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Special Supplement to Journal of Substance Abuse Treatment, "A Decade of Research by the National Drug Abuse Treatment Clinical Trials Network."

Predicting Outpatient Treatment Entry Following Detoxification for Injection Drug Use: The Impact of Patient and Program Factors.

Journal of Substance Abuse Treatment 2010;38(suppl 1):S87-S96. [doi: 10.1016/j.jsat.2009.12.012]

Barbara K. Campbell, PhD (Oregon Health & Science University, OR/HI Node), Carrie Tillotson, MPH (Oregon Health & Science University, OR/HI Node), Dongseok Choi, PhD (Oregon Health & Science University, OR/HI Node), Katherine Bryant, MS (Northeast Behavioral Health), Jessica DiCenzo, MSW (Recovery Centers of King County, PN Node), Scott E. Provost, MSW, MM (McLean Hospital, Harvard, NNE Node), Lucy Zammarelli, MA (Willamette Family, Inc., OR/HI Node), Robert E. Booth, PhD (University of Colorado Health Sciences Center, RM Node), Dennis McCarty, PhD (Oregon Health & Science University, OR/HI Node).

This article examines variables that predicted outpatient treatment entry within six months of residential detoxification. Patient data were collected from 632 injection drug users enrolled in a randomized trial conducted at eight detoxification programs within the National Drug Abuse Treatment Clinical Trials Network (CTN) with follow-up assessments conducted at 2, 8, 16, and 24 weeks (protocol CTN-0017, "HIV and HCV Intervention in Drug Treatment Settings"). Detoxification program characteristics were collected during this study and from a survey of CTN treatment organizations. Survival analysis found that estimated proportions of reported outpatient treatment entry varied across sites from .06 to .72. A model-building approach determined variables significantly associated with outpatient treatment entry. The best predictive model contained five program-level variables: accreditation, fewer beds, longer stays, shorter distance between detoxification and outpatient unit, and the larger city population. This study suggests that smaller detoxification units with longer lengths of stay and treatment services nearby may boost rates of continuing treatment beyond detoxification for injecting drug users. In addition, innovative research should combine what are typically separate areas of inquiry, for example, matching patients to program variations and examining multilevel interventions that target both patient-level change and programmatic quality improvement. (Article (Peer-Reviewed), PDF, English, 2010)

Keywords: CTN 10-year anniversary | CTN platform/ancillary study | HIV/AIDS | Hepatitis C | Retention - Treatment | Injection drug use | Sexual risk behavior | Sexually transmitted diseases | Therapeutic alliance | Journal of Substance Abuse Treatment (journal)

Document No: 435, PMID: 20307800, PMCID: PMC2847860.

Submitted by CTN Dissemination Librarians, 3/23/2010.

AUTHORS SEARCH LINK
Booth, Robert E. search mail
Bryant, Katherine search
Campbell, Barbara K. search mail
Choi, Dongseok search
DiCenzo, Jessica search mail
McCarty, Dennis search mail
Provost, Scott E. search mail
Tillotson, Carrie search
Zammarelli, Lisa search mail
PROTOCOLS
NIDA-CTN-0017 search www
PARTICIPATING NODES
Western States (formerly Oregon/Hawaii) (Lead) search www
Rocky Mountain Regional (Lead) search www
Great Lakes Regional search www
New England Consortium (formerly Northern New England) search www
Pacific Northwest search www

Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
The materials on this site have neither been created nor reviewed by NIDA.
Updated 6/2011 -- http://ctndisseminationlibrary.org/display/435.htm
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