After how many detoxications is rehabilitation probable?

Richman, Alex

doi:10.1016/0376-8716(81)90094-6

Cited by 12 publications

(10 citation statements)

References 3 publications

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“…Previous research has shown that multiple prior detoxification treatment episodes are a poor prognosis for outcome in an index treatment episode (23,24). For the opioid against medication group, half of these prior treatments were detoxification, while 69% of prior treatment episodes for the medication-free treatment group were detoxification.…”

Section: Discussionmentioning

confidence: 98%

Comparative Drug Use and Psychosocial Profiles of Opioid Dependents Applying for Medication Versus Medication‐Free Treatment

Cumberbatch

Copersino

Stitzer

et al. 2004

The American Journal of Drug and Alcohol Abuse

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Drug treatment-seeking abusers generally self-select their treatment modality. Most opioid-dependent individuals select either methadone maintenance or detoxification followed by medication-free outpatient treatment. This study examined demographic, drug use, and drug abuse treatment history for opioid dependent patients entering an opioid agonist (n = 203) or a medication-free (n = 155) treatment program located on the same hospital campus. Similar demographic profiles support the assertion that samples were drawn from the same inner city urban opioid using population. Patients entering drug-free treatment, however, reported more extensive prior use of both cocaine and alcohol. Further, these patients had a generally more severe profile of psychosocial problems in medical, legal, employment, family/social, and psychiatric areas as measured by the Addiction Severity Index (ASI). These findings suggest that outpatient drug-free programs enrolling opioid abusers are faced with a unique service delivery challenge that involves service needs in multiple arenas. The findings further suggest that patient self-selection of treatment programs may in some cases result in a discrepancy between patient needs and the ability of treatment programs to retain patients and deliver an appropriate array of services.

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Section: Discussionmentioning

confidence: 98%

Comparative Drug Use and Psychosocial Profiles of Opioid Dependents Applying for Medication Versus Medication‐Free Treatment

Cumberbatch

Copersino

Stitzer

et al. 2004

The American Journal of Drug and Alcohol Abuse

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“…Treatment failures may damage self-esteem and self-efficacy and decrease motivation for future change efforts, particularly if the failure is attributed to static qualities of the client (Donovan & O’Leary, 1979; Matkom, 1969; Mindlin, 1964; Mottin, 1973; Thimann, 1968). Richman and Smart (1981) reported that the probability of entering treatment decreases with each subsequent admission to detoxification.…”

Section: Nonspecific Determinants Of Motivationmentioning

confidence: 99%

Motivation for treatment: A review with special emphasis on alcoholism.

Miller

1985

Psychological Bulletin

565

283

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Motivation is often regarded as a client attribute related to maladaptive defense mechanisms, and it is used to explain unfavorable treatment outcome. This article provides an integrative review of research relating motivational variables and interventions to treatment entry, compliance, and outcome; special focus is on alcoholism and other addictive behaviors. Empirical evidence is considered regarding motivational interventions including advice, feedback, goal setting, role playing, modeling, contingencies, continuity of care, voluntary choice, and modification of behavior attractiveness. Beyond these specific interventions, nonspecific aspects of motivation are reviewed including client characteristics (distress, self-esteem, locus of control, severity, conceptual level), environmental variables, and therapist characteristics (hostility, expectancy, empathy). A dynamic conceptualization of treatment motivation is proposed as an alternative to a trait model.

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“…6,[21][22][23][24][25] Obstacles to sobriety include psychiatric illness, poor social support, lack of stable housing, duration of addiction and refusal of treatment.…”

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confidence: 99%