Psychiatr Serv 55:767-774, July 2004
© 2004 American Psychiatric Association
Relationship Between Drug Treatment Services, Retention, and Outcomes
Yih-Ing Hser, Ph.D.,
Elizabeth Evans, M.A.,
David Huang, Dr.P.H. and
Douglas M. Anglin, Ph.D.
OBJECTIVE: This longitudinal study conducted path analyses to examine the relationships between treatment processes and outcomes among patients in community-based drug treatment programs. METHODS: A total of 1,939 patients from 36 outpatient drug-free and residential treatment programs in 13 California counties were assessed at intake, discharge, three months after admission, and nine months after admission. Path analyses were conducted to relate the quantity and quality of services that were received in the first three months of treatment to treatment retention and outcomes at the nine-month follow-up. Patients were determined to have a favorable outcome if for at least 30 days before the follow-up assessment they did not use drugs, were not involved in criminal activity, and lived in the community. The path analyses controlled for patients' baseline characteristics. RESULTS: Greater service intensity and satisfaction were positively related to either treatment completion or longer treatment retention, which in turn was related to favorable treatment outcomes. Patients with greater problem severity received more services and were more likely to be satisfied with treatment. These patterns were similar for patients regardless of whether they were treated in outpatient drug-free programs or residential programs. CONCLUSIONS: The positive association between process measures—that is, greater levels of service intensity, satisfaction, and either treatment completion or retention—and treatment outcome strongly suggests that improvements in these key elements of the treatment process will improve treatment outcomes.
This article has been cited by other articles:
|
|
|
|
 
S. B. Hunter, M. Chinman, P. Ebener, P. Imm, A. Wandersman, and G. W. Ryan
Technical Assistance as a Prevention Capacity-Building Tool: A Demonstration Using the Getting To Outcomes(R) Framework
Health Educ Behav,
October 1, 2009;
36(5):
810 - 828.
[Abstract]
[PDF]
|
|
|
|
|
|
|
Zhiwei Zhang, D. R. Gerstein, and P. D. Friedmann
Patient Satisfaction and Sustained Outcomes of Drug Abuse Treatment
J Health Psychol,
April 1, 2008;
13(3):
388 - 400.
[Abstract]
[PDF]
|
|
|
|
|
|
|
C. G. Roman, A. Wolff, V. Correa, and J. Buck
Assessing Intermediate Outcomes of a Faith-Based Residential Prisoner Reentry Program
Research on Social Work Practice,
March 1, 2007;
17(2):
199 - 215.
[Abstract]
[PDF]
|
|
|
|
|
|
|
Y.-I. Hser, C. Teruya, A. H. Brown, D. Huang, E. Evans, and M. D. Anglin
Impact of California's Proposition 36 on the Drug Treatment System: Treatment Capacity and Displacement
Am J Public Health,
January 1, 2007;
97(1):
104 - 109.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P A McArdle
Cannabis use by children and young people.
Arch. Dis. Child.,
August 1, 2006;
91(8):
692 - 695.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. Evans, S. E. Spear, Y.-C. Huang, and Y.-I. Hser
Outcomes of Drug and Alcohol Treatment Programs Among American Indians in California
Am J Public Health,
May 1, 2006;
96(5):
889 - 896.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
W. S. Masland
Cognitive Dissonance in the Pages of Psychiatric Services
Psychiatr Serv,
November 1, 2004;
55(11):
1315 - 1315.
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. K. Schreter
Cognitive Dissonance in the Pages of Psychiatric Services
Psychiatr Serv,
November 1, 2004;
55(11):
1315 - 1315.
[Full Text]
[PDF]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 2004
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
