and motivational enhancement strategies was designed and manualized with participation of the clinical staff. Following this, a randomized clinical trial was conducted with 72 patients, and substance use at 6-month follow-up was compared between the brief intervention and the conventional treatment groups. At 6 months, both the brief intervention and conventional treatment groups had reductions in alcohol use compared to intake, but no conclusions could be made about drug use. The implications of the findings for substance abuse treatment service delivery are discussed.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,002 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».