Titre : | A treatment reengagement intervention for syringe exchangers (2011) |
Auteurs : | M. KIDORF ; V. L. KING ; J. PEIRCE ; K. KOLODNER ; R. K. BROONER |
Type de document : | Article : Périodique |
Dans : | Journal of Substance Abuse Treatment (Vol.41, n°4, December 2011) |
Article en page(s) : | 415-421 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus géographique ETATS-UNISThésaurus mots-clés ECHANGE DE SERINGUES ; REDUCTION DES RISQUES ET DES DOMMAGES ; ETUDE CLINIQUE ; PRISE EN CHARGE ; INTERVENTION ; EFFICACITE ; TRAITEMENT ; OPIACES ; ORIENTATION ; METHADONE |
Résumé : | Poor sustained treatment engagement limits the effectiveness of all modalities of substance abuse treatment. This study evaluated the efficacy of a novel treatment reengagement intervention for a subset of syringe-exchange program (SEP) participants (N = 113) that had enrolled in treatment as part of a 4-month clinical trial (M. Kidorf et al., 2009). Three reengagement conditions for participants leaving treatment were compared. Motivational referral condition (MRC) participants (n = 31) could attend group sessions that focused on renewing treatment interest. MRC plus incentive (M RC + I) participants (n = 49) could receive modest monetary incentives for attending these sessions and reenrolling in treatment. Standard referral condition participants (n = 33) could not attend groups or receive incentives. Across a 1-year observation window, almost all study participants (86%) were discharged from treatment. M RC + I participants attended more group sessions than MRC participants and were considerably more likely to reenroll in treatment than participants in the other study conditions. Reengagement strategies can further enhance the public health benefits of SEPs by increasing rates of treatment participation over time. (C) 2011 Elsevier Inc. All rights reserved. |
Domaine : | Drogues illicites / Illicit drugs |
Affiliation : | Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA |
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