Cited by 98Psychotherapy Techniques and ApplicationsSubstance Abuse Treatment and OutcomesOpioid Use Disorder Treatment

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Therapist/patient race and sex matching: treatment retention and 9-month follow-up outcome

Sterling, Robert C., Gottheil, Edward, Weinstein, Stephen P., Serota, Ronald·1998·Addiction

DOI 10.1046/j.1360-0443.1998.93710439.x

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Abstract

AIMS: The current study was conducted to (a) replicate previous findings regarding the effect of patient/therapist race and sex-matching as this relates to the early dropout rate of substance abusers, and (b) to extend previous work by examining the impact of such matching on treatment retention and 9-month outcome. DESIGN: Patient and therapist characteristics were crossed in a 2 x 2 factorial design. Matching effects were then tested using retrospective data. PARTICIPANTS: Participants were 967 African-American cocaine-dependent people. SETTING: The study site was a university sponsored outpatient treatment facility located in an economically depressed section of a large Northeastern US city. MEASUREMENTS: Follow-up data were drawn from the Addiction Severity Index, the Risk for AIDS Behavior Inventory, and a questionnaire measuring post-discharge need for treatment, employment and education. Retention was defined as the number of days inclusive between the last date of service and the date of admission. FINDINGS: No significant differences in early dropout rates were found after initial contact with 10 different therapists. Matching therapist and patients with respect to gender and race did not decrease the premature dropout rate, but partial support for gender matching was noted. CONCLUSION: Matching therapist and substance abusing patients on gender and race may not be essential to improving retention and outcome.

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How Did We Get Here?
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Ties That Bind
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If It Works for Them, Why Not Us?
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The Fence or the Ambulance
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Failure Is an Option
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The Holy Trinity
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The Best-Laid Plans
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A Vision
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How Big Is Big?
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Epigraph
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Ties That Bind
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Copyright Page
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The Twenty-Third-Century Solution
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Preface
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First Do No Harm
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Best-Laid Plans
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The Twenty-Third-Century Solution
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First Do No Harm
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How Big Is Big?
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Best-Laid Plans
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Editor’s Note
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Best-Laid Plans
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Dedication
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Failure Is an Option
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Authors: Sterling, R. C., Gottheil, E., Weinstein, S. P., & Serota, R.
Affiliations: Thomas Jefferson University (US)
Venue: Addiction
Publisher: Wiley
Published: 1998-07
Volume: 93
Issue: 7
Pages: 1043-1050
ISSN: 0965-2140 (ISSN-L)
1360-0443
DOI: 10.1046/j.1360-0443.1998.93710439.x
OpenAlex: W2020670706
Cited by: 98
References: 0
Citations by year: 2026: 1 · 2025: 5 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 30 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 1 · 2015: 2 · 2014: 9 · 2013: 3 · 2012: 2
FWCI: 0.50
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1402 d)
Locations: Addiction (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5r18da006166-05)
National Institute on Drug Abuse (1R18 DA 06166)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Keywords: gender matching, treatment retention, treatment discontinuation, cocaine dependence, African American patients, addiction treatment, replication, follow-up outcomes, HIV risk behavior
MeSH terms: Adult, Female, Humans, Male, Patient Dropouts, Professional-Patient Relations, Retrospective Studies, Sex Factors, Matched-Pair Analysis, Cocaine-Related Disorders, Racial Groups

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Therapist/patient race and sex matching: treatment retention and 9-month follow-up outcome

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