Historique
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Evaluation of an alternative program for MMTP drop-outs : impact on treatment re-entry
(Développement de thérapies alternatives aux interruptions de traitement méthadone : impact sur la réadmission)
Auteur(s) :
GOLDSTEIN, M. F. ;
DEREN, S. ;
KANG, S. Y. ;
DES JARLAIS, D. C. ;
MAGURA, S.
Année
2002
Page(s) :
181-187
Langue(s) :
Anglais
Refs biblio. :
35
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
METHADONE
;
TRAITEMENT DE MAINTENANCE
;
RETENTION
;
RECHUTE
;
PREVENTION DE PROXIMITE
Note générale :
Drug and Alcohol Dependence, 2002, 66, (2), 181-187
Note de contenu :
tabl.
Résumé :
ENGLISH :
Introduction: Retention in a Methadone Maintenance Treatment Program (MMTP) is predictive of abstaining from heroin and has other benefits. Many individuals leave treatment before they experience these positive outcomes. Objective: This research project targeted MMTP drop-outs with an intervention designed to assist them in returning to drug treatment. Methods: Subjects who had left MMTP within the prior 12 months were randomly assigned to intervention or comparison groups. The 3-month long intervention consisted of street outreach, cognitive behavioral groups, and individual counseling. Data were analyzed for 175 subjects who were out of treatment at baseline and who returned for a 6-month follow-up interview (Intervention group, N = 111; Comparison group, N = 64). Results: A total of 87% of subjects assigned to the intervention condition participated in at least one component. Intervention subjects who attended two or more cognitive behavioral group sessions were more likely than those who attended 0-1 sessions or those in the comparison group to have returned to treatment during the 6 month follow up time period (72 vs. 53 vs. 50%, respectively, P < 0.05, chi square test). Conclusion: MMTP drop-outs need not be lost to the drug treatment system if special efforts are made to engage them in interventions developed to encourage treatment re-entry. (Author's abstract.)
Affiliation :
Nat. Developm. Res. Inst., 71 West 23rd Str., NY 10010
Etats-Unis. United States.
Etats-Unis. United States.