Comparative cocaine abuse treatment strategies: enhancing client retention and treatment exposure
| Autor: | Robert L. Hubbard, James W. Luckey, Jeffrey A. Hoffman, Barry D. Caudill, Patrick M. Flynn, Joseph J. Koman |
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| Rok vydání: | 1994 |
| Předmět: |
Adult
Male medicine.medical_specialty Customer retention Patient Dropouts Substance-Related Disorders medicine.medical_treatment Population Medicine (miscellaneous) Comorbidity Group psychotherapy Ambulatory care Cocaine medicine Ambulatory Care Humans education Psychiatry Patient Care Team education.field_of_study Antisocial personality disorder General Medicine Antisocial Personality Disorder medicine.disease Combined Modality Therapy Psychiatry and Mental health Clinical Psychology Alcoholism Treatment Outcome Psychotherapy Group Marital status Crack Cocaine Female Psychology Psychosocial Clinical psychology |
| Zdroj: | Journal of addictive diseases. 13(4) |
| ISSN: | 1055-0887 |
| Popis: | The current investigation explores the clinical utility in providing a series of enhanced clinical services to a sample of 303 cocaine-abusing clients (primarily crack smokers) relative to a standard group therapy treatment program. In addition to examining the comparative impact of six varying psychosocial treatment approaches for cocaine abuse on client retention and treatment exposure rates, an additional emphasis has been to examine the ability of fixed and dynamic client variables in predicting client outcome in this regard. No fixed (e.g., sex, income, marital status, income level, or employment status) or dynamic (e.g., recent alcohol use, antisocial personality disorder diagnoses, or motivational variables) client characteristics were useful in predicting client retention or treatment exposure rates. Program characteristics, however, or the frequency, intensity, and/or type of treatment services offered, were related to client retention and treatment exposure. Treatment exposure and retention were significantly enhanced by providing clients with more frequent and intensive group therapy, or by adding individual treatment services to a standard group therapy treatment regimen. With a population such as cocaine abusers, who typically have an extremely high treatment dropout rate, an obvious strategy is to focus efforts on engaging and retaining clients in treatment, and maximizing levels of treatment exposure. The current findings suggest that one successful approach towards enhancing psychosocial treatments for cocaine abuse is to increase the frequency, intensity, and/or types of treatment services offered. |
| Databáze: | OpenAIRE |
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