Contemporaneous relationship between substance abuse treatment and poly-substance use: Evidence from the Persistent Effect of Treatment Studies

Sridharan, Sanjeev; Kawata, Jennifer H.; Campbell, Bernadette; Tseng, Ching-Wei Margaret

doi:10.1016/j.jsat.2004.09.003

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…Additionally, we show that treatment completion does not protect against further drug use, with rates of re-presentation for those discharged drug free being similar to those who dropped out of treatment suggesting that aftercare services need further consideration. Better outcomes and decreased substance use is associated with longer periods of treatment [ 36 , 37 ] and, if drug use is viewed as a chronic condition, treatment retention is arguably more important than drug free discharge, especially if discharge only results in relapse and further periods of chaotic drug use with associated risks. We also show that, for those leaving services, those with prior treatment history were more than twice as likely to re-present for further treatment the following year than those who were treatment naïve, suggesting that many are not overly disenchanted with the treatment they received or unwilling to try again.…”

Section: Discussionmentioning

confidence: 99%

Trends in drop out, drug free discharge and rates of re-presentation: a retrospective cohort study of drug treatment clients in the North West of England

2006

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Background: Governments aim to increase treatment participation by problematic drug users. In the UK this has been achieved by fiscal investment, an expanded workforce, reduced waiting times and coercive measures (usually criminal justice (CJ) led). No assessment of these measures on treatment outcomes has been made. Using established monitoring systems we assessed trends in 'dropped out' and 'discharged drug free' (DDF), since the launch of the national drug strategy, and rates of treatment re-presentation for these cohorts.

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Section: Discussionmentioning

confidence: 99%

Trends in drop out, drug free discharge and rates of re-presentation: a retrospective cohort study of drug treatment clients in the North West of England

2006

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“…Despite these drugs’ relatively recent emergence, it took less than 20 years to witness a vast amount of clinical research on factors that improve the treatment outcome for methamphetamine abuse and dependence. As the clinical evidence accumulated, it was found that duration of treatment predicted subsequent outcome in methamphetamine 6,7 and other substance use disorders 8–10 . Those research outcomes were then utilized for the development of various treatment strategies, such as trials and reports on a manualized, comprehensive approach (e.g.…”

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confidence: 99%

Profiles associated with treatment retention in Japanese patients with methamphetamine use disorder: Preliminary survey

Kobayashi¹,

Matsumoto²,

Otsuki³

et al. 2008

Psychiatry Clin Neurosci

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Aims: To identify profiles associated with treatment retention in Japanese patients with methamphetamine use disorder. Methods: The study used a retrospective design based on clinical records. The subjects were 101 patients at the Kanagawa Psychiatric Center, Serigaya Hospital, who were diagnosed as having methamphetamine use disorder. They were divided in two groups, namely those who remained in treatment 3 months after the initial assessment, and those who did not. The primary analysis compared patient profiles between the two groups to detect discriminating variables, which were then submitted for secondary analysis using logistic regression to determine the most relevant predictor of retention. Results: Primary analysis indicated that older age, having psychotic symptoms, receiving public assistance, and history of incarceration were associated with treatment retention after 3 months. Secondary analysis showed that positive history of incarceration was the most significant predictor of the outcome. Conclusions: History of incarceration had the most significant treatment‐retention effect on Japanese patients with methamphetamine use disorder. The development and introduction of integrated programs that link methamphetamine‐dependent offenders to drug treatment is recommended in outpatient treatment for Japanese patients with methamphetamine user disorder.

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“…How can interventions reach the hard-to-reach and engage these populations? 32 Are special sampling techniques being used to reach them? What ensures that individuals affected by many forms of social inequality do not drop out of interventions?…”

Section: Framework For Social Inequalities In Healthmentioning

confidence: 99%

Commentary: Against unjust global distribution of power and money: The report of the WHO commission on the social determinants of health: Global inequality and the future of public health policy

Muntañer

Sridharan

Solar

et al. 2009

J Public Health Pol

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In 2008, the World Health Organization (WHO) released the report of its Commission on Social Determinants of Health--Closing the Gap in a Generation. We describe how the report was initially received, what went into shaping the report during the months of its preparation and what more can be done now to realize the ultimate goal: population-level reduction in inequalities. As we find the Report to be strong in its presentation of evidence but weak in its policy recommendations, we present our own recommendations for research and action. From our perspectives within the increasingly visible field of social determinants of health research, we address this question: how can research improve the ability of public health policymakers to implement the Report's suggestions, plus develop new and better ones?

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Contemporaneous relationship between substance abuse treatment and poly-substance use: Evidence from the Persistent Effect of Treatment Studies

Cited by 4 publications

References 20 publications

Trends in drop out, drug free discharge and rates of re-presentation: a retrospective cohort study of drug treatment clients in the North West of England

Trends in drop out, drug free discharge and rates of re-presentation: a retrospective cohort study of drug treatment clients in the North West of England

Profiles associated with treatment retention in Japanese patients with methamphetamine use disorder: Preliminary survey

Commentary: Against unjust global distribution of power and money: The report of the WHO commission on the social determinants of health: Global inequality and the future of public health policy

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