Substance Abuse Treatment Outcomes for Coerced and Noncoerced Clients
This study provides new evidence regarding the relation of coerced care to posttreatment substance use and addiction severity while controlling for two important factors: readiness to change and addiction severity at admission to treatment. The initial study sample consisted of 289 people who agreed...
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Veröffentlicht in: | Health & social work 2007-02, Vol.32 (1), p.7-15 |
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description | This study provides new evidence regarding the relation of coerced care to posttreatment substance use and addiction severity while controlling for two important factors: readiness to change and addiction severity at admission to treatment. The initial study sample consisted of 289 people who agreed to participate in a prospective study of substance abuse treatment outcomes in five large outpatient programs in Ohio. The findings reported here are based on analyses for the 141 (48.8 percent of the original sample) individuals who completed a six-month follow-up interview using the short form of the Addiction Severity Index. These data indicate that legally coerced participants were more likely than noncoerced participants to report abstaining from alcohol and other drugs in the 30 days before their follow-up interview. They were also more likely to demonstrate reduced addiction severity at follow-up. Readiness to change at admission showed no relation to treatment outcomes. |
doi_str_mv | 10.1093/hsw/32.1.7 |
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The initial study sample consisted of 289 people who agreed to participate in a prospective study of substance abuse treatment outcomes in five large outpatient programs in Ohio. The findings reported here are based on analyses for the 141 (48.8 percent of the original sample) individuals who completed a six-month follow-up interview using the short form of the Addiction Severity Index. These data indicate that legally coerced participants were more likely than noncoerced participants to report abstaining from alcohol and other drugs in the 30 days before their follow-up interview. They were also more likely to demonstrate reduced addiction severity at follow-up. Readiness to change at admission showed no relation to treatment outcomes.</description><identifier>ISSN: 0360-7283</identifier><identifier>EISSN: 1545-6854</identifier><identifier>DOI: 10.1093/hsw/32.1.7</identifier><identifier>PMID: 17432737</identifier><identifier>CODEN: HSWOEL</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Addiction ; Adult ; Alcohol ; Alcohol Abuse ; Behavior ; Behavior Change ; Behavior Modification ; Behaviour modification ; Beliefs ; Care and treatment ; Clients ; Clinical outcomes ; coerced care ; Coercion ; Data collection ; Drug Addiction ; Drug use ; Ethics ; Evidence ; Female ; follow-up ; Followup Studies ; Health care ; Humans ; Interviews ; Male ; Measures (Individuals) ; Medical treatment ; Motivation ; National Surveys ; Ohio ; Outcome Assessment (Health Care) ; Outcomes of Treatment ; Patient Acceptance of Health Care ; Prospective Studies ; readiness to change ; Severity (of Disability) ; Social research ; Social work ; Social workers ; State Surveys ; Substance Abuse ; Substance abuse treatment ; Substance-Related Disorders - therapy ; Treatment ; Treatment Outcomes</subject><ispartof>Health & social work, 2007-02, Vol.32 (1), p.7-15</ispartof><rights>COPYRIGHT 2007 Oxford University Press</rights><rights>Copyright National Association of Social Workers, Incorporated Feb 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c678t-55b8b47eefaf52ee8ee2f16089a75e6a9ba76263486923699bc42cedf895a6ac3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27344,27924,27925,31000,33774,33775</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ756162$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17432737$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Burke, Anna C.</creatorcontrib><creatorcontrib>Gregoire, Thomas K.</creatorcontrib><title>Substance Abuse Treatment Outcomes for Coerced and Noncoerced Clients</title><title>Health & social work</title><addtitle>Health & Social Work</addtitle><description>This study provides new evidence regarding the relation of coerced care to posttreatment substance use and addiction severity while controlling for two important factors: readiness to change and addiction severity at admission to treatment. The initial study sample consisted of 289 people who agreed to participate in a prospective study of substance abuse treatment outcomes in five large outpatient programs in Ohio. The findings reported here are based on analyses for the 141 (48.8 percent of the original sample) individuals who completed a six-month follow-up interview using the short form of the Addiction Severity Index. These data indicate that legally coerced participants were more likely than noncoerced participants to report abstaining from alcohol and other drugs in the 30 days before their follow-up interview. They were also more likely to demonstrate reduced addiction severity at follow-up. Readiness to change at admission showed no relation to treatment outcomes.</description><subject>Addiction</subject><subject>Adult</subject><subject>Alcohol</subject><subject>Alcohol Abuse</subject><subject>Behavior</subject><subject>Behavior Change</subject><subject>Behavior Modification</subject><subject>Behaviour modification</subject><subject>Beliefs</subject><subject>Care and treatment</subject><subject>Clients</subject><subject>Clinical outcomes</subject><subject>coerced care</subject><subject>Coercion</subject><subject>Data collection</subject><subject>Drug Addiction</subject><subject>Drug use</subject><subject>Ethics</subject><subject>Evidence</subject><subject>Female</subject><subject>follow-up</subject><subject>Followup Studies</subject><subject>Health care</subject><subject>Humans</subject><subject>Interviews</subject><subject>Male</subject><subject>Measures (Individuals)</subject><subject>Medical treatment</subject><subject>Motivation</subject><subject>National Surveys</subject><subject>Ohio</subject><subject>Outcome Assessment (Health Care)</subject><subject>Outcomes of Treatment</subject><subject>Patient Acceptance of Health Care</subject><subject>Prospective Studies</subject><subject>readiness to change</subject><subject>Severity (of Disability)</subject><subject>Social research</subject><subject>Social work</subject><subject>Social workers</subject><subject>State Surveys</subject><subject>Substance Abuse</subject><subject>Substance abuse treatment</subject><subject>Substance-Related Disorders - therapy</subject><subject>Treatment</subject><subject>Treatment 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source | MEDLINE; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current); EBSCOhost Education Source |
subjects | Addiction Adult Alcohol Alcohol Abuse Behavior Behavior Change Behavior Modification Behaviour modification Beliefs Care and treatment Clients Clinical outcomes coerced care Coercion Data collection Drug Addiction Drug use Ethics Evidence Female follow-up Followup Studies Health care Humans Interviews Male Measures (Individuals) Medical treatment Motivation National Surveys Ohio Outcome Assessment (Health Care) Outcomes of Treatment Patient Acceptance of Health Care Prospective Studies readiness to change Severity (of Disability) Social research Social work Social workers State Surveys Substance Abuse Substance abuse treatment Substance-Related Disorders - therapy Treatment Treatment Outcomes |
title | Substance Abuse Treatment Outcomes for Coerced and Noncoerced Clients |
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