Predictors of outpatient treatment retention: patient versus substance use characteristics

McCaul, Mary E.; Svikis, Dace; Moore, Richard D.

doi:10.1016/s0376-8716(00)00155-1

Cited by 218 publications

(151 citation statements)

References 28 publications

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“…One study found that women attended fewer treatment sessions than men (McCaul et al, 2001), while another (Green et al, 2002) found no gender difference in hours spent in treatment. The number of sessions attended may be related to a complex interaction between gender and other individual characteristics.…”

Section: Gender Differences In Treatment Retentionmentioning

confidence: 99%

“…Five studies demonstrated that women are more likely than men to drop out and not complete substance abuse treatment (Arfken et al, 2001;King and Canada, 2004;McCaul et al, 2001;Petry and Bickel, 2000;Sayre et al, 2002). Two showed that women were less likely than men to drop out or not complete treatment (Maglione et al, 2000;Hser, et al, 2004).…”

Section: Gender Differences In Treatment Retentionmentioning

confidence: 99%

“…A study of 97 patients in an outpatient addiction program in Illinois found that female gender and AfricanAmerican ethnicity were independent predictors of early treatment dropout (King and Canada, 2004). A study of 268 patients with alcohol abuse or dependence in an urban hospital-based outpatient clinic showed that female gender was associated with fewer sessions attended (McCaul et al, 2001). Of 104 opioid-dependent patients enrolled in a buprenorphine treatment program, 13% of men and 25% of women were classified as early terminators from treatment (Petry and Bickel, 2000).…”

Section: Gender Differences In Treatment Retentionmentioning

confidence: 99%

See 2 more Smart Citations

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Greenfield

Brooks

Gordon

et al. 2007

Drug and Alcohol Dependence

891

782

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This paper reviews the literature examining characteristics associated with treatment outcome in women with substance use disorders. A search of the English language literature from 1975 to 2005 using Medline and PsycInfo databases found 280 relevant articles. Ninety percent of the studies investigating gender differences in substance abuse treatment outcomes were published since 1990, and of those, over 40% were published since the year 2000. Only 11.8% of these studies were randomized clinical trials. A convergence of evidence suggests that women with substance use disorders are less likely, over the lifetime, to enter treatment compared to their male counterparts. Once in treatment, however, gender is not a significant predictor of treatment retention, completion, or outcome. Gender-specific predictors of outcome do exist, however, and individual characteristics and treatment approaches can differentially affect outcomes by gender. While women-only treatment is not necessarily more effective than mixed-gender treatment, some greater effectiveness has been demonstrated by treatments that address problems more common to substance-abusing women or that are designed for specific subgroups of this population. There is a need to develop and test effective treatments for specific subgroups such as older women with substance use disorders, as well as those with co-occurring substance use and psychiatric disorders such as eating disorders. Future research on effectiveness and cost-effectiveness of gender-specific versus standard treatments, as well as identification of the characteristics of women and men who can benefit from mixed-gender versus single-gender treatments, would advance the field.

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Section: Gender Differences In Treatment Retentionmentioning

confidence: 99%

Section: Gender Differences In Treatment Retentionmentioning

confidence: 99%

Section: Gender Differences In Treatment Retentionmentioning

confidence: 99%

See 1 more Smart Citation

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Greenfield

Brooks

Gordon

et al. 2007

Drug and Alcohol Dependence

891

782

View full text Add to dashboard Cite

show abstract

“…Women's feelings of shame and guilt regarding their substance abuse might restrict their ability to seek treatment or reach out to family and friends for support (Amaro, Beckman, & Mays, 1987;Finkelstein, 1994). Compared to men, women are less likely to complete substance abuse treatment programs, probably in large measure because of these personal, familial, and social issues (McCaul, Svikis, & Moore, 2001). …”

mentioning

confidence: 99%

“I Thought There Was No Hope for Me”: A Behavioral Intervention for Urban Mothers With Problem Drinking

et al. 2006

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In this article, the authors evaluate the effects of a behavioral intervention for mothers with problem drinking who were infected with, or at risk for, HIV. They randomly selected 25 mothers from a larger longitudinal randomized controlled intervention trial for a qualitative interview. The authors found that mothers' participation in the program was facilitated by the development of a strong therapeutic alliance with the intervention facilitator and the use of a harm reduction approach toward alcohol and/or drug abuse. Mothers also reported that training in coping skills and the emphasis on parent-adolescent relationships were beneficial for program engagement and behavior change. The authors conclude from these results that treatment approaches that take into account the complexity of urban mothers' lives and substance use patterns can successfully engage and treat these women at high risk for adverse outcomes.

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“…Previous studies have shown female gender as a significant predictor of drop-out, with only 39% (11/28) of women on treatment fully engaged compared to 74% (51/69) of the men [103][104][105]. The high odds of females failing to fully engage in treatment is as a result of several factors including history of trauma, stress and mood related factors [106,107].…”

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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Predictors of outpatient treatment retention: patient versus substance use characteristics

Cited by 218 publications

References 28 publications

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

“I Thought There Was No Hope for Me”: A Behavioral Intervention for Urban Mothers With Problem Drinking

Review on Treatment of Substance Use Disorders

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