Effect of social support on substance abuse relapse in a residential treatment setting for women

Ellis, Bruce; Bernichon, Tiffiny; Yu, Ping; Roberts, Tracy E; Herrell, James M.

doi:10.1016/j.evalprogplan.2004.01.011

Cited by 111 publications

(103 citation statements)

References 22 publications

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“…Patients in this study placed particular value on social support from family and close friends. A study conducted by Ellis et al [11] also concluded that positive family activities during the postdischarge period significantly decreased the likelihood of relapse, while negative family activities such as fights and drug use or criminal activity by friends increased the likelihood of relapse. A study conducted by Best et al [12] confirmed that while achieving abstinence is possible for chronic opiate users, the path to sustained abstinence is complex and often reliant upon external social support systems.…”

Section: Articlementioning

confidence: 98%

Outcomes of adult heroin users v. abstinent users four years after presenting for heroin detoxification treatment

et al. 2014

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Background. There are no studies in South Africa (SA) on the outcomes following detoxification and psychosocial rehabilitation of heroin-dependent patients.Objective. To compare the demographic, clinical, forensic and treatment data of active heroin users v. users who were abstinent at the time of interview 4 years after attending the Opioid Detoxification Unit at Stikland Hospital in the Western Cape Province, SA. Method. Participants included patients above the age of 16 years who had been admitted to the Opioid Detoxification Unit at Stikland Hospital for heroin detoxification between July 2006 and June 2007. Participants were individually interviewed (either in person or telephonically) using a structured self-report questionnaire to collect demographic, clinical, forensic and treatment data 4 years following heroin detoxification treatment at this unit. Results. Of the participants, 60% were abstinent and a large portion (34%) attributed this to social support. Furthermore, there was a significant (p=0.04) difference in the longest period of abstinence between the past user group and active users, with more participants in the past user group being abstinent for 18 months or longer (n=24, 57%) than in the active users group (n=8, 29%). Active users (n=18, 64%) had significantly (p=0.03) more legal problems than abstinent users (n=14, 33%). Most participants (n=38, 54%) relapsed within 3 months after index detoxification and rehabilitation. Conclusion. Active users had more legal problems than abstinent users, with social support structures playing a pivotal role in abstinence. Future research should assess the impact of interventions such as post-discharge social support programmes on criminality and heroin use in those that relapse following treatment.

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Section: Articlementioning

confidence: 98%

Outcomes of adult heroin users v. abstinent users four years after presenting for heroin detoxification treatment

et al. 2014

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“…There is considerable evidence showing the strong association between one's social networksand the likelihood of initiating and continuing patterns of problem drug use, the likelihood of seeking treatment, and the effectiveness of treatment. Relapse into substance abuse has been correlated with social factors such as poor housing status, limited social support, and lack of drug treatment (Mayer et al, 1993), and with reports of family fights or drug use among family members or spouses (Ellis et al, 2004). Conversely, continued remission or successful recovery has been associated with older age and with living in residential treatment programs (Rollins et al, 2005), with reports of families getting along (Ellis et al, 2004), and with other measures of positive social support within local or family networks (Barber & Crisp, 1995;McMahon, 2001;Flynn et al, 2003;Granfield & Cloud, 2001).…”

Section: Finding Funding and Developing A Theoretical Approachmentioning

confidence: 99%

Moving Parts and Balancing Acts: Building and Maintaining a Collaborative Community-Based Research Partnership in Detroit

Roddy¹,

Draus²,

Asabigi³

et al. 2013

AASoci

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This paper describes the process of developing a research proposal for submission to the National Institutes of Health (NIH) in collaboration with an urban public health agency. Two university-based researchers from different social science disciplines, each with previous experience in substance abuse research, invested significant time learning about the key questions and concerns of participants in several community-based programs, including clients, administrators and professionals from the county drug court, law enforcement, and substance abuse treatment and recovery services. They then developed a proposal which integrated their own academic interests with the questions and concerns that they uncovered in their preliminary research. After the proposal was written, the researchers presented it to an audience of community partners. Following the successful funding of the study, negotiations with various partners continued throughout the data collection process. The paper concludes with some suggestions for other researchers who may wish to engage in this type of applied, collaborative, interdisciplinary research.

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“…The implication for our benefit-cost analysis of not including these variables is unclear. For example, social support variables can play both positive and negative roles in drug use behavior, treatment help-seeking, and treatment outcomes [17][18][19]. Studies have found that having a spouse [20], being more socially connected or involved [20,21], and having friends who do not share the addiction [22] are positively associated with treatment outcomes.…”

Section: The Dynamic Modelmentioning

confidence: 99%

Benefits and costs of methadone treatment: results from a lifetime simulation model

et al. 2005

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Several studies have examined the benefits and costs of drug treatment; however, they have typically focused on the benefits and costs of a single treatment episode. Although beneficial for certain analyses, the results are limited because they implicitly treat drug abuse as an acute problem that can be treated in one episode. We developed a Monte Carlo simulation model that incorporates the chronic nature of drug abuse. Our model represents the progression of individuals from the general population aged 18-60 with respect to their heroin use, treatment for heroin use, criminal behavior, employment, and health care use. We also present three model scenarios representing an increase in the probability of going to treatment, an increase in the treatment length of stay, and a scenario in which drug treatment is not available to evaluate how changes in treatment parameters affect model results. We find that the benefit-cost ratio of treatment from our lifetime model (37.72) exceeds the benefit-cost ratio from a static model (4.86). The model provides a rich characterization of the dynamics of heroin use and captures the notion of heroin use as a chronic recurring condition. Similar models can be developed for other chronic diseases, such as diabetes, mental illness, or cardiovascular disease.

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Effect of social support on substance abuse relapse in a residential treatment setting for women

Cited by 111 publications

References 22 publications

Outcomes of adult heroin users v. abstinent users four years after presenting for heroin detoxification treatment

Outcomes of adult heroin users v. abstinent users four years after presenting for heroin detoxification treatment

Moving Parts and Balancing Acts: Building and Maintaining a Collaborative Community-Based Research Partnership in Detroit

Benefits and costs of methadone treatment: results from a lifetime simulation model

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