Predicting Dropout in the First 3 Months of 12-Step Residential Drug and Alcohol Treatment in an Australian Sample

Deane, Frank P.; Wootton, David J; Hsu, Ching-I; Kelly, Peter J.

doi:10.15288/jsad.2012.73.216

Cited by 75 publications

(47 citation statements)

References 65 publications

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“…[105][106][107][108]). This evidence might be ascribed to some patient characteristics such as age and cognitive deficits that represented robust risk factors across several clinical trials with different orientations (for a meta-analytic review see: [53]).…”

Section: Discussionmentioning

confidence: 99%

The Clinical Efficacy of Mindfulness-Based Treatments for Alcohol and Drugs Use Disorders: A Meta-Analytic Review of Randomized and Nonrandomized Controlled Trials

2018

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Introduction:The current study aims to evaluate if and to what extent mindfulness-based interventions (MBIs) could promote an incremental effectiveness compared to interventions usually provided in clinical practice to treat Alcohol and Drugs Use Disorders. In line with this aim, we accomplished a meta-analytic review of randomized and nonrandomized controlled trials, considering primary and secondary outcomes that comprehensively operationalize treatment efficacy. Methods: We conducted the online research up to August 31st 2017. Adequate procedures for Cohen's d computation were applied. Heterogeneity indexes, moderators, bias of publication, and Orwin's fail-safe number were also estimated. Results: Thirty-seven studies were included (n = 3,531 patients). We observed null effect sizes for attrition rate and overall mental health. Small effect sizes were detected in abstinence, levels of perceived stress, and avoidance coping strategies. Moderate effect sizes were revealed in anxiety and depressive symptoms. Large effect sizes were associated to levels of perceived craving, negative affectivity, and post-traumatic symptoms. Conclusion: MBIs seemed to show clinically significant advantages compared to other clinical approaches in relation to specific primary and secondary outcomes. Conversely, treatment retention was independent of the therapeutic approach.

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Section: Discussionmentioning

confidence: 99%

The Clinical Efficacy of Mindfulness-Based Treatments for Alcohol and Drugs Use Disorders: A Meta-Analytic Review of Randomized and Nonrandomized Controlled Trials

2018

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“…This may lead to treatment dropout. A study indicated that poor psychological well-being was a strong predictor of dropping out from TCP (20). Some KIs highlighted the roles of some psychological services such as training in life skills.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Community Program for Opioid-Dependent Treatment Seekers

Alammehrjerdi

Massah

Farhoudian

et al. 2017

Iran J Psychiatry Behav Sci

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Background: Therapeutic community program (TCP) is available for opioid users in Iran (Persia), the most populous Persian Gulf country. TCP can reduce opioid use and some associated harms. However, there are few studies about TCP in Iran. Objectives: The current qualitative study aimed to explore the self-perceived positive and negative aspects of TCP among a group of Persian opioid users in Tehran. Methods: The study was conducted at a large men-only TC center between December 2010 and July 2011. Overall, 50 opioid users were interviewed in eight roundtable meetings. Nine key informants were individually interviewed. NVivo 10 was used to thematically analyze the data. Results: The mean age of the participants was 38 (SD = 9) years. Participants were dependent on opioids. The thematic data analyses indicated that peer support, group meetings, and the lack of medications were the most frequently self-perceived positive aspects of TCP. Untreated withdrawal symptoms, long duration of residence, anxiety, and depression were the most frequently reported negative aspects of TCP. Conclusions:The identified positive treatment aspects should be considered to improve the TCP quality. The identified negative treatment aspects should be managed in the provision of TCP.

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“…Recent studies report drop-out rates ranging from 21.5-43% in detoxification [89,90] outpatient treatment 23-50% [91,92], inpatient treatment 17-57% [93] and substitution treatment 32-67.7% [94,95]. A meta-analysis of psychotherapy found a dropout rate between 19 and 47% [96].…”

Section: Positive Outcomesmentioning

confidence: 99%

Review on Treatment of Substance Use Disorders

Njoroge¹

2017

J Addict Res Ther

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Services for mental and substance use disorders have typically been neglected, and in many countries segregated from mainstream health care with resources allocated not commensurate with the burden. The attention given to mental and substance use disorders cannot be compared to other diseases such as HIV/AIDS, Malaria, Cancer, and Diabetes among others. Mental and substance use disorders account to about 7.4% of disease burden worldwide. These disorders are responsible for more of the global burden than HIV/AIDS and tuberculosis, diabetes, or transport injuries.The increasing number of cases of SUDs globally presents a public health challenge that requires effective evidence based interventions. One of the major challenges is inadequate treatment for SUDs which mostly plague developing countries. It may be difficult to measure the efficacy of treatment as a result of unique patient characteristics that contribute to person's treatment experience. Care factors such as duration of treatment and length of stay have been studied as having influence on the outcome of treatment. Others include patient and environmental factors.Globally, poor treatment outcomes mostly reported include dropout rates as high as 90%; relapse rates as high as 91% and high after treatment mortality rates. Research findings have identified many evidence-based treatment strategies for managing substance use disorders, nevertheless there is a gap that continues to exist, that of a lack of success of effective interventions to be spread and implemented so as to improve the lives of those affected. Other studies have also reported these differences in the outcomes and effectiveness of treatment of substance use disorders.There is need for enhanced interventional research that aims at providing an overview of conceptual issues relating to factors that influence treatment outcomes and identifying gaps and directions for improving treatment and treatment outcomes. The fundamental objective of enhanced research in substance use treatment is to reduce the increasing prevalence rates of substance use disorders.

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Predicting Dropout in the First 3 Months of 12-Step Residential Drug and Alcohol Treatment in an Australian Sample

Abstract: Predicting dropout in the first 3 months of 12-step residential drug and alcohol Predicting dropout in the first 3 months of 12-step residential drug and alcohol treatment in an Australian sample treatment in an Australian sample

Cited by 75 publications

References 65 publications

The Clinical Efficacy of Mindfulness-Based Treatments for Alcohol and Drugs Use Disorders: A Meta-Analytic Review of Randomized and Nonrandomized Controlled Trials

The Clinical Efficacy of Mindfulness-Based Treatments for Alcohol and Drugs Use Disorders: A Meta-Analytic Review of Randomized and Nonrandomized Controlled Trials

Therapeutic Community Program for Opioid-Dependent Treatment Seekers

Review on Treatment of Substance Use Disorders

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