Effect of co-occurring disorders and intimate partner violence on substance abuse treatment outcomes
Abstract This retrospective cohort study examined risk factors for co-occurring substance use and mental disorders (COD) and the effect of COD and intimate partner violence (IPV) victimization among women and IPV-related arrest among men on 1-year substance abuse treatment outcomes. The study sample...
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| Veröffentlicht in: | Journal of substance abuse treatment 2010-04, Vol.38 (3), p.231-244 |
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| creator | Lipsky, Sherry, Ph.D., M.P.H Krupski, Antoinette, Ph.D Roy-Byrne, Peter, M.D Lucenko, Barbara, Ph.D Mancuso, David, Ph.D Huber, Alice, Ph.D |
| description | Abstract This retrospective cohort study examined risk factors for co-occurring substance use and mental disorders (COD) and the effect of COD and intimate partner violence (IPV) victimization among women and IPV-related arrest among men on 1-year substance abuse treatment outcomes. The study sample included clients admitted to Washington State publicly funded substance abuse treatment facilities in 2004–2007. COD was associated with a high substance use and IPV risk profile at admission. Having a COD decreased the odds of completing treatment by 30% among men and women and increased the risk of treatment reentry by 9% and 12% among men and women, respectively. IPV also decreased the odds of completing treatment among women and increased the risk of treatment reentry among men. Men with COD were less likely than those without COD to be arrested for substance-related crimes but more likely to be arrested for violence-related crimes in the follow-up period. Implications of these findings are discussed. |
| doi_str_mv | 10.1016/j.jsat.2009.12.005 |
| format | Article |
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The study sample included clients admitted to Washington State publicly funded substance abuse treatment facilities in 2004–2007. COD was associated with a high substance use and IPV risk profile at admission. Having a COD decreased the odds of completing treatment by 30% among men and women and increased the risk of treatment reentry by 9% and 12% among men and women, respectively. IPV also decreased the odds of completing treatment among women and increased the risk of treatment reentry among men. Men with COD were less likely than those without COD to be arrested for substance-related crimes but more likely to be arrested for violence-related crimes in the follow-up period. Implications of these findings are discussed.</description><identifier>ISSN: 0740-5472</identifier><identifier>EISSN: 1873-6483</identifier><identifier>DOI: 10.1016/j.jsat.2009.12.005</identifier><identifier>PMID: 20129753</identifier><identifier>CODEN: JSATEG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject><![CDATA[Abusive relationships ; Admissions ; Adolescent ; Adult ; Alcoholism - epidemiology ; Alcoholism - psychology ; Alcoholism - rehabilitation ; Biological and medical sciences ; Clinical outcomes ; Co-occurring disorders ; Comorbidity ; Crime ; Cross-Sectional Studies ; Desintoxication. Drug withdrawal ; Domestic violence ; Female ; Follow-Up Studies ; Humans ; Intimate partner violence ; Male ; Medical sciences ; Mental disorders ; Middle Aged ; Miscellaneous ; Patient Dropouts - psychology ; Patient Dropouts - statistics & numerical data ; Patient Readmission - statistics & numerical data ; Prisoners - legislation & jurisprudence ; Prisoners - psychology ; Prisoners - statistics & numerical data ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Recurrence ; Reentry ; Risk Factors ; Socioeconomic Factors ; Spouse Abuse - legislation & jurisprudence ; Spouse Abuse - prevention & control ; Spouse Abuse - psychology ; Spouse Abuse - statistics & numerical data ; Substance abuse ; Substance abuse treatment ; Substance use ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - psychology ; Substance-Related Disorders - rehabilitation ; Treatment Outcome ; Treatments ; Violence - legislation & jurisprudence ; Violence - prevention & control ; Violence - psychology ; Violence - statistics & numerical data ; Young Adult]]></subject><ispartof>Journal of substance abuse treatment, 2010-04, Vol.38 (3), p.231-244</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright 2010 Elsevier Inc. All rights reserved.</rights><rights>Copyright Pergamon Press Inc. 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The study sample included clients admitted to Washington State publicly funded substance abuse treatment facilities in 2004–2007. COD was associated with a high substance use and IPV risk profile at admission. Having a COD decreased the odds of completing treatment by 30% among men and women and increased the risk of treatment reentry by 9% and 12% among men and women, respectively. IPV also decreased the odds of completing treatment among women and increased the risk of treatment reentry among men. Men with COD were less likely than those without COD to be arrested for substance-related crimes but more likely to be arrested for violence-related crimes in the follow-up period. Implications of these findings are discussed.</description><subject>Abusive relationships</subject><subject>Admissions</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Alcoholism - epidemiology</subject><subject>Alcoholism - psychology</subject><subject>Alcoholism - rehabilitation</subject><subject>Biological and medical sciences</subject><subject>Clinical outcomes</subject><subject>Co-occurring disorders</subject><subject>Comorbidity</subject><subject>Crime</subject><subject>Cross-Sectional Studies</subject><subject>Desintoxication. Drug withdrawal</subject><subject>Domestic violence</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Intimate partner violence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental disorders</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Patient Dropouts - psychology</subject><subject>Patient Dropouts - statistics & numerical data</subject><subject>Patient Readmission - statistics & numerical data</subject><subject>Prisoners - legislation & jurisprudence</subject><subject>Prisoners - psychology</subject><subject>Prisoners - statistics & numerical data</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Public health. Hygiene</subject><subject>Public health. 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| ispartof | Journal of substance abuse treatment, 2010-04, Vol.38 (3), p.231-244 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Abusive relationships Admissions Adolescent Adult Alcoholism - epidemiology Alcoholism - psychology Alcoholism - rehabilitation Biological and medical sciences Clinical outcomes Co-occurring disorders Comorbidity Crime Cross-Sectional Studies Desintoxication. Drug withdrawal Domestic violence Female Follow-Up Studies Humans Intimate partner violence Male Medical sciences Mental disorders Middle Aged Miscellaneous Patient Dropouts - psychology Patient Dropouts - statistics & numerical data Patient Readmission - statistics & numerical data Prisoners - legislation & jurisprudence Prisoners - psychology Prisoners - statistics & numerical data Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Public health. Hygiene Public health. Hygiene-occupational medicine Recurrence Reentry Risk Factors Socioeconomic Factors Spouse Abuse - legislation & jurisprudence Spouse Abuse - prevention & control Spouse Abuse - psychology Spouse Abuse - statistics & numerical data Substance abuse Substance abuse treatment Substance use Substance-Related Disorders - epidemiology Substance-Related Disorders - psychology Substance-Related Disorders - rehabilitation Treatment Outcome Treatments Violence - legislation & jurisprudence Violence - prevention & control Violence - psychology Violence - statistics & numerical data Young Adult |
| title | Effect of co-occurring disorders and intimate partner violence on substance abuse treatment outcomes |
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