Effect of length of stay in inpatient alcoholism treatment on outcome.

Welte, John W.; Hynes, Geoffrey; Sokolow, Lloyd; Lyons, Jennifer

doi:10.15288/jsa.1981.42.483

Cited by 39 publications

(9 citation statements)

References 0 publications

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“…It is consistently demonstrated in the literature that more time in treatment correlates with better long-term outcome (Condelli and Hubbard, 1994;Greenfield et al, 2004;Harris et al, 2005;Simpson et al, 1999;Welte et al, 1981;Zarkin et al, 2002), and the first step is treatment engagement. Individuals most in need of intensive substance abuse treatment (e.g., homeless, substance dependent, unemployed, co-occurring mental health concerns) often experience the most difficulty accessing care (Romeo, 2005).…”

Section: Introductionmentioning

confidence: 97%

Motivational interview improves treatment entry in homeless veterans

Wain¹,

Wilbourne²,

Harris³

et al. 2011

Drug and Alcohol Dependence

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Motivational Interviewing (MI) has successfully been used to facilitate entry and compliance in drug and alcohol treatment programs. Some questions have been raised as to the effectiveness of MI in severely distressed populations. This study aims to assess the effectiveness of MI in a population of homeless, unemployed, and substance dependent veterans who are being wait-listed for entry into a residential treatment program. Seventy-five veterans placed on a wait-list were randomized to receive a single MI or standard (Std) intake interview. Outcomes assessed were entry, and length of stay (LOS). Secondary outcomes assessed included program completion and rates of graduation. Readiness to change and self-efficacy were assessed before and after the interview. Significantly more participants entered the program in the MI group (95%) than in the Std group (71%). Although those in the MI group remained in the program longer, and had higher program completion and graduation rates, these differences were not statistically significant. No significant between-group or within-group differences were found in readiness or self-efficacy. This study demonstrates that a single, easily administered intervention can increase program entry. Also based on the study findings, further research into the question of whether MI can increase program retention, in a severely distressed population, is warranted.

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Section: Introductionmentioning

confidence: 97%

Motivational interview improves treatment entry in homeless veterans

Wain¹,

Wilbourne²,

Harris³

et al. 2011

Drug and Alcohol Dependence

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show abstract

“…Consistent with prior literature, 13 it was hypothesized that longer LOS would serve as a significant predictor to positive treatment outcomes (i.e., abstinence, participating in recovery activities, school/work involvement). Those with multiple diagnoses (i.e., higher levels) were expected to have poorer treatment outcomes, with higher levels of externalizing disorders having the worst treatment outcomes.…”

Section: Adolescent Treatment Outcomes 367mentioning

confidence: 69%

“…Prior research has independently demonstrated two findings that are crucial to the interpretation of the current findings: (1) individuals who stay longer in substance use treatment have better outcomes, 13 and (2) comorbid disorders can result in poorer treatment outcomes. 21 The current findings represent an initial analysis into expectations of the interaction between LOS and comorbid disorders as they relate to substance use treatment outcomes in an inpatient adolescent substance use treatment population.…”

Section: Discussionmentioning

confidence: 86%

“…Research regarding the impact of LOS on adult substance use treatment outcome demonstrates inconsistent findings. In some cases, a longer LOS is promoted as a significant factor in maintaining abstinence, 13 with an increased likelihood of abstinence in addition to other functional outcomes including less legal involvement, employment increases, and improvement in comorbid disorders. 22 Other research has determined that LOS does not influence the maintenance of abstinence, 23 while longer term follow-ups indicate that the difference in abstinence rates due to LOS dissipates over time.…”

Section: Adolescent Treatment Outcomes 367mentioning

confidence: 99%

“…Among the multitude of factors associated with early relapse of treated adolescent substance users, [9][10][11] the predictors of relapse that were of interest for the present study were (1) length of stay (LOS) in treatment 12,13 and (2) the existence of comorbid mental disorders. 14 Moreover, a large percentage of adolescents entering treatment for substance use problems are diagnosed with an active psychiatric disorder (61-88%).…”

mentioning

confidence: 99%

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Adolescent Substance Use Treatment: The Moderating Effects of Psychopathology on Treatment Outcomes

King

McChargue

2014

Journal of Addictive Diseases

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The present study tested the influence of co-occurring mental health diagnoses on the relationship between length of stay and treatment outcome among adolescents residing in an inpatient substance abuse treatment facility. Data were collected via record review. Follow-up information was obtained at 7 days and 3 months post-discharge. Treatment outcome was defined as abstinence and engagement in recovery activities. Hierarchical linear regression demonstrated that comorbidities differentially moderated the relationship between length of stay and treatment outcome. Results suggest that these adolescents attempt to engage in recovery activities independent of abstinence and may need supplemental aftercare assistance to maintain their efforts.

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