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Providing Post-treatment Support in an Outpatient Alcohol and other Drug Treatment Context: A Survey of Client Opinion

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Abstract

This paper presents findings from a survey that sought the post-treatment support preferences of a group of outpatient alcohol and other drug treatment clients. The client group (n = 83) were presented with six possible models of post-treatment support and were asked to express their level of interest in using or receiving each model and, if interested, by what means they could best be provided. The six models included a range of pro-active (service initiated) and passive (client initiated) support services, variously accessible by telephone, mail, text-message, computer or in-person. Participants were also afforded an opportunity to identify alternative approaches. The results suggest pro-active telephone- and mail-based approaches to post-treatment support are favoured over passive in-person approaches and that computer and text-message approaches (whether passive or pro-active) may be least favourable in the contemporary environment.

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Notes

  1. The options were labelled in more colloquial terms to survey participants; however, the description of each option reflects the original wording.

  2. Option 4 ‘Passive Telehealth Support’ was presented in two parts to survey participants. One part measured interest in passive telephone-based support and the other measured interest in passive text message or email support. The options were subsequently collapsed into a single category.

References

  • Brown, T. G., Seraganiana, P., Tremblaya, J., & Annis, H. (2002). Matching substance abuse aftercare treatments to client characteristics. Addictive Behaviors, 27(4), 585–604.

    Article  PubMed  Google Scholar 

  • Childress, C. (1998). Potential risks and benefits of online psychotherapeutic interventions. From http://ismho.org/issues/9801.html.

  • Cooper, L. F., & Wilson, E. D. (1988). Some follow-up procedures with alcoholics who have completed an alcohol treatment program in a veterans hospital. Journal of Alcohol and Drug Education, 33(3), 58–67.

    Google Scholar 

  • Dennis, M., Scott, C., & Funk, R. (2003). An experimental evaluation of recovery management checkups (RMC) for people with chronic substance use disorders. Evaluation and Program Planning, 26, 339–352.

    Article  Google Scholar 

  • Dillman, D. A. (2006). Mail and internet surveys: the tailored design method. Toronto: Wiley.

    Google Scholar 

  • Horgan, C. M., Reif, S., Ritter, G. A., & Lee, M. T. (2001). Organizational and financial issues in the delivery of substance abuse treatment services. In M. Galanter (Ed.), Services research in the era of managed care (pp. 9–26, 15th ed.). New York: Plenum.

    Google Scholar 

  • Horng, F.-F., & Chueh, K.-H. (2004). Effectiveness of telephone follow-up and counseling in aftercare for alcoholism. Journal of Nursing Research, 12(1), 11–19.

    PubMed  Google Scholar 

  • Institute of Medicine (1990). Broadening the base of treatment for alcohol problems. Washington DC: National Academy.

    Google Scholar 

  • Ito, J. R., & Donovan, D. M. (1986). Aftercare in alcoholism treatment: a review. In W. R. Miller, & N. Heather (Eds.), Treating addictive behaviors: processes of change (pp. 435–456). New York: Plenum.

    Google Scholar 

  • Jerome, L. W., DeLeon, P. H., James, L. C., Folen, R., Earles, J., & Gedney, J. J. (2000). The coming of age of telecommunications in psychological research and practice. American Psychologist, 55(4), 407–421.

    Article  CAS  PubMed  Google Scholar 

  • King, A. C., & Canada, S. A. (2004). Client-related predictors of early treatment drop-out in a substance abuse clinic exclusively employing individual therapy. Journal of Substance Abuse Treatment, 26(3), 189–195.

    Article  PubMed  Google Scholar 

  • McKay, J. R. (2001). Effectiveness of continuing care interventions for substance abusers: implications for the study of long-term treatment effects. Evaluation Review, 25(2), 211–232.

    Article  CAS  PubMed  Google Scholar 

  • McKay, J. R., Lynch, K. G., Shepard, D. S., & Pettinati, H. M. (2005). The effectiveness of telephone-based continuing care for alcohol and cocaine dependence: 24-month outcomes. Archives of General Psychiatry, 62(2), 199–207.

    Article  PubMed  Google Scholar 

  • Mertens, J. R., & Weisner, C. M. (2000). Predictors of substance abuse treatment retention among women and men in an HMO. Alcoholism: Clinical and Experimental Research, 24(10), 1525–1533.

    Article  CAS  Google Scholar 

  • Mueller, S. E., Petitjean, S., Boening, J., & Wiesbeck, G. A. (2007). The impact of self-help group attendance on relapse rates after alcohol detoxification in a controlled study. Alcohol & Alcoholism, 42(2), 108–112.

    Article  CAS  Google Scholar 

  • Passos, S. R. L., & Camacho, L. A. B. (2000). Factors associated with immediate dropout of outpatient treatment for drug abuse in Rio de Janeiro. Social Psychiatry and Psychiatric Epidemiology, 35(11), 513–517.

    Article  CAS  PubMed  Google Scholar 

  • Pulford, J., & Wheeler, A. (2007). Documenting client attendance norms: raw data and implications for treatment practice. Journal of Substance Use, 12(2), 95–102.

    Article  Google Scholar 

  • Tarelton, G., & Tarnower, S. (1960). The use of letters as part of the psychotherapeutic relationship. Quarterly Journal of Studies on Alcohol, 21, 82–89.

    Google Scholar 

  • Wild, C. J., & Seber, G. A. F. (1993). Comparing two proportions from the same survey. The American Statistician, 47(3), 178–181.

    Article  Google Scholar 

  • Witkiewitz, K., & Marlatt, G. A. (2007). Modeling the complexity of post-treatment drinking: it’s a rocky road to relapse. Clinical Psychology Review, 27(6), 724–738.

    Article  PubMed  Google Scholar 

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Acknowledgements

This study was made possible by the generous support of the National Drug Policy Discretionary Grant Fund. The authors would also like to acknowledge the valuable contribution made by all participants involved in this study, Stephanie Budgett for statistical advice and Leonie Ariel for assistance with the postal survey.

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Correspondence to Justin Pulford.

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Pulford, J., Black, S., Wheeler, A. et al. Providing Post-treatment Support in an Outpatient Alcohol and other Drug Treatment Context: A Survey of Client Opinion. Int J Ment Health Addiction 8, 493–502 (2010). https://doi.org/10.1007/s11469-008-9159-z

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  • DOI: https://doi.org/10.1007/s11469-008-9159-z

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