Perceived Social Support and Treatment Retention on an Inpatient Addiction Treatment Unit

Westreich, Laurence M.; Heitner, Caroline; Cooper, Melissa; Galanter, Marc; Guedj, Philippe

doi:10.1111/j.1521-0391.1997.tb00563.x

Cited by 31 publications

(19 citation statements)

References 16 publications

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“…The total population also included the dependents who could not be incorporated into the final analysis. The rate of 31% for this study's sample is comparable to the rates reported in American and British studies [1,5,6,16,17,20,21,25] whereas the actual rate of the patient population in detoxification is 56%. This result corresponds indeed to other studies from German-speaking countries [8,19,22,23].…”

Section: Discussionsupporting

confidence: 79%

Effectiveness of Inpatient Drug Detoxification: Links between Process and Outcome Variables

Hättenschwiler¹,

Rüesch²,

Hell³

2000

Eur Addict Res

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The Psychiatric University Hospital of Zürich offers a 2-week residential detoxification treatment program for patients abusing illegal drugs. 96 out of 160 patients were interviewed at three intervals: upon admission, on the 10th day of treatment, and about 1 month after leaving the clinic. Approximately 17% of the patients were completely abstinent 1 month after treatment. About 50% of the patients could give up the consumption of particular drugs. For around one third of the dependents, the drug consumption remained the same or had increased. The analysis of the predictors of drug consumption after treatment stresses the importance of the social integration of the dependents before detoxification as well as of characteristics of the treatment process (relapse, dropping out of treatment, and referral to a follow-up program).

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Section: Discussionsupporting

confidence: 79%

Effectiveness of Inpatient Drug Detoxification: Links between Process and Outcome Variables

Hättenschwiler¹,

Rüesch²,

Hell³

2000

Eur Addict Res

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“…However, it is important to note that research findings in this area have not been consistent. For example, in a study of patients in an inpatient treatment program, Westreich and colleagues (24) found that patients who reported stronger perceived social support from family were less likely to complete treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Studies have found drug use in one's network (21,22), having a substance using live-in partner and drug using social relationships (23) to be associated with continued drug use among individuals in treatment. With respect to retention, studies have found homelessness, perceived weak social support from one's family (24), and having a drug-free partner to be predictors of remaining in treatment (25).…”

Section: Introductionmentioning

confidence: 99%

Social Contextual Factors Associated with Entry into Opiate Agonist Treatment Among Injection Drug Users

Lloyd

Ricketts

Strathdee

et al. 2005

The American Journal of Drug and Alcohol Abuse

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We tested hypotheses that social living arrangement and drug use in one's network are independently associated with entry into opiate agonist treatment modalities. Injection drug users (IDUs) attending the Baltimore Needle Exchange Program who received a referral for drug abuse treatment were studied. Baseline interviews, HIV testing, and the Addiction Severity Index (ASI) were administered. Agency records were used to confirm entry into a treatment program offering opiate agonist maintenance therapy within 30 days of the baseline interview. Logistic regression was used to identify predictors of treatment entry. To date, of 245 IDUs, 39% entered such a program. Multivariate logistic regression models controlling for age and intervention status revealed that compared to individuals who lived alone, in a controlled, or nonstable environment (e.g., streets, abandoned house, transitional housing program, or boarding house), individuals who lived with a sexual partner were 3 times more likely to enter treatment (adjusted Odds Ratio [aOR]=3.04; p=0.013) and those who lived with family or friends were almost 3 times more likely to enter treatment (aOR=2.72; p=0.016). In the bivariate analyses, a marginal association was observed between being responsible for children or others and entry into treatment (p=0.066); however, this association was not significant in the multivariate model. Findings from this study suggest that supportive living environments may facilitate entry into treatment and may be helpful in devising appropriate and targeted interventions to encourage drug treatment entry.

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“…Evidence has pointed towards a positive relationship between higher levels of substance use, number of different substances used, and dropping out of treatment (Gainey, Wells, Hawkins, & Catalano, 1993;Kleinman et al, 1992;Stark, 1992;Westreich, Heitner, & Cooper, 1997). Recently, Maglione, Chao, and Anglin (2000) compared characteristics of methamphetamine users in residential treatment who completed at least 90 days of treatment versus those who left before 90 days.…”

Section: Substance Use Severitymentioning

confidence: 99%

Distress Tolerance as a Predictor of Early Treatment Dropout in a Residential Substance Abuse Treatment Facility.

Daughters

Lejuez

Bornovalova

et al. 2005

Journal of Abnormal Psychology

287

215

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A large percentage of individuals entering residential treatment for substance abuse dropout of treatment early, often leading to subsequent relapse. Although a number of studies have investigated the predictors of treatment dropout, the particular characteristics that affect one's ability to cope with the initial stages of treatment and abstinence have not been addressed. As one line of research, the concept of distress tolerance, defined as one's ability to tolerate either psychological or physical distress, has been shown to be related to early lapse in abstinence attempts in illicit drug users, smokers, and gamblers. Although clearly applicable, the relationship between distress tolerance and early treatment dropout has yet to be examined. Thus, in the current study it was hypothesized that levels of distress tolerance would predict whether individuals dropout of treatment within 30 days. Specifically, 122 individuals entering a residential substance abuse treatment facility completed a battery of selfreport measures assessing characteristics previously demonstrating a relationship with residential substance abuse treatment dropout, namely demographic variables, mood variables, levels of psychopathology, substance-use severity, social support, and treatment readiness. Additionally, participants completed behavioral measures of psychological and physical distress tolerance. As hypothesized, logistic regression analyses indicated that psychological distress tolerance predicted early treatment dropout above and beyond relevant self-report variables. There was no relationship between physical distress tolerance and early treatment dropout. Implications for future studies and treatment development/modification are discussed.

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Perceived Social Support and Treatment Retention on an Inpatient Addiction Treatment Unit

Cited by 31 publications

References 16 publications

Effectiveness of Inpatient Drug Detoxification: Links between Process and Outcome Variables

Effectiveness of Inpatient Drug Detoxification: Links between Process and Outcome Variables

Social Contextual Factors Associated with Entry into Opiate Agonist Treatment Among Injection Drug Users

Distress Tolerance as a Predictor of Early Treatment Dropout in a Residential Substance Abuse Treatment Facility.

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