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Gender differences in predictors of initiation, retention, and completion in an HMO-based substance abuse treatment program
Abstract
We studied gender differences in treatment process indicators among 293 HMO members recommended for substance abuse treatment. Treatment initiation, completion, and time spent in treatment did not differ by gender, but factors predicting these outcomes differed markedly. Initiation was predicted in women by alcohol diagnoses; in men, by being employed or married. Failure to initiate treatment was predicted in women by mental health diagnoses; in men, by less education. Treatment completion was predicted in women by higher income and legal/agency referral; in men, by older age. Failure to complete was predicted in women by more dependence diagnoses and higher Addiction Severity Index Employment scores; in men, by worse psychiatric status, receiving Medicaid, and motivation for entering treatment. More time spent in treatment was predicted, in women, by alcohol or opiate diagnoses and legal/agency referral; in men, by fewer mental health diagnoses, higher education, domestic violence victim status, and prior 12-step attendance. Clinical implications of results are discussed.
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“Prior research has found that women with more mental health problems are less likely to complete SUD treatment (Green et al., 2002)”
From Influences of victimization and comorbid conditions on latency to illicit drug use among adolescents and young adults (2020) · cites this paper as Green et al., 2002
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Substance abuse treatment entry, retention, and outcome in women: a review of the literature
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“financial resources, fewer mental health problems, and less severe drug problems.(46,108) Studies in women-only samples have found associations between certain characteristics and retention, including better psychological functioning, higher levels”
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Disparities in completion of substance abuse treatment between and within racial and ethnic groups
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“…this research has focused on between-group differences, mainly of African Americans and Whites (see Grella and Joshi 1999; Smith and Weisner 2000; Green et al. 2002; Hser et al. 2003, 2004; Satre, Mertens, and Weisner 2004), with little attention to differences between these two groups and…”
Short-term alcohol and drug treatment outcomes predict long-term outcome
Weisner, C. M. (2003) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(03)00167-4 · Cited by 147
Substance User Treatment Dropout from Client and Clinician Perspectives: A Pilot Study
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ResultGender Differences in Alcohol Treatment: An Analysis of Outcome From the COMBINE Study
Greenfield, S. F., Pettinati, H. M., O’Malley, S. S., Randall, P. K., & Randall, C. L. (2010) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2010.01267.x · Cited by 110
Chen, L., Strain, E. C., Crum, R. M., & Mojtabai, R. (2013) · Journal of Addiction Medicine · doi:10.1097/adm.0b013e31829b7afe · Cited by 111
“On the basis of some past research (Green et al., 2002; Brady and Ashley, 2005; Green, 2006), we hypothesized that these relationships would differ for men relative to women.”
BackgroundMethodZemore, S. E. (2011) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2011.09.013 · Cited by 106
Retention in publicly funded methadone maintenance treatment in two western states
Deck, D. D., & Carlson, M. J. (2005) · The Journal of Behavioral Health Services & Research · doi:10.1007/bf02287327 · Cited by 106
McKellar, J., Kelly, J., Harris, A., & Moos, R. (2006) · Addictive Behaviors · doi:10.1016/j.addbeh.2005.05.024 · Cited by 125
“Studies report that the presence of an additional axis I disorder increases retention (Siqueland et al., 1998), decreases retention ( Green, Polen, Dickinson, Lynch, & Bennett, 2002; Kokkevi, Stefanis, Anastasopoulou, & Kostogianni, 1998), or is unrelated to retention (Miller, Ninonuevo, Hoffmann, & Astrachan, 1999).”
BackgroundSubstance-abuse treatment and mortality
Swensen, I. D. (2014) · Journal of Public Economics · doi:10.1016/j.jpubeco.2014.12.008 · Cited by 98
“That said, existing studies suggest that treatment initiation, completion , and time spent in treatment do not differ by gender (Green et al, 2002).”
BackgroundSubstance use in women: Current status and future directions
Lal, R., Deb, K., & Kedia, S. (2015) · Indian Journal of Psychiatry · doi:10.4103/0019-5545.161491 · Cited by 98
“[111] On similar lines, Kelly et al . reported that among women attending a women‑centered program, factors such as having fewer children, higher levels of personal stability, less involvement with child, protective services, and fewer family problems predicted higher treatment completion.”
Alcohol Dependence and Use of Treatment Services Among Women in the Community
Wu, L.-T. T., & Ringwalt, C. L. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.10.1790 · Cited by 88
“These findings may reflect a recent change in women’s access to substance abuse care, perhaps caused by reductions in stigma, increased awareness of alcohol problems, or greater availability of women-focused treatment programs (29, 30).”
BackgroundRacial and Ethnic Differences in Substance Abuse Treatment Initiation and Engagement
Acevedo, A., Garnick, D. W., Lee, M. T., Horgan, C. M., Ritter, G. A., Panas, L., Davis, S., Leeper, T., Moore, R., & Reynolds, M. E. (2012) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2012.652516 · Cited by 96
Mennis, J. L., Stahler, G. J., el Magd, S. F. A., & Baron, D. A. (2019) · Addictive Behaviors · doi:10.1016/j.addbeh.2019.01.041 · Cited by 79
Choi, S., & Ryan, J. P. (2006) · Child Maltreatment · doi:10.1177/1077559506292607 · Cited by 79
“These findings are consistent with other studies that have found that older substance users are more likely to complete treatment (Green, Polen, Dickinson, Lynch, & Bennett, 2002; Nellori & Ernst, 2004), and those with employment are more likely to complete their treatment (Brewer et al., 1998; Green et al., 2002).”
ResultGender Similarities and Differences in the Treatment, Relapse, and Recovery Cycle
Grella, C. E., Scott, C. K., Foss, M. A., & Dennis, M. L. (2008) · Evaluation Review · doi:10.1177/0193841x07307318 · Cited by 74
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“Women also appear to benefit most from single-gendered treatment groups (Cummings et al., 2010; Greenfield et al., 2013; Greenfield et al., 2008; Green et al., 2002).”
BackgroundInfluence of sex in alcohol‐related liver disease: Pre‐clinical and clinical settings
Bizzaro, D., Becchetti, C., Trapani, S., Lavezzo, B., Zanetto, A., D’Arcangelo, F., Merli, M., Lapenna, L., Invernizzi, F., Taliani, G., et al. (2023) · United European Gastroenterology Journal · doi:10.1002/ueg2.12370 · Cited by 71
“Failure to initiate treatment was predicted in women by mental health diagnoses and in men by less education, whereas treatment completion was predicted in women by higher income and legal/agency referral, and in men by older age.(40) Sex‐related differences emerge in considering pharmacological treatment for AUD (Tab…”
BackgroundTrends in Psychiatry and Psychotherapy
(2020) · Trends in Psychiatry and Psychotherapy · doi:10.47626/2237-6089 · Cited by 70
Barriers and facilitators for alcohol treatment for women: Are there more or less for rural women?
Small, J., Curran, G. M., & Booth, B. M. (2010) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2010.03.002 · Cited by 69
Sex as a biological variable: Drug use and abuse
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Effects of Motivation and Problem Severity on Court-Based Drug Treatment
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Does gender-specific substance abuse treatment for women promote continuity of care?
Claus, R. E., Orwin, R. G., Kissin, W., Krupski, A., Campbell, K. M., & Stark, K. (2006) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2006.06.013 · Cited by 57
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Chi, F. W., Satre, D. D., & Weisner, C. M. (2006) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2006.00100.x · Cited by 52
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Ober, A. J., Watkins, K. E., McCullough, C. M., Setodji, C. M., Osilla, K., & Hunter, S. B. (2018) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2018.04.004 · Cited by 50
Effect of co-occurring disorders and intimate partner violence on substance abuse treatment outcomes
Lipsky, S., Krupski, A., Roy‐Byrne, P., Lucenko, B. A., Mancuso, D., & Huber, A. (2010) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2009.12.005 · Cited by 48
Gender Differences in Heroin Addiction and Treatment: Results from the VEdeTTE Cohort
Vigna‐Taglianti, F., Burroni, P., Mathis, F., Versino, E., Beccaria, F., Rotelli, M., Garneri, M., Picciolini, A., Bargagli, A. M., & VEdeTTE Study Group (2016) · Substance Use & Misuse · doi:10.3109/10826084.2015.1108339 · Cited by 46
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BackgroundResultInfluentialDetermining socio‐demographic predictors of treatment dropout: results in a therapeutic community
López-Goñi, J. J., Fernández‐Montalvo, J., Illescas, C., Landa, N., & Lorea, I. (2008) · International Journal of Social Welfare · doi:10.1111/j.1468-2397.2008.00584.x · Cited by 46
“A number of other studies have also explored gender differences in the prediction of treatment retention or dropout (Green et al., 2002; Mertens & Weisner, 2000).”
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Gender Differences in Outcomes in an HMO—Based Substance Abuse Treatment Program
Green, C., Polen, M., Lynch, F. L., Dickinson, D. M., & Bennett, M. D. (2004) · Journal of Addictive Diseases · doi:10.1300/j069v23n02_04 · Cited by 49
Self-citationPredictors of treatment retention in postpartum women prescribed buprenorphine during pregnancy
O’Connor, A. B., Uhler, B., O’Brien, L. M., & Knuppel, K. (2017) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2017.12.001 · Cited by 39
Gender differences in barriers to alcohol and other drug treatment in Cape Town, South Africa
MYERS, B. J., Louw, J., & Pasche, S. C. (2011) · African Journal of Psychiatry · doi:10.4314/ajpsy.v14i2.7 · Cited by 39
Rash, C. J., Olmstead, T. A., & Petry, N. (2009) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2009.05.018 · Cited by 41
Tiburcio, M., Lara, M. A., Martínez-Vélez, N. A., Fernández-Torres, M., & Abrego, A. A. (2018) · Substance Use & Misuse · doi:10.1080/10826084.2018.1467452 · Cited by 36
Gender Differences and Pregnant Women in a Methadone Maintenance Treatment (MMT) Clinic
Peles, E., & Adelson, M. (2006) · Journal of Addictive Diseases · doi:10.1300/j069v25n02_06 · Cited by 35
Racial and Gender Differences in Utilization of Medicaid Substance Abuse Services Among Adolescents
Heflinger, C. A., Chatman, J., & Saunders, R. C. (2006) · Psychiatric Services · doi:10.1176/ps.2006.57.4.504 · Cited by 35
A comparative review of best practice guidelines for the diversion of drug related offenders
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Ogrodniczuk, J. S., Piper, W. E., & Joyce, A. S. (2006) · Psychiatry · doi:10.1521/psyc.2006.69.3.249 · Cited by 34
Basu, D., Ghosh, A., Sarkar, S., Patra, B. N., Subodh, B. N., & Mattoo, S. K. (2017) · The Indian Journal of Medical Research · doi:10.4103/ijmr.ijmr_1309_15 · Cited by 33
Grundmann, J., Lotzin, A., Sehner, S., Verthein, U., Hiller, P., Hiersemann, R., Lincoln, T. M., Hillemacher, T., Schneider, B., Drießen, M., et al. (2020) · Psychotherapy Research · doi:10.1080/10503307.2020.1817604 · Cited by 32
“Conversely, higher financial resources (Green et al., 2002; Mertens & Weisner, 2000), fewer children (Kelly et al., 2001) and more social support (Graff et al., 2009; Mertens & Weisner, 2000) have been found to be related to higher retention rates or more treatment attendance.”
BackgroundResultInfluentialSubstance Abuse Treatment for Women Offenders: A Research Review
Adams, S. M., Leukefeld, C. G., & Peden, A. R. (2008) · Journal of Addictions Nursing · doi:10.1080/10884600802111648 · Cited by 32
Lerch, J. A., Walters, S. T., Tang, L. L., & Taxman, F. S. (2017) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2017.07.002 · Cited by 30
Mittal, M. L., Vashishtha, D., Sun, S., Jain, S., Cuevas-Mota, J., Garfein, R. S., Strathdee, S. A., & Werb, D. (2017) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/s13011-017-0126-1 · Cited by 30
Andersson, H. W., Lauvsnes, A. D. F., & Nordfjærn, T. (2020) · European Addiction Research · doi:10.1159/000512156 · Cited by 30
Faller, S., Peuker, A. C., Sordi, A. O., Stolf, A. R., Formigoni, M. L. O. D. S., Cruz, M. S., Brasiliano, S., Pechansky, F., & Kessler, F. H. P. (2014) · Trends in Psychiatry and Psychotherapy · doi:10.1590/2237-6089-2014-0040 · Cited by 28
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“One prior study found that among women recommended for SUD treatment, co-occurring psychiatric diagnoses were associated with reduced odds of initiating treatment [27].”
BackgroundMethodInfluentialClient Predictors of Treatment Retention and Completion in a Program for Homeless Veterans
Justus, A. N., Burling, T. A., & Weingardt, K. R. (2006) · Substance Use & Misuse · doi:10.1080/10826080500411353 · Cited by 28
“This is consistent with the existing literature showing that gender differences are evident in the factors that predict treatment retention (Chou et al., 1998; Green et al., 2003).”
ResultSubstance‐dependent women becoming mothers: breaking the cycle of adverse childhood experiences
Wiig, E. M., Haugland, B. S. M., Halsa, A., & Myhra, S. M. (2014) · Child & Family Social Work · doi:10.1111/cfs.12190 · Cited by 27
“Women with SUDs tend to be isolated and lack a supportive social network (Green et al. 2002; Soederstroem 2012).”
BackgroundOrganizational determinants of outpatient substance abuse treatment duration in women
Campbell, C. I., Alexander, J. A., & Lemak, C. H. (2008) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2008.09.012 · Cited by 27
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“…evidence of gender differences in the factors affecting treatment attrition and outcomes in the treatment of alcohol and substance dependence (e.g., Green et al. 2002; Compton et al. 2003), it cannot be assumed that findings relevant to male pathological gambling can be generalized as equally…”
BackgroundRash, C. J., & Petry, N. (2015) · Experimental and clinical psychopharmacology · doi:10.1037/pha0000035 · Cited by 28
“While the bulk of studies find no differences in treatment retention (e.g., Devito, Babuscio, Nich, Ball, & Carroll, 2014; Green et al., 2002; Mertens & Weisner, 2000; Wong, Badger, Sigmon, & Higgins, 2002), others suggest that women have lower retention (Arfken, Klein, di Menza, & Schuster, 2001),…”
BackgroundMethodResultInfluentialTreatment Compliance in Different Types of Group Psychotherapy: Exploring the Effect of Age
Ogrodniczuk, J. S., Piper, W. E., & Joyce, A. S. (2006) · Journal of Nervous & Mental Disease · doi:10.1097/01.nmd.0000207366.49820.85 · Cited by 24
“Several authors have argued that a patient’s failure to comply with a full course of treatment significantly compromises the treatment’s effectiveness (Edlund et al., 2002; Green et al., 2002).”
BackgroundSpohr, S. A., Livingston, M. D., Taxman, F. S., & Walters, S. T. (2018) · Addictive Behaviors · doi:10.1016/j.addbeh.2018.09.036 · Cited by 23
Factors associated with lifetime history of drug treatment among substance dependent women.
Walton-Moss, B., & Mccaul, M. (2006) · Addictive Behaviours · doi:10.1016/j.addbeh.2005.05.006 · Cited by 27
Poverty and Family Reunification for Mothers with Substance Use Disorders in Child Welfare
Lloyd, M. H. (2018) · Child Abuse Review · doi:10.1002/car.2519 · Cited by 22
Early Attrition From Treatment Among Women With Cooccurring Substance Use Disorders and PTSD
Resko, S. M., & Mendoza, N. S. (2012) · Journal of Social Work Practice in the Addictions · doi:10.1080/1533256x.2012.728104 · Cited by 22
“Consistent with some earlier studies (e.g., T. M. Brady & Ashley, 2005; Green et al., 2002), our results demonstrated that the abuse of alcohol and other drugs were differentially associated with treatment dropout.”
ResultGender differences in pharmacokinetics and pharmacodynamics of methadone substitution therapy
Graziani, M., & Nisticò, R. (2015) · Frontiers in Pharmacology · doi:10.3389/fphar.2015.00122 · Cited by 21
Observational Study on Medications Prescribed to Dual-Diagnosis Outpatients
Grau‐López, L., Roncero, C., Daigre, C., Miquel, L., Barral, C., Gonzalvo, B., Francisco Collazos, D., & Casas, M. (2014) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000000024 · Cited by 21
“It should be taken into account that more men than women are treated in the addiction unit (Green et al., 2002; Miquel et al., 2013).”
BackgroundBernstein, J., Derrington, T. M., Belanoff, C. M., Cabral, H., Babakhanlou‐Chase, H., Diop, H., Evans, S. R., Jacobs, H., & Kotelchuck, M. (2014) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2014.11.025 · Cited by 21
Desistance and Treatment Seeking Among Women With Substance Use Disorders
Rhodes, B. E., Gottfredson, N. C., & Hill, L. M. (2018) · Qualitative Health Research · doi:10.1177/1049732318767637 · Cited by 21
Balhara, Y. P. S., & Dayal, P. (2016) · The Indian Journal of Medical Research · doi:10.4103/0971-5916.178616 · Cited by 20
Specialty Courts: Current Issues and Future Prospects
Payne, J. (2006) · Trends and issues in crime and criminal justice · Cited by 20
How Do Indian Substance Users Perceive Stigma Towards Substance Use Vis-A-Vis Their Family Members?
Mattoo, S. K., Sarkar, S., Nebhinani, N., Gupta, S., Parakh, P., & Basu, D. (2015) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2014.980960 · Cited by 19
Tang, Z., Claus, R. E., Orwin, R. G., Kissin, W., & Arieira, C. (2011) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2011.11.003 · Cited by 19
“, 2003), treatment access and recovery processes (Green, 2006; Green et al., 2002; Greenfield et al., 2007; Grella et al., 2008; Westermeyer and Boedicker, 2000).”
Nissen, L. B., Butts, J. A., Merrigan, D. M., & KRAFT, M. K. (2006) · Juvenile and Family Court Journal · doi:10.1111/j.1755-6988.2006.tb00130.x · Cited by 19
“Service completion Any attempt to address adolescent substance abuse problems will be less effective if youths and families fail to persevere with the intervention (McKellar, Kelly, Harris, & Moos, 2006; Green et al., 2002).”
BackgroundCooper, H. L. F., Clark, C. D., Barham, T., Embry, V., Caruso, B. A., & Comfort, M. L. (2013) · Substance Use & Misuse · doi:10.3109/10826084.2013.824474 · Cited by 18
Hill, L. (2018) · Corrections · doi:10.1080/23774657.2018.1433564 · Cited by 18
Gender Comparisons Among Asian American and Pacific Islander Patients in Drug Dependency Treatment
Han, Y., Lin, V., Wu, F., & Hser, Y. (2016) · Substance Use & Misuse · doi:10.3109/10826084.2016.1155604 · Cited by 18
“Although the present study showed AAPI women entered treatment at younger ages than AAPI men, it is not statistically significant, as has been found previous studies (Chatham et al., 1999; Green et al., 2002; Grella & Joshi, 1999; Y. I. Hser et al., 2005; Y. I. Hser et al., 2004; Y. I. Hser, Huang, et al., 2003).”
BackgroundResultInfluentialComiskey, C. M. (2012) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2012.04.002 · Cited by 17
Male and female sexual orientation differences in gambling
Hershberger, S. L., & Bogaert, A. F. (2004) · Personality and Individual Differences · doi:10.1016/j.paid.2004.09.002 · Cited by 17
Bull, M. (2003) · Griffith Research Online · Cited by 17
Yarborough, B. J. H., Chi, F. W., Green, C. A., Hinman, A., Mertens, J. R., Beck, A. L., Horberg, M. A., Weisner, C. M., & Campbell, C. I. (2018) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000000399 · Cited by 16
“Other research has found no sex differences in treatment initiation, but evidence of sex-related differences in predictors of initiation (Green et al., 2002).”
BackgroundSelf-citationTransforming responses: Exploring the treatment of substance-using African American women
Jemal, A., Gunn, A., & Inyang, C. (2019) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2019.1579141 · Cited by 19
Women–Focused Treatment Agencies and Process Improvement: Strategies to Increase Client Engagement
Wisdom, J. P., Hoffman, K. A., Rechberger, E., Seim, K., & Owens, B. H. (2008) · Women & Therapy · doi:10.1080/02703140802384693 · Cited by 16
“than men to have co-occurring psychiatric disorders (Brady, Dansky & Sonne, 1998), face other barriers to treatment related to child-rearing responsibilities (Allen, 1995; Brady, Grice, Dustan, & Randall, 1993), and have more limited incomes, education, and job skills compared to men (Arfken, Klein, diMenza, & Schuste…”
Gender Aspects of Affiliation with Alcoholics Anonymous after Treatment
Bodin, M. C. (2006) · Contemporary Drug Problems · doi:10.1177/009145090603300106 · Cited by 16
Evaluation of Proposition 36: The Substance Abuse and Crime Prevention Act of 2000 2008 Report
Urada, D. I., Evans, E., Yang, J. C., Conner, B. T., Campos, M., Brecht, L., Anglin, M. D., Fan, J., Hunter, J. G., Rutkowski, B. A., et al. (2008) · Cited by 16
Women with a substance use disorder: Treatment completion, pregnancy, and compulsory treatment
Smith, W. T. (2020) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2020.108045 · Cited by 15
A system-level study of initiation, engagement, and equity in outpatient substance use treatment
Urbanoski, K. A., Kenaszchuk, C., Inglis, D., Rotondi, N. K., & Rush, B. R. (2018) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2018.04.006 · Cited by 15
Therapist Attitudes and Beliefs Relevant to Client Dropout Revisited
Pulford, J., Adams, P. J., & Sheridan, J. L. (2007) · Community Mental Health Journal · doi:10.1007/s10597-007-9116-5 · Cited by 15
“Typically referred to as ‘‘client dropout’’, this form of exit is common across the psychosocial treatment sector where it is widely regarded as problematic (Edlund et al. 2002; Green et al. 2002; Reis and Brown 2006).”
BackgroundUnilateral Treatment Exit: A Failure of Retention or a Failure of Treatment Fit?
Pulford, J., Adams, P. J., & Sheridan, J. L. (2006) · Substance Use & Misuse · doi:10.1080/10826080601025847 · Cited by 14
Responding to treatment dropout: a review of controlled trials and suggested future directions
Pulford, J., Adams, P., & Sheridan, J. (2010) · Addiction Research & Theory · doi:10.3109/16066350903151385 · Cited by 13
“Factors that interfere with any of these phases are likely to lead to worse outcomes’ (Green et al. 2002, p. 285).”
BackgroundOwens, M. D., Hallgren, K. A., Ladd, B. O., Rynes, K. N., McCrady, B. S., & Epstein, E. E. (2013) · Alcoholism Treatment Quarterly · doi:10.1080/07347324.2013.831668 · Cited by 13
Intrinsic and Extrinsic Barriers to Health Care: Implications for Problem Gambling
Clarke, D. E. (2007) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-007-9089-1 · Cited by 13
“Although women are less likely than men to seek treatment for substance abuse, when they do seek help, their substance-related and mental health problems are likely to be more severe, and they are less likely to begin treatment after initial assessment that they are eligible for treatment programmes (Green et al. 2002…”
BackgroundInfluentialRothman, E. F., Cheng, D. M., Pedley, A., Samet, J. H., Palfai, T. P., Liebschutz, J. M., & Saitz, R. (2007) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2007.07.006 · Cited by 13
Davis, J. P., Christie, N. C., Dworkin, E. R., Prindle, J., Dumas, T. M., DiGuiseppi, G., Helton, J. J., & Ring, C. (2020) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2019.107721 · Cited by 12
“Prior research has found that women with more mental health problems are less likely to complete SUD treatment (Green et al., 2002); yet, in several literature reviews and meta-analyses (see Greenfield et al., 2007 for review), gender does not appear to be a specific predictor of treatment outcomes…”
MethodMaremmani, A. G. I., Bacciardi, S., Rovai, L., Rugani, F., Massimetti, E., Gazzarrini, D., Dell’Osso, L., & Maremmani, I. (2014) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph111212983 · Cited by 12
“This is in line with other studies, and this finding can be considered specifically true for those dependent on alcohol [41–43], but it could also be extended to other substance use disorders, such as dependence on heroin [44].”
ResultPredictors of retention in a drug-free unit/substance abuse treatment in prison.
Casares-López, M. J., González-Ménendez, A., Festinger, D., Fernández-García, P., Fernández-Hermida, J., Secades, R., & Matejkowski, J. (2013) · International Journal of Law and Psychiatry · doi:10.1016/j.ijlp.2013.04.003 · Cited by 16
“Paradoxically, and in contrast to the findings from community studies (Green et al., 2002, 2004), physical health did not have a substantial influence on retention.”
ResultPredictors of retention in treatment in a tertiary care de-addiction center
Majumder, P., Sarkar, S., Gupta, R., Patra, B. N., & Balhara, Y. P. S. (2016) · Indian Journal of Psychiatry · doi:10.4103/0019-5545.174359 · Cited by 12
“retention in treatment include presence of a psychiatric disorder,[8,9] motivation for treatment,[10,11] and cognitive characteristics of the client.”
BackgroundTreatment of Prescription Opioid Use Disorder in Pregnant Women
Guille, C., Barth, K. S., Mateus, J., McCauley, J. L., & Brady, K. T. (2017) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2016.16060710 · Cited by 11
Jiang, Y., Warner, L. A., Haverly, K., & Lambert-Wacey, D. (2013) · Substance Use & Misuse · doi:10.3109/10826084.2013.840001 · Cited by 11
Metadata
- Authors
- Green, C. A., Polen, M. R., Dickinson, D. M., Lynch, F. L., & Bennett, M. D.
- Affiliations
- Oregon Health & Science University (US)
- Kaiser Permanente Center for Health Research (US)
- Kaiser Permanente (US)
- Corresponding author
- Green, Carla A
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2002-12
- Volume
- 23
- Issue
- 4
- Pages
- 285-295
- ISSN
- 0740-5472 (ISSN-L)
- OpenAlex
- W2122782976
- Cited by
- 201
- References
- 58
- Citations by year
- 2026: 2 · 2025: 2 · 2023: 6 · 2022: 1 · 2021: 3 · 2020: 10 · 2019: 6 · 2018: 12 · 2017: 11 · 2016: 11 · 2015: 19 · 2014: 13 · 2013: 16 · 2012: 5
- FWCI
- 4.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Kaiser Permanente
- National Institutes of Health (5r01aa010849-04)
- National Institute on Alcohol Abuse and Alcoholism (AA10849)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- gender differences, addiction treatment, treatment initiation, treatment completion, treatment retention, health maintenance organizations, predictors of treatment outcome, alcoholism, opioid use disorder, mental health diagnoses, domestic violence, 12-step programs, Medicaid, employment, income
- MeSH terms
- Adult, Female, Gender Identity, Health Maintenance Organizations, Humans, Male, Patient Acceptance of Health Care, Patient Compliance, Patient Dropouts, Retention, Psychology, Sex Factors, United States, Substance Abuse Treatment Centers, Substance-Related Disorders
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