Treatment outcomes: First time versus treatment-experienced clients
Abstract
A sample of treatment seeking clients was assessed at intake and 6, 12, 24 and 30 months later. Treatment-naive and treatment-experienced clients were compared in terms of baseline characteristics, 6-month outcomes, and predictors of these outcomes. Long-term outcomes of clients achieving an initially successful outcome were compared for the two groups. Results revealed significant short-term improvement for both groups, although treatment-experienced clients reported more serious drug use. The most consistent significant predictors of substance use outcomes were baseline severity of substance use and self-help participation. Outcome predictors unique to each group were also identified. Long-term outcomes for clients with an initial successful outcome tended to be better for treatment-experienced than treatment-naive clients. Both groups tended to have poorer outcomes as the follow-up duration increased. The results suggest that common and unique predictors of outcomes be considered in treating these two groups of clients. Additionally, treatment-naive clients may be at increased risk for poor outcomes even when initial success is achieved.
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The protective function of 12-Step attendance has been well documented.
“The protective function of 12-Step attendance has been well documented”
From Development and initial evaluation of the Brief Addiction Monitor (BAM) (2013) · cites this paper as Cacciola, Dugosh, Foltz, Leahy, & Stevens, 2005
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References 17 · Cited by 24
- Authors
- Cacciola, J. S., Dugosh, K., Foltz, C., Leahy, P., & Stevens, R.
- Affiliations
- DeltaMetrics (United States) (US)
- University of Akron (US)
- Corresponding author
- Cacciola, John S.
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2005-03
- Volume
- 28
- Issue
- 2
- Pages
- S13-S22
- ISSN
- 0740-5472 (ISSN-L)
- OpenAlex
- W2048336511
- Cited by
- 24
- References
- 17
- Citations by year
- 2024: 1 · 2020: 1 · 2019: 2 · 2017: 1 · 2016: 2 · 2014: 2 · 2012: 2
- FWCI
- 2.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- substance use treatment outcomes, predictors of treatment outcome, long-term outcomes, follow-up duration, relapse risk, drug use
- MeSH terms
- Adult, Mental Disorders, Female, Follow-Up Studies, Humans, Male, Severity of Illness Index, Illicit Drugs, Temperance, Treatment Outcome, Substance-Related Disorders
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