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The Effect of a Case Management Intervention on Drug Treatment Entry Among Treatment-Seeking Injection Drug Users With and Without Comorbid Antisocial Personality Disorder

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Abstract

We examined the effect of a case management intervention on drug treatment entry among injection drug users (IDUs) with and without comorbid antisocial personality disorder (ASPD). Injection drug users attending the Baltimore Needle Exchange Program who sought and were granted referrals to opioid agonist treatment were randomized to receive a strengths-based case management intervention or passive referral. Of 162 IDUs, 22.8% met the DSM-IV criteria for ASPD. Compared to those without ASPD, IDUs with comorbid ASPD who spent 25 or more minutes with their case manager prior to their treatment entry date were 3.51 times more likely to enter treatment than those receiving less than 5 min, adjusting for intervention status, race, and treatment site (95% confidence interval 1.04–11.89). Providing case management services to IDUs with comorbid ASPD may facilitate treatment entry and reduce the negative consequences of drug abuse.

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Acknowledgements

The authors gratefully acknowledge support from the National Institute on Drug Abuse (grant nos. DA09225 and DA015604), Dr. David Vlahov, Dr. Peter Hartsock, staff of the Baltimore NEP and Baltimore Substance Abuse Systems, Inc. and associated drug treatment programs, and staff and participants of the TRI.

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Authors and Affiliations

  1. Center on Drug and Alcohol Research, University of Kentucky College of Medicine, Lexington, KY, USA

    Jennifer R. Havens

  2. School of Social Work, University of Maryland, Baltimore, MD, USA

    Llewellyn J. Cornelius

  3. Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA

    Erin P. Ricketts, Steven Huettner & Steffanie A. Strathdee

  4. Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA

    Carl A. Latkin

  5. Department of Population and Family Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA

    David Bishai

  6. School of Social Administration, Temple University, Philadelphia, PA, USA

    Jacqueline J. Lloyd

  7. Division of International Health and Cross-cultural Medicine, Department of Family Health Sciences, University of California San Diego School of Medicine, San Diego, CA, USA

    Steffanie A. Strathdee

Authors
  1. Jennifer R. Havens
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  2. Llewellyn J. Cornelius
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  3. Erin P. Ricketts
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  4. Carl A. Latkin
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  5. David Bishai
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  6. Jacqueline J. Lloyd
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  7. Steven Huettner
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  8. Steffanie A. Strathdee
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Corresponding author

Correspondence to Jennifer R. Havens.

Additional information

Havens is with the Center on Drug and Alcohol Research, University of Kentucky College of Medicine, Lexington, KY, USA; Cornelius is with the School of Social Work, University of Maryland, Baltimore, MD, USA; Ricketts, Huettner, and Strathdee are with the Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; Latkin is with the Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; Bishai is with the Department of Population and Family Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; Lloyd is with the School of Social Administration, Temple University, Philadelphia, PA, USA; Strathdee is with the Division of International Health and Cross-cultural Medicine, Department of Family Health Sciences, University of California San Diego School of Medicine, San Diego, CA, USA.

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Havens, J.R., Cornelius, L.J., Ricketts, E.P. et al. The Effect of a Case Management Intervention on Drug Treatment Entry Among Treatment-Seeking Injection Drug Users With and Without Comorbid Antisocial Personality Disorder. J Urban Health 84, 267–271 (2007). https://doi.org/10.1007/s11524-006-9144-4

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  • DOI: https://doi.org/10.1007/s11524-006-9144-4

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