Relationships Between Treatment Components, Client-Level Factors, and Positive Treatment Outcomes
Purchase on Springer.com
$39.95 / €34.95 / £29.95*
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.
How different amounts and components of treatment affect substance abuse treatment outcomes is fundamentally important to evaluating current treatment practices and recommending improvements. Through a secondary analysis of data from the National Treatment Improvement Evaluation Study (NTIES), the present study examined the relationships between treatment components, client-level factors, and positive treatment outcomes. Several components were shown tohave significant effects on the odds of a positive outcome, over and above the effects of client background characteristics. Depending on treatment modality, these included length of stay; whether or not clients reported seeing their treatment plan hours per month in group and individual counseling; utilization ofeducational, vocational, and other ancillary services; use of antianxiety and drug and alcohol medications; and client matching. Several interactions between client-level factors and treatment components were also observed. Studylimitations are discussed, followed by implications for policy and practiceand suggestions for further research.
- Brochu, S., Landry, M., Bergeron, J., & Chiocchio, F. (1997). The impact of a treatment process for substance users as a function of their degree of exposure to treatment. Substance Use Misuse, 32(14), 1993–2011.
- Center for Substance Abuse Treatment. (1993). State methadone treatment guidelines (Treatment Improvement Protocol [TIP] Series No. 1). Washington, DC: U.S. Department of Health and Human Services.
- Center for Substance Abuse Treatment. (1994). Assessment and treatment of cocaine-abusing methadone maintained patients (Treatment Improvement Protocol [TIP] Series No. 10). Washington, DC: U.S. Department of Health and Human Services.
- Center for Substance Abuse Treatment. (1995). Matching treatment to patient needs in opioid substitution therapy (Treatment Improvement Protocol [TIP] Series No. 20). Washington, DC: U.S. Department of Health and Human Services.
- Daley, D.C., Sallourn, I. M., Zuckoff, A., Kinisci, L., & Thase, M.E. (1998). Increasing treatment adherence among outpatients with depression and cocaine dependence: Results of a pilot study. American Journal of Psychiatry, 155(11), 1611–1613.
- De Leon, G. (1991). Retention in drug-free therapeutic communities. In R. W. Pickens, C. G. Leukefeld, & C. R. Schuster (Eds.), Improving drug abuse treatment (NIDA Research Monograph 106, NIH Publication No. 91–1754, pp. 218–244). Washington, DC: U.S. Government Printing Office.
- Etheridge, R. M., Craddock, S. G., Dunteman, G. H., & Hubbard, R. L. (1995). Treatment services in two national studies of community-based drug abuse treatment programs. Journal of Substance Abuse, 7, 9–26.
- Hosmer, D.W., & Lemeshow, S. (1989). Applied Logistic Regression. New York: John Wiley.
- Hser, Y. I., Anglin, M. D, & Liu, Y. (1991). A survival analysis of gender and ethnic differences in responsiveness to methadone maintenance treatment. International Journal of the Addictions, 25(11A), 1295–1315.
- McCusker, J., Stoddard, A., Frost, R., & Zorn, M. (1996). Planned versus actual duration of drug abuse treatment: Reconciling observational and experimental evidence. Journal of Nervous and Mental Disorders, 184(8), 482–489.
- McLellan, A. T., Alterman, A. I., Metzger, D. S., Grissom, G. R., Woody, G. E., Luborsky, L., & O'Brien, P. (1994). Similarity of outcome predictors across opiate, cocaine, and alcohol treatments: Role of treatment services. Journal of Consulting and Clinical Psychology, 62(6), 1141–1158.
- National Opinion Research Center. (1997, March). The national treatment improvement evaluation study final report. Prepared for the Center for Substance Abuse Treatment, U.S. Department of Health and Human Services.
- Orwin, R. G., Garrison-Mogren, R., Jacobs, M. L., & Sonnefeld, L. J. (1999). Retention of homeless clients in substance abuse treatment: Findings from the NIAAA cooperative agreement program. Journal of Substance Abuse Treatment, 7(1), 45–66.
- Ouimette, P. C., Ahrens, C., Moos, R. H., & Finney, J. W. (1998). During treatment changes in substance abuse patients with post traumatic stress disorder. The influence of specific interventions and program environments. Journal of Substance Abuse Treatment, 15(6), 555–564.
- Tims, F. M., Horton, A. M., Jr., Fletcher, B.W., & Price, R.H. (1992). Assessing outpatient drug abuse treatment programs. Evaluation Practice, 13(l), 27–31.
- Relationships Between Treatment Components, Client-Level Factors, and Positive Treatment Outcomes
Journal of Psychopathology and Behavioral Assessment
Volume 22, Issue 4 , pp 383-397
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- substance abuse
- substance abuse treatment
- treatment component
- treatment outcomes