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Staff Reports of Program Structure in Relation to Client Retention, Alliance, and Drug Alcohol Outcomes.

Poster presented at the NIDA Blending Conference, "Blending Addiction Science and Practice: Evidence-Based Treatment and Prevention in Diverse Populations and Settings," Albuquerque, NM, April 22-23, 2010

Bridget McClure (New York University School of Medicine, NY Node), Agatha Kulaga, MSW (New York University School of Medicine, NY Node), John Rotrosen, MD (New York University School of Medicine, NY Node), Paul Crits-Christoph, PhD (University of Pennsylvania, DV Node), Sarah Ring-Kurtz (University of Pennsylvania, DV Node), Christina M. Temes (University of Pennsylvania School of Medicine, DV Node), Robert Gallop, PhD (West Chester University).

Therapeutic alliance, treatment satisfaction, and treatment participation have been associated with patient outcomes in substance abuse treatment programs. Available literature contends treatment outcomes are impacted on multiple levels by the interaction of patient-, clinician-, and program-level variables. Evidence suggests relationships between: patients' engagement in treatment and program characteristics and functioning; treatment quality and clinicians' caseload size; and organizational functioning and patients' treatment satisfaction and therapeutic alliance. Results from this study, which used baseline data from the Patient Feedback study (protocol CTN-0016), support previous findings on the relationship between organizational functioning and patient outcomes, operationalized as patients' ratings of therapeutic alliance, treatment satisfaction, treatment duration, and self-reported substance use. Results provide further evidence on clinician-level variables, such as clinicians' background and demographics, impact on patient engagement in treatment and abstinence from substances. (Poster, PDF, English, 2010)

Keywords:Community health services | CTN platform/ancillary study | Counselors | Patient Feedback Survey (PFS) | Patient feedback system | Retention - Treatment| Therapeutic alliance | NIDA Blending Conference, 2010

Document No: 490

Submitted by Bridget McClure, primary author, 6/18/2010.

Crits-Christoph, Paul search mail
Gallop, Robert search
Kulaga, Agatha search mail
McClure, Bridget search mail
Ring-Kurtz, Sarah search  
Rotrosen, John search mail
Temes, Christina M. search
NIDA-CTN-0016 search www
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Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
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