Day Hospital and Residential Addiction Treatment: Randomized and Nonrandomized Managed Care Clients

Autor/inn/en	Witbrodt, Jane; Bond, Jason; Kaskutas, Lee Ann; Weisner, Constance; Jaeger, Gary; Pating, David; Moore, Charles
Titel	Day Hospital and Residential Addiction Treatment: Randomized and Nonrandomized Managed Care Clients
Quelle	In: Journal of Consulting and Clinical Psychology, 75 (2007) 6, S.947-959 (13 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
Schlagwörter	Substance Abuse; Hospitals; Counseling Effectiveness; Counseling Techniques; Rehabilitation Centers; Outcomes of Treatment; Risk; Longitudinal Studies; Multivariate Analysis; Attendance + Suchen Sie Ihr Suchwort? Drug use; Drug consomption; Drogenkonsum; Krankengymnast; Krankenhaus; Counseling technique; Counselling technique; Counselling techniques; Beratungsmethode; Rehabilitation center; Rehabilitation centre; Rehabilitation centres; Rehabilitationszentrum; Risiko; Longitudinal study; Longitudinal method; Longitudinal methods; Längsschnittuntersuchung; Multivariate Analyse; Anwesenheit
Abstract	Male and female managed care clients randomized to day hospital (n=154) or community residential treatment (n=139) were compared on substance use outcomes at 6 and 12 months. To address possible bias in naturalistic studies, outcomes were also examined for clients who self-selected day hospital (n=321) and for clients excluded from randomization and directed to residential treatment because of high environmental risk (n=82). American Society of Addiction Medicine criteria defined study and randomization eligibility. More than 50% of followed clients reported past-30-day abstinence at follow-ups (unadjusted rates, not significant between groups). Despite differing baseline severities, randomized, self-selecting, and directed clients displayed similar abstinence outcomes in multivariate longitudinal models. Index treatment days and 12-step attendance were associated with abstinence (p[less than]0.001). Other prognostic effects (including gender and ethnicity) were not significant predictors of differences in outcomes for clients in the treatment modalities. Although 12-step attendance continued to be important for the full 12 months, treatment beyond the index stay was not, suggesting an advantage for engaging clients in treatment initially and promoting 12-step attendance for at least a year. (Author).
Anmerkungen	American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10