Historique
Article de Périodique
Step down continuing care in the treatment of substance abuse: correlates of participation and outcome effects (2004)
(Suivi de soins dégressif dans le traitement de l'abus de drogues : mise en corrélation de la participation et des résultats)
Auteur(s) :
McKAY, J. R. ;
FOLTZ, C. ;
LEAHY, P. ;
STEPHENS, R. ;
ORWIN, R. G. ;
CROWLEY, E. M.
Année
2004
Page(s) :
321-331
Langue(s) :
Anglais
Refs biblio. :
34
Domaine :
Alcool / Alcohol ; Drogues illicites / Illicit drugs
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
ETUDE PROSPECTIVE
;
TRAITEMENT
;
PRODUIT ILLICITE
;
ALCOOL
;
COCAINE
;
CRACK
;
ENQUETE
;
EPIDEMIOLOGIE
;
ETHNIE
;
SEXE
;
EMPLOI
;
GUERISON
;
ABSTINENCE
;
MOTIVATION
;
PROGRAMME
;
EVALUATION
Note générale :
Evaluation and Program Planning, 2004, 27, (3), 321-331, tabl.
Résumé :
This study examined the predictors of participation in step down continuing care in publicly funded substance abuse treatment programs, and the relation between participation in step down care and alcohol and crack cocaine use outcomes over a 36-month follow-up. The sample included patients in residential/inpatient programs (IP; N=134) and intensive outpatient programs (IOP; N=370). About one-third of patients in the IP sample received step down IOP or standard outpatient (OP) continuing care, and less than a quarter of those in the IOP sample received step down OP care. Patients who received step down continuing care following IP had greater social support at intake and were more likely to be female and White than those who did not receive continuing care. Patients who received continuing care following IOP were more likely than those who did not to be female and employed, and were older, had higher self-efficacy, and shorter lengths of stay in IOP. Participation in step down care was not associated with other factors assessed at intake. In the IP sample, receiving step down continuing care was not associated with better alcohol or crack cocaine use outcomes over the 36-month follow-up. In the IOP sample, there were also no main effects favoring continuing care for either alcohol or crack cocaine use outcomes. However, patients who received continuing care did have less crack cocaine use in the first six months of the follow-up. These findings suggest that new models of continuing care are needed that are more acceptable to patients, produce better outcomes, and are cost-effective. (Review' s abstract)
Affiliation :
Dpt of Psychiatry, Treatment Research Center, Univ. of Pennsylvania, 3900 Chestnut Street, Philadelphia, PA 19104
Etats-Unis. United States.
Etats-Unis. United States.
Cote :
Abonnement