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

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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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Characterizing Durations of Heroin Abstinence in the California Civil Addict Program: Results From a 33-Year Observational Cohort Study
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Intensity of drug injection as a determinant of sustained injection cessation among chronic drug users: the interface with social factors and service utilization
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Five-year trajectories of health care utilization and cost in a drug and alcohol treatment sample
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Pathways to change: Use trajectories following trauma‐informed treatment of women with co‐occurring post‐traumatic stress disorder and substance use disorders
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Drug‐use initiation and conduct disorder among adolescents in drug treatment
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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: Hser, Yih-Ing
Grella, Christine
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: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
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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Drug treatment careers: A conceptual framework and existing research findings

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