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Psychology of Addictive Behaviors 2009;23(2):260-270.
[doi: 10.1037/a0014205]
Barbara K. Campbell, PhD (Oregon Health & Science University, OR/HI Node), Bret E. Fuller, PhD (Oregon Health & Science University, OR/HI Node), Eun Sul Lee, PhD (Oregon Health & Science University, OR/HI Node), Carrie Tillotson, MPH (Oregon Health & Science University, OR/HI Node), Tiffany Woelfel (Recovery Centers of King County, PN Node), Lindsay M. Jenkins (Recovery Centers of King County, PN Node), James A. Robinson, MEd (Nathan S. Kline Institute for Psychiatric Research, LI Node), Robert E. Booth, PhD (University of Colorado Health Sciences Center, RM Node), Dennis McCarty, PhD (Oregon Health & Science University, OR/HI Node).
A multisite, randomized trial within the National Drug Abuse Treatment Clinical Trials Network (protocol CTN-0017, "HIV and HCV Intervention in Drug Treatment Settings") was conducted to test three interventions to enhance treatment initiation following detoxification: 1) a single session, therapeutic alliance intervention (TA) added to usual treatment; 2) a 2-session, counseling and education, HIV/HCV risk reduction intervention (C&E), added to usual treatment; and 3) treatment as usual (TAU) only. Injection drug users (n=632) enrolled in residential detoxifcation at 8 community treatment programs were randomized to 1 of the 3 study conditions. There was a significant difference between TA participants and those receiving TAU in reported outpatient treatment entry. TA participants reported entering outpatient treatment sooner and in greater numbers than TAU participants. Reported treatment entry for C&E fell between TA and TAU with no significant differences between C&E and the other conditions. There were no differences among the interventions in retention, as measured by weeks of outpatient treatment for all participants who reported treatment entry. Alliance building interventions appear to be effective in facilitating transfer from detoxification to outpatient treatment, but additional treatment engagement interventions may be necessary to improve retention. (Article (Peer-Reviewed), PDF, English, 2009)
 Keywords: HIV/AIDS | Hepatitis C | Injection drug use | Sexual risk behavior | Sexually transmitted diseases | Retention - Treatment | Therapeutic alliance | Psychology of Addictive Behaviors (journal)
Document No: 316, PMID: 19586142, PMCID: PMC2779725
Submitted by Jack D. Blaine, M.D., CCTN, (9/10/2008). |
