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Cited by 292Substance Abuse Treatment and OutcomesOpioid Use Disorder TreatmentPsychotherapy Techniques and Applications

Drug treatment careers: A conceptual framework and existing research findings

Hser, Yih-Ing, Anglin, M.Douglas, Grella, Christine, Longshore, Douglas, Prendergast, Michael L.·1997·Journal of Substance Abuse Treatment
DOI 10.1016/s0740-5472(97)00016-0
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Abstract

While outcomes for any single intervention are important to determine, the long term evaluation of multiple, sequential interventions is at least equally important. One strategy for examining this process is that of the treatment career. A treatment careers perspective applies a longitudinal dynamic approach to identify and understand key factors influencing the development of, and transitions in the course of, drug dependence and its treatment. After presenting an overview of the treatment careers perspective, this paper reviews and discusses relevant research issues and findings on treatment seeking, utilization and resistance, entry and reentry, engagement and retention, client treatment matching, and outcomes. Key findings include high resistance to entering treatment by many drug users, late development of treatment careers relative to addiction and criminal careers, short durations of most treatment episodes, cumulative and facilitative effects of treatment experiences, and beneficial effects of matching clients to treatment. The treatment careers perspective provides a useful framework within which findings on drug treatment can be better integrated and critical issues can be identified for further research, leading to a better understanding of drug dependence and its treatment.

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Crossref · 10.1016/s0740-5472(97)00016-0

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131 of 131 references verified0 citation errors · 0 not checkable

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  • There is no consensus in the clinical literature on the appropriate length of treatment episodes for all types of clients; episode length is highly variable based on individual client needs and program characteristics.

    “In addition, there is no consensus in the clinical literature on the appropriate length of treatment episodes for all types of clients; episode length is highly variable based on individual client needs and program characteristics (Hser et al., 1997).”

    From The economic costs of substance abuse treatment: Updated estimates and cost bands for program assessment and reimbursement (2008) · cites this paper as Hser et al., 1997

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Authors
Hser, Y.-I., Anglin, M. D., Grella, C., Longshore, D., & Prendergast, M. L.
Affiliations
University of California, Los Angeles (US)
Corresponding author
Hser, Yih-Ing
ORCID
Venue
Journal of Substance Abuse Treatment
Publisher
Elsevier BV
Published
1997-11
Volume
14
Issue
6
Pages
543-558
ISSN
0740-5472 (ISSN-L)
DOI
10.1016/s0740-5472(97)00016-0
OpenAlex
W2144922566
Cited by
292
References
134
Citations by year
2026: 2 · 2025: 3 · 2024: 4 · 2023: 6 · 2022: 3 · 2021: 4 · 2020: 7 · 2019: 6 · 2018: 7 · 2017: 10 · 2016: 7 · 2015: 11 · 2014: 12 · 2013: 11 · 2012: 11
FWCI
1.55
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of Substance Abuse Treatment (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5k02da000146-10, 5p50da007699-05)
  • National Institute on Drug Abuse (K02-DA00139, P50DA07699, K02-DA00146, K02DA000139)
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
drug addiction, addiction treatment, treatment seeking, treatment resistance, treatment engagement and retention, treatment outcomes, cumulative treatment effect
MeSH terms
Chronic Disease, Crime, Delivery of Health Care, Health Services Research, Humans, Terminology as Topic, Patient Acceptance of Health Care, Prognosis, Research Design, Treatment Outcome, Disease Progression, Substance-Related Disorders

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