Advertisement

Problems of Conceptualization and Design in Research on the Evaluation of Treatment for Drug Abuse

  • S. B. Sells

Abstract

Beginning in 1969, the staff of the Institute of Behavioral Research (IBR) undertook responsibility for a large-scale, prospective study to evaluate the effectiveness of treatment for drug abuse (Sells, 1974; Sells and Simpson, 1967). In the course of this research, 43, 943 patients were tracked from admission to termination of treatment, an interval varying from one day, in some cases, to over three years, in others. During treatment-evaluation, studies have been completed for three cohorts, as follows:
  • Cohort 1, 11,383 patients, 23 agencies, admissions between 6–1-69 and 5–31–71

  • Cohort 2, 15,831 patients, 35 agencies, admissions between 6–1-71 and 5–31–72

  • Cohort 3, 16,729 patients, 53 agencies, admissions between 6–1-72 and 3–31–73

In the fall of 1974, a follow-up study of the first two cohorts was initiated, with samples of approximately 2000 patients from each cohort. The field work for Cohort 1 is currently in progress.

Keywords

Drug User Drug Abuse Treatment Patient Type Methadone Maintenance Treatment Methadone Maintenance 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ball, J.C. The reliability and validity of interview data obtained from 59 narcotic drug addicts. American Journal of Sociology, 1967, 72, 650–654.CrossRefGoogle Scholar
  2. Ball, J.C., Thompson, W.O., and Allen, D.M. Readmission rates at Lexington Hospital for 43,215 narcotic addicts. Public Health Reports, 1970, 85, 610–6l6.PubMedCrossRefGoogle Scholar
  3. Bewley, T.C., Ben-Arie, O., and Pierce, J.I. Morbidity and mortality from heroin dependence. British Medical Journal, 1968, 1, 725.PubMedCrossRefGoogle Scholar
  4. Cole, S.G., and Watterson, O. A treatment typology for drug abuse in the DARP: 1971–1972 admissions. In S.B. Sells and D.D. Simpson (Eds.), The effectiveness of drug abuse treatment. (Vol. 3). Further studies of drug users treatment typologies and assessment of outcomes during treatment in DARP. Cambridge, Massachusetts: Ballinger, 1976.Google Scholar
  5. Cox, T.J., and Longwell, B. Reliability of interview data concerning current heroin use from addicts on methadone. International Journal of Addiction, 1974, 9, 161–165.Google Scholar
  6. Curtis, B., Simpson, D.D., and Joe, G.W. Description of drug users entering treatment in the DARP during 1969–1973. In S.B. Sells and D.D. Simpson (Eds.), The effectiveness of drug abuse treatment. (Vol. 3.) Further studies of drug users treatment typologies and assessment of outcomes during treatment in the DARP. Combridge, Mass: Ballinger, 1976.Google Scholar
  7. Demaree, R.G. Behavioral measures and related criterion for assessment of outcomes during treatment for drug users in the DARP: 1969–1971 admissions. In S.B. Sells (Ed.), The effectiveness of drug abuse treatment. (Vol. 1). Evaluation of treatments. Combridge, Mass.: Ballinger, 1974.Google Scholar
  8. Demaree, R.G., and Newman, J.F. Behavioral criteria for assessments of outcomes during treatment for drug users in the DARP: 1971–1972 admissions. In S.B. Sells & D.D. Simpson (Eds.), The effectiveness of drug abuse treatment. (Vol. 3). Further studies of drug users treatment typologies and assessment of outcomes during treatment in the DARP. Cambridge, Mass.: Ballinger, 1976.Google Scholar
  9. Demaree, R.G., Neman, J.F., Long, G.L., and Grant, B.L. Patterns of behavioral outcomes over time in methadone maintenance treatment. In S.B. Sells & D.D. Simpson (Eds.), The effectiveness of drug abuse treatment. (Vol. 4)Evaluation of treatment outcomes for the 1971–1972 admission cohort. Cambridge, Mass.: Ballinger, 1976.Google Scholar
  10. Feldman, H. Street status and drug users. Society, May-June, 1973, 32–38.Google Scholar
  11. Gorsuch, R.L., Abbamonte, M., and Sells, S.B. Evaluation of treatments for drug users in the DARP: 1971–1972 admissions. In S.B. Sells and D.D. Simpson (Eds.), The effectiveness of drug abuse treatment. (Vol. 1). Evaluation of treatment outcomes for the 1971–1972 admission cohort. Cambridge, Massachusetts: Ballinger, 1976.Google Scholar
  12. James, L.R., Hammond, T.J., Hartment, E.A., and Sells, S.B. Treatment processes associated with drug treatment modalities: An application of multiple discriminant analyses. In S.B. Sells & D.D. Simpson (Eds.), The effectiveness of drug abuse treatment. (Vol. 3). Further studies of drug users treatment typologies and assessment of outcomes during treatment in the DARP. Cambridge, Mass.: Ballinger, 1976 (a).Google Scholar
  13. James L.R., Hammond, T.J., Hartman, E.A., and Sells, S.B. A typology of treatment process for drug abuse. In S.B. Sells and D.D. Simpson (Eds.), The effectiveness of drug abuse treatment. (Vol. 3.), Further studies of drug users treatment typologies and assessment of outcomes during treatment in the DARP. Cambridge, Massachusetts: Ballinger, 1976 (b).Google Scholar
  14. Joe, George W. Retention in treatment of drug users in the DARP: 1969–1971 admissions. In S.B. Sells (Ed.), The effectiveness of drug abuse treatment. (Vol. 1), Evaluation of. treatments. Cambridge, Mass.: Ballinger, 1974.Google Scholar
  15. Joe, G.W., and Simpson, D.D. Classification of drug users based on the DARP treatment population. In S.B. Sells, and D.D. Simpson (Eds.), The effectiveness of drug abuse treatment. (Vol. 3). Further studies of drug users treatment typologies and assessment of outcomes during treatment in the DARP. Cambridge, Mass,: Ballinger, 1976 (a).Google Scholar
  16. Joe, G.W., and Simpson, D.D. Retention in treatment of drug users admitted to treatment during 1971–1972. In S.B. Sells, and D.D. Simpson (Eds.), The effectiveness of drug abuse treatment. (Vol. 4). Evaluation of treatment outcomes for the 1971–1972 admission cohort. Cambridge, Mass: Ballinger, 1976 (b).Google Scholar
  17. Joe, G.W., and Simpson, D.D. Treatment retention for drug users: 1972–1973 DARP admissions. In S.B. Sells, and D.D. Simpson (Eds.), The effectiveness of drug abuse treatment. (Vol. 5). Evauation of treatment outcomes for the 1972–1973 admission cohort. Cambridge, Mass.: Ballinger, 1976 (c).Google Scholar
  18. McRae, D.J. The development of a patient typology. In S.B. Sells (Ed.), The effectiveness of drug abuse treatment. (Vol. 2). Research on patients, treatments, and outcomes. Cambridge, Mass.: Ballinger, 1974.Google Scholar
  19. Maddux, J.F., and Desmond, D.D. Reliability and validity of information from chronic heroin users. Presented at the annual meeting of the Committee on Problems of Drug Dependence, National Research Council, Chapel Hill, North Carolina, May, 1973.Google Scholar
  20. Overall, J.E., and Spiegel, D.K. Concerning least squares analysis of experimental data. Psychological Bulletin, 1969, 72, 311–322.CrossRefGoogle Scholar
  21. Pierce, J.I. Suicide and mortality amongst heroin addicts in Britian. British Journal of Addictions, 1967, 62, 391.CrossRefGoogle Scholar
  22. Sells, S.B. (Ed.), The effectiveness of drug abuse treatment. Vol. 1. Evaluation of treatments. Vol. 2. Research on patients, treatments, and outcomes. Cambridge, Massachusetts: Ballinger, 1974.Google Scholar
  23. Sells, S.B., and Simpson, D.D. (Eds.), The effectiveness of drug abuse treatment. Vol. 3. Further studies of drug users treatment typologies and assessment of outcome during treatment in the DARP. Vol. 4.Evaluation of treatment outcomes for the 1971–1972 admission cohort. Vol. 5. Evaluation of treatment outcomes for the 1972–1973 admission cohort. Cambridge, Mass.: Ballinger, 1976.Google Scholar
  24. Simpson, D.D., and McRae, D.J. Readmissions to treatment of drug users in the DARP: 1969–1971 admissions. In S.B. Sells (Ed.), The effectiveness of drug abuse treatment. (Vol. 1). Evaluation of treatments. Cambridge, Mass.: Ballinger, 1974.Google Scholar
  25. Spiegel, D.K., and Sells, S.B. Evaluation of treatments for drug users in the DARP: 1969–1971 admissions. In S.B. Sells (Ed.), The effectiveness of drug abuse treatment. (Vol. 1). Evaluation of treatments. Cambridge: Mass.: Ballinger, 1974.Google Scholar
  26. Stephens, R. The truthfulness of addict respondents in research projects. International Journal of Addiction, 1972, 7, 549–558.Google Scholar
  27. Watson, D.D., Simpson, D.D., and Spiegel, D.K. Development of a treatment typology for drug use in the DARP: 1969–1971 admissions. In S.B. Sells (Ed.), The effectiveness of drug abuse treatment. (Vol. 2). Research on patients, treatments, and outcomes. Cambridge, Mass.: Ballinger, 1974.Google Scholar
  28. Watterson, O., Sells, S.B., and Simpson, D.D. Death rates and causes of death for opiate addicts in treatment during 1972–1973. In S.B. Sells and D.D. Simpson (Eds.), The effectiveness of drug abuse treatment. (Vol. 5). Evaluation of treatment outcomes for the 1972–1973 admission cohort. Cambridge, Mass.: Ballinger, 1976.Google Scholar

Copyright information

© Plenum Press, New York 1977

Authors and Affiliations

  • S. B. Sells
    • 1
  1. 1.Institute of Behavioral ResearchTexas Christian UniversityFort WorthUSA

Personalised recommendations