Days to treatment and early retention among patients in treatment for alcohol and drug disorders

Hoffman, Kim; Ford, James H.; Tillotson, Carrie J.; Choi, Dongseok; McCarty, Dennis

doi:10.1016/j.addbeh.2011.01.031

Cited by 60 publications

(55 citation statements)

References 27 publications

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“…Several authors have affirmed that client-centered characteristics display some role in treatment retention [1]. Given the heterogeneity of alcoholics, it is possible that specific types of alcoholics show higher compliance with specific treatment models.…”

Section: Introductionmentioning

confidence: 99%

Role of Two Clusters of Male Alcoholics in Treatment Retention

Baltieri

Filho

2012

Eur Addict Res

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Aims: This study aimed to classify alcohol-dependent outpatients on the basis of clinical factors and to verify if the resulting types show different treatment retention. Methods: The sample comprised 332 alcoholics that were enrolled in three different pharmacological trials carried out at São Paulo University, Brazil. Based on four clinical factors – problem drinking onset age, familial alcoholism, alcohol dependence severity, and depression – K-means cluster analysis was performed by using the average silhouette width to determine the number of clusters. A direct logistic regression was performed to analyze the influence of clusters, medication groups, and Alcoholics Anonymous (AA) attendance in treatment retention. Results: Two clusters were delineated. The cluster characterized by earlier onset age, more familial alcoholism, higher alcoholism severity, and less depression symptoms showed a higher chance of discontinuing the treatment, independently of medications used and AA attendance. Participation in AA was significantly related to treatment retention. Discussion: Health services should broaden the scope of services offered to meet heterogeneous needs of clients, and identify treatment practices and therapists which improve retention. Information about patients’ characteristics linked to dropout should be used to make treatment programs more responsive and attractive, combining pharmacological agents with more intensive and diversified psychosocial interventions.

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Section: Introductionmentioning

confidence: 99%

Role of Two Clusters of Male Alcoholics in Treatment Retention

Baltieri

Filho

2012

Eur Addict Res

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“…The goal is to provide quick access and reten-tion in intensive SUDS treatment. This essential practice is based on research findings that adults who enter treatment more quickly and stay longer tend to achieve better outcomes (e.g., Connors, Grant, Crone, & Whiteside-Mansell, 2006;Green, Rockhill, & Furrer, 2006;Hoffman, Ford, Tillotson, Choi, & McCarty, 2011). The CPS report of alleged CAN is considered a crisis and in theory (Borgman, Edmunds, & MacDicken, 1979) represents the best time to intervene with a quick and intense service delivery response.…”

Section: The Sobriety Treatment and Recovery Team (Start) Program Desmentioning

confidence: 94%

“…The CPS investigative team is responsible for making the START referral and initiating the FTM that begins the SUDS assessment process. The SUDS treatment timeline standards were inspired by the Network for the Improvement of Addiction Treatment (NIATx, 2014) model and measured similar to the study by Hoffman et al (2011). Adherence to these service delivery standards was assessed for the first treatment modality that included intensive outpatient program (35.6%), outpatient substance abuse treatment (30.9%), case management services (10.7%), detoxification (10.2%), residential treatment (6.7%), or substance abuse education (2%) with 3.9% receiving other services such as medication-assisted treatment or mental health counseling.…”

Section: Methodsmentioning

confidence: 99%

Sobriety Treatment and Recovery Teams: Implementation Fidelity and Related Outcomes

Huebner¹,

Posze

Willauer

et al. 2015

Substance Use & Misuse

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To achieve implementation fidelity to service delivery standards required a pre-service year and two full years of operation, persistent leadership, and facilitative actions that challenged the existing paradigm. Over four years of service delivery, the time from the child protective services report to completion of five drug treatment sessions was reduced by an average of 75 days. This trend was associated with an increase in parent retention, parental sobriety, and parent retention of child custody. Conclusions/Importance: Understanding the implementation processes necessary to establish complex integrated programs may support realistic allocation of resources. Although implementation fidelity is a moderator of program outcome, complex inter-agency interventions may benefit from innovative measures of fidelity that promote improvement without extensive cost and data collection burden. The implementation framework applied in this study was useful in examining implementation processes, fidelity, and related outcomes.

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“…Research has shown that longer waiting times are associated with lower rates of entry into treatment [4,5,16,17] and higher [13,18] or no change in retention rates [4]. A recent study in Israel found that longer waiting lists were a predictor of higher 1-year retention rates, yet suggested that this may be due to significant differences in sociodemographic characteristics between the groups.…”

Section: Introductionmentioning

confidence: 92%

“…Waiting to begin treatment may be a barrier for potential clients as they consider entering treatment [3,12,13,14,15]. Research has shown that longer waiting times are associated with lower rates of entry into treatment [4,5,16,17] and higher [13,18] or no change in retention rates [4].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Rapid Intake into Methadone Treatment: A Natural Experiment in Israel

Lawental

2015

Eur Addict Res

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The effect of intake procedures on treatment entry and retention was examined in a natural experiment, in which a methadone maintenance clinic in Israel admitted 127 clients by employing a rapid intake procedure (maximum of 3 days before the initiation of treatment was offered). Using information gathered from patient files, these clients were retrospectively compared to a control group (n = 121) who underwent the clinic's regular intake procedure (between 3 weeks and 3 months). Outcome measures included entry into treatment and subsequent retention in treatment (at 3, 6 and 12 months). Results show that 81% of clients from the rapid intake group entered treatment compared to only 57% from the regular intake group. Treatment retention was similar for both groups. In addition, Jewish clients were more likely to enter treatment via the rapid intake procedure than clients from other religions, and women were retained in treatment longer than men, regardless of the type of intake procedure. Results of this single-site study lend support to the effectiveness of rapid intake procedures as a way to engage clients in treatment and carry significant implications for improving access into treatment.

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Days to treatment and early retention among patients in treatment for alcohol and drug disorders

Cited by 60 publications

References 27 publications

Role of Two Clusters of Male Alcoholics in Treatment Retention

Role of Two Clusters of Male Alcoholics in Treatment Retention

Sobriety Treatment and Recovery Teams: Implementation Fidelity and Related Outcomes

Effectiveness of Rapid Intake into Methadone Treatment: A Natural Experiment in Israel

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