Historique
Article de Périodique
Day hospital and residential addiction treatment: Randomized and nonrandomized managed care clients (2007)
(Traitement de la dépendance en hôpital de jour et en soins résidentiels : patients choisis au hasard ou non)
Auteur(s) :
WITBRODT, J. ;
BOND, J. ;
KASKUTAS, L. A. ;
WEISNER, C. ;
JAEGER, G. ;
PATING, D. ;
MOORE, C.
Année
2007
Page(s) :
947-959
Langue(s) :
Anglais
Refs biblio. :
44
Domaine :
Plusieurs produits / Several products
Thésaurus mots-clés
HOSPITALISATION
;
PRISE EN CHARGE
;
ENQUETE
;
ABSTINENCE
;
ALCOOL
;
AUTOSUPPORT
;
COMPARAISON
;
TRAITEMENT AMBULATOIRE
;
SEXE
;
ETHNIE
;
EVALUATION
Note générale :
Journal of Consulting and Clinical Psychology, 2007, 75, (6), 947-959
Résumé :
ENGLISH :
Male and female managed care clients randomized to day hospital (n=154) or community residential treatment (n=139) were compared on substance use outcomes at 6 and 12 months. To address possible bias in naturalistic studies, outcomes were also examined for clients who self-selected day hospital (n=321) and for clients excluded from randomization and directed to residential treatment because of high environmental risk (n=82). American Society of Addiction Medicine criteria defined study and randomization eligibility. More than 50% of followed clients reported past-30-day abstinence at follow-ups (unadjusted rates, not significant between groups). Despite differing baseline severities, randomized, self-selecting, and directed clients displayed similar abstinence outcomes in multivariate longitudinal models. Index treatment days and 12-step attendance were associated with abstinence (p<.001). Other prognostic effects (including gender and ethnicity) were not significant predictors of differences in outcomes for clients in the treatment modalities. Although 12-step attendance continued to be important for the full 12 months, treatment beyond the index stay was not, suggesting an advantage for engaging clients in treatment initially and promoting 12-step attendance for at least a year. (Author' s abstract)
Affiliation :
Etats-Unis. United States.
Cote :
Abonnement