Treatment participation and outcome among problem drinkers in a managed care alcohol outpatient treatment program
This article uses Markov analysis to investigate patterns of treatment participation of 361 patients treated in the alcohol and drug abuse programs of a large group model Health Maintenance Organization (HMO) to examine how participation is related to abstinence. Findings indicate that 82% of the pa...
Gespeichert in:
| Veröffentlicht in: | Journal of mental health administration 1997, Vol.24 (1), p.23-34 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 34 |
|---|---|
| container_issue | 1 |
| container_start_page | 23 |
| container_title | Journal of mental health administration |
| container_volume | 24 |
| creator | Hu, T Hunkeler, E M Weisner, C Li, E Grayson, D K Westphal, J McLellan, A T |
| description | This article uses Markov analysis to investigate patterns of treatment participation of 361 patients treated in the alcohol and drug abuse programs of a large group model Health Maintenance Organization (HMO) to examine how participation is related to abstinence. Findings indicate that 82% of the patients in treatment one month after intake were in treatment three months later, and treatment retention dropped to 46% by month 6. Findings also indicate that 74% of patients abstinent and in treatment at month 1 remained so at month 3. Abstinence at the first three-month interval was a strong predictor of abstinence at later time periods. A multivariate analysis showed that an expressed desire to stop alcohol use upon entry into treatment was the most consistent predictor of both treatment participation and abstinence at most time points. Treatment participation was also a significant predictor of abstinence. |
| doi_str_mv | 10.1007/BF02790477 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2664677724</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1761705741</sourcerecordid><originalsourceid>FETCH-LOGICAL-c500t-15c80d21beb5620852873401eedcdba2945d0419ea3887cc946e89f9fd31ce2a3</originalsourceid><addsrcrecordid>eNqF0c1rFTEUBfAgSn1WN-6FQUFEGL35Tpa1tFoodFPXQya57zl1MnlNZhb9783Qh4WCdpXNL-dwOYS8pfCFAuiv386BaQtC62dkQ6VULedgnpMNgGWtUYy_JK9KuQEAQY0-IkcWOKeSb8jtdUY3R5zmZu_yPPhh7-YhTY2bQpOW2aeIjYtp2jX7nPoRYxPyMP3GXJqhqia6ye0wNN7lCkeffqVx_bjGrKnzQ35Ou-zia_Ji68aCbw7vMfl5fnZ9-qO9vPp-cXpy2XoJMLdUegOB0R57qRgYyYzmAihi8KF3zAoZ6jUWHTdGe2-FQmO3dhs49cgcPyYf73Nr7-2CZe7iUDyOo5swLaVTVCpDgT4JpZaCUa0r_PRfSLWiGqQWa-aHR_QmLXmq93ZMKaG01kxU9f6fCmTttHRt_XyPfE6lZNx2-zxEl-86Ct06f_cwf8XvDolLHzH8pYe9-R811KlS</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>205217917</pqid></control><display><type>article</type><title>Treatment participation and outcome among problem drinkers in a managed care alcohol outpatient treatment program</title><source>MEDLINE</source><source>SpringerNature Journals</source><source>Sociological Abstracts</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Hu, T ; Hunkeler, E M ; Weisner, C ; Li, E ; Grayson, D K ; Westphal, J ; McLellan, A T</creator><creatorcontrib>Hu, T ; Hunkeler, E M ; Weisner, C ; Li, E ; Grayson, D K ; Westphal, J ; McLellan, A T</creatorcontrib><description>This article uses Markov analysis to investigate patterns of treatment participation of 361 patients treated in the alcohol and drug abuse programs of a large group model Health Maintenance Organization (HMO) to examine how participation is related to abstinence. Findings indicate that 82% of the patients in treatment one month after intake were in treatment three months later, and treatment retention dropped to 46% by month 6. Findings also indicate that 74% of patients abstinent and in treatment at month 1 remained so at month 3. Abstinence at the first three-month interval was a strong predictor of abstinence at later time periods. A multivariate analysis showed that an expressed desire to stop alcohol use upon entry into treatment was the most consistent predictor of both treatment participation and abstinence at most time points. Treatment participation was also a significant predictor of abstinence.</description><identifier>ISSN: 0092-8623</identifier><identifier>ISSN: 1094-3412</identifier><identifier>EISSN: 1556-3308</identifier><identifier>DOI: 10.1007/BF02790477</identifier><identifier>PMID: 9033153</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Abstinence ; Adolescent ; Adult ; Alcohol ; Alcohol use ; Alcoholics ; Alcoholism ; Alcoholism - psychology ; Alcoholism - therapy ; Ambulatory Care - organization & administration ; California ; Detoxification ; Drinking behavior ; Drug Abuse ; Education ; Female ; Group therapy ; Health Maintenance Organizations ; Health Maintenance Organizations - organization & administration ; HMOs ; Humans ; Interviews ; Logistic Models ; Male ; Managed care ; Markov analysis ; Markov Chains ; Multivariate analysis ; Northern California ; Outcome Assessment, Health Care ; Outcomes ; Outpatient treatment ; Participation ; Patient Compliance ; Patients ; Predictive Value of Tests ; Problem drinkers ; Prognosis ; Questionnaires ; Statistical data ; Substance abuse ; Substance abuse treatment ; Success ; Treatment Compliance ; Treatment Outcomes ; Treatment Programs</subject><ispartof>Journal of mental health administration, 1997, Vol.24 (1), p.23-34</ispartof><rights>Copyright Sage Publications, Inc. Winter 1997</rights><rights>Association of Mental Health Administrators 1997.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-15c80d21beb5620852873401eedcdba2945d0419ea3887cc946e89f9fd31ce2a3</citedby><cites>FETCH-LOGICAL-c500t-15c80d21beb5620852873401eedcdba2945d0419ea3887cc946e89f9fd31ce2a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,12846,27923,27924,27925,30999,31000,33775</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9033153$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hu, T</creatorcontrib><creatorcontrib>Hunkeler, E M</creatorcontrib><creatorcontrib>Weisner, C</creatorcontrib><creatorcontrib>Li, E</creatorcontrib><creatorcontrib>Grayson, D K</creatorcontrib><creatorcontrib>Westphal, J</creatorcontrib><creatorcontrib>McLellan, A T</creatorcontrib><title>Treatment participation and outcome among problem drinkers in a managed care alcohol outpatient treatment program</title><title>Journal of mental health administration</title><addtitle>J Ment Health Adm</addtitle><description>This article uses Markov analysis to investigate patterns of treatment participation of 361 patients treated in the alcohol and drug abuse programs of a large group model Health Maintenance Organization (HMO) to examine how participation is related to abstinence. Findings indicate that 82% of the patients in treatment one month after intake were in treatment three months later, and treatment retention dropped to 46% by month 6. Findings also indicate that 74% of patients abstinent and in treatment at month 1 remained so at month 3. Abstinence at the first three-month interval was a strong predictor of abstinence at later time periods. A multivariate analysis showed that an expressed desire to stop alcohol use upon entry into treatment was the most consistent predictor of both treatment participation and abstinence at most time points. Treatment participation was also a significant predictor of abstinence.</description><subject>Abstinence</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Alcohol</subject><subject>Alcohol use</subject><subject>Alcoholics</subject><subject>Alcoholism</subject><subject>Alcoholism - psychology</subject><subject>Alcoholism - therapy</subject><subject>Ambulatory Care - organization & administration</subject><subject>California</subject><subject>Detoxification</subject><subject>Drinking behavior</subject><subject>Drug Abuse</subject><subject>Education</subject><subject>Female</subject><subject>Group therapy</subject><subject>Health Maintenance Organizations</subject><subject>Health Maintenance Organizations - organization & administration</subject><subject>HMOs</subject><subject>Humans</subject><subject>Interviews</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Managed care</subject><subject>Markov analysis</subject><subject>Markov Chains</subject><subject>Multivariate analysis</subject><subject>Northern California</subject><subject>Outcome Assessment, Health Care</subject><subject>Outcomes</subject><subject>Outpatient treatment</subject><subject>Participation</subject><subject>Patient Compliance</subject><subject>Patients</subject><subject>Predictive Value of Tests</subject><subject>Problem drinkers</subject><subject>Prognosis</subject><subject>Questionnaires</subject><subject>Statistical data</subject><subject>Substance abuse</subject><subject>Substance abuse treatment</subject><subject>Success</subject><subject>Treatment Compliance</subject><subject>Treatment Outcomes</subject><subject>Treatment Programs</subject><issn>0092-8623</issn><issn>1094-3412</issn><issn>1556-3308</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>BHHNA</sourceid><recordid>eNqF0c1rFTEUBfAgSn1WN-6FQUFEGL35Tpa1tFoodFPXQya57zl1MnlNZhb9783Qh4WCdpXNL-dwOYS8pfCFAuiv386BaQtC62dkQ6VULedgnpMNgGWtUYy_JK9KuQEAQY0-IkcWOKeSb8jtdUY3R5zmZu_yPPhh7-YhTY2bQpOW2aeIjYtp2jX7nPoRYxPyMP3GXJqhqia6ye0wNN7lCkeffqVx_bjGrKnzQ35Ou-zia_Ji68aCbw7vMfl5fnZ9-qO9vPp-cXpy2XoJMLdUegOB0R57qRgYyYzmAihi8KF3zAoZ6jUWHTdGe2-FQmO3dhs49cgcPyYf73Nr7-2CZe7iUDyOo5swLaVTVCpDgT4JpZaCUa0r_PRfSLWiGqQWa-aHR_QmLXmq93ZMKaG01kxU9f6fCmTttHRt_XyPfE6lZNx2-zxEl-86Ct06f_cwf8XvDolLHzH8pYe9-R811KlS</recordid><startdate>1997</startdate><enddate>1997</enddate><creator>Hu, T</creator><creator>Hunkeler, E M</creator><creator>Weisner, C</creator><creator>Li, E</creator><creator>Grayson, D K</creator><creator>Westphal, J</creator><creator>McLellan, A T</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88C</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AM</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BGRYB</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>HEHIP</scope><scope>K60</scope><scope>K6~</scope><scope>K7.</scope><scope>K9.</scope><scope>L.-</scope><scope>L.0</scope><scope>M0C</scope><scope>M0O</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PADUT</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>PYYUZ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7U3</scope><scope>BHHNA</scope></search><sort><creationdate>1997</creationdate><title>Treatment participation and outcome among problem drinkers in a managed care alcohol outpatient treatment program</title><author>Hu, T ; Hunkeler, E M ; Weisner, C ; Li, E ; Grayson, D K ; Westphal, J ; McLellan, A T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c500t-15c80d21beb5620852873401eedcdba2945d0419ea3887cc946e89f9fd31ce2a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Abstinence</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Alcohol</topic><topic>Alcohol use</topic><topic>Alcoholics</topic><topic>Alcoholism</topic><topic>Alcoholism - psychology</topic><topic>Alcoholism - therapy</topic><topic>Ambulatory Care - organization & administration</topic><topic>California</topic><topic>Detoxification</topic><topic>Drinking behavior</topic><topic>Drug Abuse</topic><topic>Education</topic><topic>Female</topic><topic>Group therapy</topic><topic>Health Maintenance Organizations</topic><topic>Health Maintenance Organizations - organization & administration</topic><topic>HMOs</topic><topic>Humans</topic><topic>Interviews</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Managed care</topic><topic>Markov analysis</topic><topic>Markov Chains</topic><topic>Multivariate analysis</topic><topic>Northern California</topic><topic>Outcome Assessment, Health Care</topic><topic>Outcomes</topic><topic>Outpatient treatment</topic><topic>Participation</topic><topic>Patient Compliance</topic><topic>Patients</topic><topic>Predictive Value of Tests</topic><topic>Problem drinkers</topic><topic>Prognosis</topic><topic>Questionnaires</topic><topic>Statistical data</topic><topic>Substance abuse</topic><topic>Substance abuse treatment</topic><topic>Success</topic><topic>Treatment Compliance</topic><topic>Treatment Outcomes</topic><topic>Treatment Programs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hu, T</creatorcontrib><creatorcontrib>Hunkeler, E M</creatorcontrib><creatorcontrib>Weisner, C</creatorcontrib><creatorcontrib>Li, E</creatorcontrib><creatorcontrib>Grayson, D K</creatorcontrib><creatorcontrib>Westphal, J</creatorcontrib><creatorcontrib>McLellan, A T</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>Global News & ABI/Inform Professional</collection><collection>Trade PRO</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Access via ABI/INFORM (ProQuest)</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Criminal Justice Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>Criminology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Sociology Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Professional Standard</collection><collection>ABI/INFORM Global</collection><collection>Criminal Justice Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Research Library China</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ABI/INFORM Collection China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><jtitle>Journal of mental health administration</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hu, T</au><au>Hunkeler, E M</au><au>Weisner, C</au><au>Li, E</au><au>Grayson, D K</au><au>Westphal, J</au><au>McLellan, A T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment participation and outcome among problem drinkers in a managed care alcohol outpatient treatment program</atitle><jtitle>Journal of mental health administration</jtitle><addtitle>J Ment Health Adm</addtitle><date>1997</date><risdate>1997</risdate><volume>24</volume><issue>1</issue><spage>23</spage><epage>34</epage><pages>23-34</pages><issn>0092-8623</issn><issn>1094-3412</issn><eissn>1556-3308</eissn><abstract>This article uses Markov analysis to investigate patterns of treatment participation of 361 patients treated in the alcohol and drug abuse programs of a large group model Health Maintenance Organization (HMO) to examine how participation is related to abstinence. Findings indicate that 82% of the patients in treatment one month after intake were in treatment three months later, and treatment retention dropped to 46% by month 6. Findings also indicate that 74% of patients abstinent and in treatment at month 1 remained so at month 3. Abstinence at the first three-month interval was a strong predictor of abstinence at later time periods. A multivariate analysis showed that an expressed desire to stop alcohol use upon entry into treatment was the most consistent predictor of both treatment participation and abstinence at most time points. Treatment participation was also a significant predictor of abstinence.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>9033153</pmid><doi>10.1007/BF02790477</doi><tpages>12</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0092-8623 |
| ispartof | Journal of mental health administration, 1997, Vol.24 (1), p.23-34 |
| issn | 0092-8623 1094-3412 1556-3308 |
| language | eng |
| recordid | cdi_proquest_journals_2664677724 |
| source | MEDLINE; SpringerNature Journals; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Abstinence Adolescent Adult Alcohol Alcohol use Alcoholics Alcoholism Alcoholism - psychology Alcoholism - therapy Ambulatory Care - organization & administration California Detoxification Drinking behavior Drug Abuse Education Female Group therapy Health Maintenance Organizations Health Maintenance Organizations - organization & administration HMOs Humans Interviews Logistic Models Male Managed care Markov analysis Markov Chains Multivariate analysis Northern California Outcome Assessment, Health Care Outcomes Outpatient treatment Participation Patient Compliance Patients Predictive Value of Tests Problem drinkers Prognosis Questionnaires Statistical data Substance abuse Substance abuse treatment Success Treatment Compliance Treatment Outcomes Treatment Programs |
| title | Treatment participation and outcome among problem drinkers in a managed care alcohol outpatient treatment program |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T06%3A45%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Treatment%20participation%20and%20outcome%20among%20problem%20drinkers%20in%20a%20managed%20care%20alcohol%20outpatient%20treatment%20program&rft.jtitle=Journal%20of%20mental%20health%20administration&rft.au=Hu,%20T&rft.date=1997&rft.volume=24&rft.issue=1&rft.spage=23&rft.epage=34&rft.pages=23-34&rft.issn=0092-8623&rft.eissn=1556-3308&rft_id=info:doi/10.1007/BF02790477&rft_dat=%3Cproquest_cross%3E1761705741%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=205217917&rft_id=info:pmid/9033153&rfr_iscdi=true |