Predicting outpatient treatment entry following detoxification for injection drug use: The impact of patient and program factors
| Autor: | Scott E. Provost, Carrie J. Tillotson, Robert E. Booth, Barbara K. Campbell, Dennis McCarty, Jessica DiCenzo, Katherine Bryant, Dongseok Choi, Lucy Zammarelli |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Urban Population Population Medicine (miscellaneous) Article Accreditation law.invention Young Adult Ambulatory care Randomized controlled trial law Detoxification Ambulatory Care medicine Humans Young adult Substance Abuse Intravenous education Survival analysis Aged Randomized Controlled Trials as Topic education.field_of_study Models Statistical National Institute on Drug Abuse (U.S.) business.industry Continuity of Patient Care Length of Stay Middle Aged medicine.disease Survival Analysis United States Substance abuse Clinical trial Psychiatry and Mental health Clinical Psychology Treatment Outcome Emergency medicine Female Substance Abuse Treatment Centers Medical emergency Pshychiatric Mental Health business Follow-Up Studies |
| Zdroj: | Journal of Substance Abuse Treatment. 38:S87-S96 |
| ISSN: | 0740-5472 |
| Popis: | This article examines variables that predicted outpatient treatment entry within 6 months of residential detoxification. Patient data were collected from 632 injection drug users enrolled in a randomized trial conducted at eight detoxification programs within the National Drug Abuse Treatment Clinical Trials Network (CTN) with follow-up assessments conducted at 2, 8, 16, and 24 weeks. Detoxification program characteristics were collected during this study and from a survey of CTN treatment organizations. Survival analysis found that estimated proportions of reported outpatient treatment entry varied across sites from .06 to .72. A model-building approach determined variables significantly associated with outpatient treatment entry. The best predictive model contained five program-level variables: accreditation, fewer beds, longer stays, shorter distance between detoxification and outpatient unit, and larger city population. Results suggest the importance of detoxification program characteristics in facilitating further treatment and the need for systems modifications to improve continuity of care. |
| Databáze: | OpenAIRE |
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