Effects of readiness for drug abuse treatment on client retention and assessment of process.

  • Ball S
  • Carroll K
  • Canning-Ball M
 et al. 
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Abstract

Data from the Alcohol and Drug Services Study (ADSS) are used to analyze the structure and operation of the substance abuse treatment industry in the United States. Published literature contains little systematic empirical analysis of the interaction between organizational characteristics and treatment outcomes. This paper addresses that deficit. It develops and tests a hierarchical linear model (HLM) to address questions about the empirical relationship between treatment inputs (industry costs, types and use of counseling and medical personnel, diagnosis mix, patient demographics, and the nature and level of services used in substance abuse treatment), and patient outcomes (retention and treatment completion rates). The paper adds to the literature by demonstrating a direct and statistically significant link between treatment completion and the organizational and staffing structure of the treatment setting. Related reimbursement issues, questions for future analysis, and limitations of the ADSS for this analysis are discussed. © 2006 Elsevier Ltd. All rights reserved.

Author-supplied keywords

  • -sexual abuse
  • 1 year outcomes
  • 10.1111/add.12906 and Crime
  • 1982
  • ABSTINENCE
  • Addiction treatment outcomes
  • Attrition
  • COMMITMENT
  • Cocaine use
  • Comprehensive services
  • Continuing care
  • Costs and consequences
  • Crime
  • DATOS
  • Dropout
  • Drug dependence
  • Drug misuse
  • Drug treatment history
  • Drug use career
  • Economic analysis
  • Employment
  • Environmental context
  • Gender differences
  • Gender-specific treatment
  • Hierarchical linear modeling
  • Hierarchical methods
  • Hospitalization
  • Length of stay
  • Medical co-morbidities
  • Motivation
  • Multiple logistic regression analyses
  • NTORS
  • OPIATE ADDICTION
  • On manuscript substance abuse
  • Organizational effects
  • Organizational- and individual-level effects
  • Outcome predictors
  • Personality
  • Predictors
  • Program modality
  • RELAPSE
  • Readiness for change
  • Residential treatment
  • Retention
  • STRESS
  • Social support
  • Substance abuse
  • Substance abuse treatment
  • Therapeutic engagements
  • Treatment
  • Treatment completion
  • Treatment costs
  • Treatment entry
  • Treatment outcome
  • Treatment outcomes
  • Treatment process
  • Treatment retention
  • Treatment services
  • Washington State
  • Women
  • ac
  • addiction
  • alcohol and drug treatment
  • completion
  • correspondence to
  • costs
  • crime
  • de leon et al
  • drug problem severity
  • e-mail
  • effectiveness
  • gender
  • gossop
  • gottheil et al
  • institute of psychiatry
  • is related to better
  • kcl
  • king
  • london se5 8af
  • managed care
  • methadone
  • michael
  • michael gossop
  • national addiction centre
  • ntors
  • opiate dependence
  • outcomes
  • po box 48
  • policy
  • post-
  • retention in
  • s college london
  • sex differences
  • substance
  • substance abuse
  • substance user treatment
  • treatment
  • treatment completion
  • treatment initiation
  • treatment outcomes
  • treatment retention
  • treatment setting
  • ubstantial evidence exists that
  • uk

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Authors

  • Samuel a. Ball

  • Kathleen M. Carroll

  • Monica Canning-Ball

  • Bruce J. Rounsaville

  • Caryl M Beynon

  • Mark a Bellis

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