Abstract
This paper examines the post-treatment support practices, attitudes and preferences of outpatient alcohol and other drug (AOD) treatment staff as well as perceived barriers to implementing a post-treatment support service in an outpatient AOD treatment context. Data were collected via semi-structured interview and group discussion (n = 23). Findings suggest that post-treatment support was rarely provided by participating AOD treatment staff or their respective services. However, there was widespread support for implementing such services, and it was generally believed that implementation would be most successful if: multiple post-treatment support options were made available; if one or more of these options were based on the maintenance of an established client/clinician relationship; and if one of the options involved proactive (service-led) telephone support. A number of barriers to possible implementation were identified, although none were considered insurmountable.
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Notes
The term ‘post-treatment support’, as used in this paper, refers to any form of support provided by a specialist AOD service to a client following completion of, or discharge from, an initial course of treatment. Accordingly, the post-treatment support would be provided irrespective of whether the recipient was deemed to have successfully completed the initial course of treatment or not.
References
Apodaca, T. R., & Miller, W. R. (2003). A meta-analysis of the effectiveness of bibliotherapy for alcohol problems. Journal of Clinical Psychology, 59(3), 289–304. doi:10.1002/jclp.10130.
Brown, T. G., Seraganiana, P., Tremblaya, J., & Annis, H. (2002). Matching substance abuse aftercare treatments to client characteristics. Addictive Behaviors, 27(4), 585–604. doi:10.1016/S0306-4603(01)00195-2.
Cacciola, J. S., Camilleri, A. C., Carise, D., Rikoon, S. H., McKay, J. R., McLellan, A. T., et al. (2008). Extending residential care through telephone counselling: Initial results from the Betty Ford Center Focused Continuing Care protocol. Addictive Behaviors, 33(9), 1208–1216. doi:10.1016/j.addbeh.2008.05.004.
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.
Cunningham, J. A., van Mierlo, T., & Fournier, R. (2008). An online support group for problem drinkers: AlcoholHelpCenter.net. Patient Education and Counselling, 70(2), 193–198. doi:10.1016/j.pec.2007.10.003.
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. doi:10.1016/S0149-7189(03)00037-5.
Griffiths, M. (2005). Online therapy for addictive behaviors. Cyberpsychology and Behavior, 8(6), 555–561. doi:10.1089/cpb.2005.8.555.
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.
Hubbard, R. L., Leimberger, J. D., Haynes, L., Patkar, A. A., Holter, J., Liepman, M. R., et al. (2007). Telephone Enhancement of Long-term Engagement (TELE) in continuing care for substance abuse treatment: A NIDA Clinical Trials Network (CTN) study. American Journal of Addiction, 16(6), 495–502. doi:10.1080/10550490701641678.
Institute of Medicine. (1990). Broadening the base of treatment for alcohol problems. Washington DC: National Academy.
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.
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. doi:10.1037/0003-066X.55.4.407.
Johnson, A., & Paton, K. (2007). Health Promotion and Health Services: Management for Change. Melbourne: Oxford University Press.
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. doi:10.1016/S0740-5472(03)00210-1.
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. doi:10.1177/0193841X0102500205.
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. doi:10.1001/archpsyc.62.2.199.
McLellan, A. T., Carise, D., & Kleber, H. D. (2003). Can the national addiction treatment infrastructure support the public's demand for quality care? Journal of Substance Abuse Treatment, 25(2), 117–121. doi:10.1016/S0740-5472(03)00114-4.
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. doi:10.1111/j.1530-0277.2000.tb04571.x.
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 and Alcoholism, 42(2), 108–112. doi:10.1093/alcalc/agl122.
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. doi:10.1007/s001270050273.
Pulford, J., & Wheeler, A. (2007). Documenting client attendance norms: Raw data and implications for treatment practice. Journal of Substance Use, 12(2), 95–102. doi:10.1080/14659890601153595.
Pulford, J., Black, S., Wheeler, A., Sheridan, J., & Adams, P. (in press). Providing post-treatment support in an outpatient alcohol and other drug treatment context: A survey of client opinion. International Journal of Mental Health and Addiction. doi:10.1007/s11469-008-9159-z.
Rodgers, A., Corbett, T., Bramley, D., Riddell, T., Wills, M., Lin, R. B., et al. (2005). Do u smoke after txt? Results of a randomised trial of smoking cessation using mobile phone text messaging. Tobacco Control, 14, 255–261. doi:10.1136/tc.2005.011577.
Tarelton, G., & Tarnower, S. (1960). The use of letters as part of the psychotherapeutic relationship. Quarterly Journal of Studies on Alcohol, 21, 82–89.
Thomas, D. R. (2006). A general inductive approach for analyzing qualitative evaluation data. American Journal of Evaluation, 27(2), 237–246. doi:10.1177/1098214005283748.
William, R., Obermayer, J., & Jersino, J.-M. (2008). Internet and mobile phone text messaging intervention for college smokers. Journal of American College Health, 57(2), 245–248. doi:10.3200/JACH.57.2.245-248.
Winter, R., & Munn-Giddings, C. (2001). A Handbook for Action Research in Health and Social Care. London: Routledge.
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. doi:10.1016/j.cpr.2007.01.002.
Acknowledgements
This study was made possible by the generous support of the New Zealand National Drug Policy Discretionary Grant Fund. The authors would also like to acknowledge the valuable contribution made by all participants involved in this study and Jenny Freedman-Hague for facilitating participant recruitment in the Northland region.
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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 Qualitative Study of Staff Opinion. Int J Ment Health Addiction 8, 471–481 (2010). https://doi.org/10.1007/s11469-009-9218-0
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DOI: https://doi.org/10.1007/s11469-009-9218-0