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08.02.2017 | Original Paper

Factors Predicting Patient’s Allocation to Short- and Long-Term Therapeutic Community Treatments in the Italian VOECT Cohort Study

verfasst von: F. Vigna-Taglianti, F. Mathis, R. Diecidue, E. Trogu, U. Kirchmayer, J. Ghibaudi, G. Piras, A. Camposeragna, A. Saponaro, L. Amato, M. Davoli, F. Faggiano, P. P. Pani, VOECT Study Group

Erschienen in: Community Mental Health Journal | Ausgabe 8/2017

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Abstract

The Evaluation of Therapeutic Community Treatments and Outcomes (VOECT) study was conducted in 131 Italian Therapeutic Communities (TCs) in 2008/2009. All of the patients entering residential treatment for drug or alcohol dependence were invited to participate. Data regarding patient socio-demographic characteristics, drug and alcohol consumption, health and psychopathological status, prior treatments and outcomes, and their motivation score were collected upon enrolment onto the study. The aim of this work was to identify the factors associated with allocation to short- versus long-term programmes in drug or alcohol dependent patients entering TCs in Italy. Of the 2470 patients included in the analysis, 30.8% were allocated to short-term treatment and 69.2% to long-term treatment. Several factors were significantly associated with the allocation to short- and long-term treatments: unstable living conditions; entering the TC when not detoxified; a high Symptom Checklist-90 somatization score; prior cessation episodes; previous in-patient detoxification treatments; psychosocial treatments; entering the TC by oneself; and a low motivation score.

Adinoff, B. H., Scannell, S., Carter, L. A., & Dohoney, K. (1999). Inpatient treatment. In P. J. Ott, R. E. Tarter & R. T. Ammerman (Eds.), Sourcebook on substance abuse: Etiology, epidemiology, assessment, and treatment (pp. 373–388). Boston: Allyn and Bacon.

Condelli, W. S., & Hubbard, R. L. (1994). Relationship between time spent in treatment and client outcomes from therapeutic communities. Journal of Substance Abuse Treatment, 11(1), 25–33.CrossRefPubMed

De Leon, G. (1989). Psychopathology and substance abuse: what is being learned from research in therapeutic communities. Journal of Psychoactive Drugs, 21(2), 177–188.CrossRefPubMed

De Leon, G. (1995). Therapeutic communities for addictions: a theoretical framework. International Journal of the Addictions, 30(12), 1603–1645.CrossRefPubMed

De Leon, G. (1997). Community as method: Therapeutic Communities for special populations and special settings. Westport: Praeger.

De Leon, G. (1999). Therapeutic communities. In P. J. Ott, R. E. Tarter & R. T. Ammerman (Eds.), Sourcebook on substance abuse: Etiology, epidemiology, assessment, and treatment. Boston: Allyn and Bacon.

De Leon, G., Melnick, G., & Cleland, C. M. (2010). Matching to sufficient treatment: some characteristics of undertreated (mismatched) clients. Journal of Addictive Diseases, 29(1), 59–67.CrossRefPubMed

De Leon, G., Melnick, G., & Cleland, C.M. (2008). Client matching: a severity-treatment intensity paradigm. Journal of Addictive Diseases, 27(3). 99–113.CrossRefPubMed

De Leon, G., Melnick, G., Kressel, D., & Jainchill, N. (1994). Circumstances, motivation, readiness, and suitability (The CMRS Scales): predicting retention in therapeutic community treatment. American Journal of Drug and Alcohol Abuse, 20, 495–515.CrossRefPubMed

Derogatis, L., Lipman, R., & Covi, L. (1973). SCL-90: An outpatient psychiatric rating scale – preliminary report. Psychoparmacology Bulletin, 9, 13–28.

Dye, M. H., Ducharme, L. J., Johnson, J. A., Knudsen, H. K., & Roman, P. M. (2009). Modified therapeutic communities and adherence to traditional elements. Journal of Psychoactive Drugs, 41(3), 275–283.CrossRefPubMedPubMedCentral

Fernández-Hermida, J. R., Secades, R., Fernández, J. J., & Marina, P. A. (2002). Effectiveness of a Therapeutic community treatment in Spain: A long-term follow-up study. European Addiction Research, 8, 22–29.CrossRefPubMed

Fernández-Montalvo, J., López-Goñi, J. J., Illescas, C., Landa, N., & Lorea, I. (2008). Evaluation of a therapeutic community treatment program: a long-term follow-up study in Spain. Substance Use and Misuse, 43(10), 1362–1377.CrossRefPubMed

French, M. T., Zarkin, G. A., Hubbard, R. L., & Rachal, J. V. (1993). The effects of time in drug abuse treatment and employment on posttreatment drug use and criminal activity. American Journal of Drug and Alcohol Abuse, 19(1), 19–33.CrossRefPubMed

Galanter, M., & Kleber, H. D. (Eds.). (1994). Textbook of substance abuse treatment. Washington, DC: American Psychiatric Press, Inc.

Gossop, M., Marsden, J., Stewart, D., & Rolfe, A. (1999). Treatment retention and 1 year outcomes for residential programmes in England. Drug and Alcohol Dependence, 57, 89–98.CrossRefPubMed

Gossop, M., Stewart, D., Browne, N., & Marsden, J. (2002). Factors associated with abstinence, lapse or relapse to heroin use after residential treatment: protective effect of coping responses. Addiction (Abingdon, England), 97, 1259–1267.CrossRef

Greenfield, L., Burgdorf, K., Chen, X., Porowski, A., Roberts, T., & Herrell, J. (2004). Effectiveness of long-term residential substance abuse treatment for women: findings from three national studies. American Journal of Drug and Alcohol Abuse, 30, 537–550.CrossRefPubMed

Harris, A.H.S., Kivlahan, D., Barnett, P. G., & Finney, L. W. (2012). Longer length of stay is not associated with better outcomes in VHA’s substance abuse residential rehabilitation treatment programs. The Journal of Behavioral Health Services & Research, 39(1), 68–79.CrossRef

Hubbard, R. L., Marsden, M. E., Rachal, J. V., Harwood, H. J., Cavanaugh, E. R., & Ginzburg, H. M. (1989). Drug abuse treatment: a national study of effectiveness. Chapel Hill: The Universiy of North Carolina Press.

Hubbard, R. L., Craddock, S. G., & Anderson, J. (2003). Overview of 5-year follow up outcomes in the drug abuse treatment outcome studies (DATOS). Journal of Substance Abuse Treatment, 25(3), 125–134.CrossRefPubMed

Joe, G. W., Simpson, D. D., & Broome, K. M. (1998). Effects of readiness for drug abuse treatment on client retention and assessment of process. Addiction (Abingdon, England), 93(8), 1177–1190.CrossRef

Laffaye, C., McKellar, J. D., Ilgen, M. A., & Moos, R. H. (2008). Predictors of 4-year outcome of community residential treatment for patients with substance use disorders. Addiction (Abingdon, England), 103(4), 671–680.CrossRef

Leshner, A. I. (1997). Drug abuse and addiction treatment research: the next generation. Archives of General Psychiatry, 54(8), 691–694.CrossRefPubMed

Malivert, M., Fatséas, M., Denis, C., Langlois, E., & Auriacombe, M. (2012). Effectiveness of therapeutic communities: a systematic review. European Addiction Research, 18(1), 1–11.CrossRefPubMed

Mathis, F., Vigna-Taglianti, F., Diecidue, R., Kirchmayer, U., Piras, G., Amato, L., et al. (2013). Studio VOECT- Valutazione dell’Offerta e dell’Esito dei trattamenti in Comunità Terapeutiche. Monografia numero 1. Analisi descrittiva della coorte arruolata. Retrieved from http://www.oed.piemonte.it/pubblic/3_VOECT/monografiaVOECT.pdf.

Mattick, R. P., & Jarvis, T. (1994). In-patient setting and long duration for the treatment of alcohol dependence? Out-patient care is as good. Drug Alcohol Rev., 13, 127–135.CrossRefPubMed

Mattson, M. E., Allen, J. P., Longabaugh, R., Nickless, C. J., Connors, G. J., & Kadden, R. M. (1994). A chronological review of empirical studies matching alcoholic clients to treatment. Journal of Studies on Alcohol Supplement, 12, 16–29.CrossRefPubMed

McCusker, J., Vickers-Lahti, M., Stoddard, A. M., Hindin, R., Bigelow, C., Garfield, F., et al. (1995). The effectiveness of alternative planned durations of residential drug abuse treatment. American Journal of Public Health, 85, 1426–1429.CrossRefPubMedPubMedCentral

McCusker, J., Stoddard, A., Frost, R., & Zorn, M. (1996). Planned versus actual duration of drug abuse treatment. Reconciling observational and experimental evidence. Journal of Nervous Mental Disease, 184, 482–489.CrossRefPubMed

McCusker, J., Bigelow, C., Frost, R., Garfield, F., Hindin, R., Vickers-Lahti, M., et al (1997). The effects of planned duration of residential drug abuse treatment on recovery and HIV risk behavior. American Journal of Public Health, 87(10), 1637–1644.CrossRefPubMedPubMedCentral

McKellar, J. D., Harris, A. H., & Moos, R. H. (2006). Predictors of outcome for patients with substance-use disorders five years after treatment drop-out. Journal of Studies on Alcohol, 67(5), 685–693.CrossRefPubMed

McLellan, A. T., Alterman, A. I., Metzger, D. S., Grissom, G. R., Woody, G. E., Luborsky, L., et al. (1994). Similarity of outcome predictors across opiate, cocaine, and alcohol treatments: Role of treatment services. Journal of Consulting and Clinical Psychology, 62(6), 1141–1158.CrossRefPubMed

Melnick, G., De Leon, G., Hiller, M. L., & Knight, K. (2000). Therapeutic communities: Diversity in treatment elements. Substance Use and Misuse, 35(12–14), 1819–1847.CrossRefPubMed

Melnick, G., De Leon, G., Thomas, G., & Kressel, D. (2001). A client-treatment matching protocol for therapeutic communities: First report. Journal of Substance Abuse Treatment, 21(3), 119–128.CrossRefPubMed

Messina, N., Wish, E., & Nemes, S. (2000). Predictors of treatment outcomes in men and women admitted to a therapeutic community. American Journal of Drug and Alcohol Abuse, 26, 207–227.CrossRefPubMed

Miller, W. R., & Cooney, N. L. (1994). Designing studies to investigate client-treatment matching. Journal of Studies on Alcohol. Supplement, 12, 38–45.CrossRefPubMed

Moos, R. H., & King, M. J. (1997). Participation in community residential treatment and substance abuse patients’ outcomes at discharge. Journal of Substance Abuse Treatment, 14(1), 71–80.CrossRefPubMed

Moos, R. H., Moos, B. S., & Andrassy, J. M. (1999). Outcomes of four treatment approaches in community residential programs for patients with substance use disorders. Psychiatric Services, 50(12), 1577–1583.CrossRefPubMed

Moos, R. H., Pettit, B., & Gruber, V. (1995). Longer episodes of community residential care reduce substance abuse patients’ readmission rates. Journal of Studies on Alcohol, 56(4), 433–443.CrossRefPubMed

Mulder, R. T., Frampton, C.M.A., Peka, H., Hampton, G., & Marsters, T. (2009). Predictors of 3-month retention in a drug treatment therapeutic community. Drug Alcohol Review, 28, 366–371.CrossRefPubMed

Nemes, S., Wish, E. D., & Messina, N. (1999). Comparing the impact of standard and abbreviated treatment in a therapeutic community. Findings from the district of Columbia treatment initiative experiment. Journal of Substance Abuse Treatment, 17(4), 339–347.CrossRefPubMed

Presidenza del Consiglio dei Ministri. (1999). Accordo Stato-Regioni per la “Riorganizzazione del sistema di assistenza ai tossicodipendenti”. Provvedimento 21 gennaio 1999. Retrieved from http://www.politicheantidroga.it/droghe/normativa/nazionale/accordi-stato-regioni.aspx.

Presidenza del Consiglio dei Ministri. (2008). Relazione annuale al Parlamento sullo stato delle tossicodipendenze in Italia, Anno 2007. Retrieved from http://www.politicheantidroga.it/progetti-e-ricerca/relazioni-al-parlamento.aspx.

Simpson, D. D. (1979). The relation of time spent in drug abuse treatment to posttreatment outcome. American Journal of Psychiatry, 136, 1449–1453.CrossRefPubMed

Simpson, D. D. (1981). Treatment for drug abuse. Follow-up outcomes and length of time spent. Archives of General Psychiatry, 38(8), 875–880.CrossRefPubMed

Simpson, D. D., Joe, G. W., Broome, K., Hiller, M., Knight, K., & Rowan-Szal, G. (1997). Program diversity and treatment retention rates in the drug abuse treatment outcome study (DATOS). Psychol. Addict. Behav., 11(4), 279–293.CrossRef

Smith, L. A., Gates, S., & Foxcroft, D. (2006). Therapeutic communities for substance related disorder. Cochrane Database of Systematic Reviews, 1, CD005338.

Soyez, V., DE Leon, G., Broekaert, E., & Rosseel, Y. (2006). The impact of a social network intervention on retention in Belgian therapeutic communities: a quasi-experimental study. Addiction (Abingdon, England), 101, 1027–1034.CrossRef

Toumbourou, J. W., Hamilton, M., & Fallon, B. (1998). Treatment level progress and time spent in treatment in the prediction of outcomes following drug-free therapeutic community treatment. Addiction (Abingdon, England), 93(7), 1051–1064.CrossRef

Van de Velde, J. C., Schaap, G. E., & Land, H. (1998). Follow-up at a Dutch addiction hospital and effectiveness of therapeutic community treatment. Substance Use Misuse, 33(8), 1611–1627.CrossRefPubMed

Wellisch, J., Prendergast, M., & Anglin, M. D. (1995). Toward a drug abuse treatment system. Journal of Drug Issues, 25, 759–782.CrossRef

Westenberg, M. R. M., Koele, P., & Kools, E. (1998). The treatment of substance addicts: a judgment analysis of therapists’ matching strategies. Clinical Psychology Psychotherapy, 5, 39–46.CrossRef

Wild, C. (1996) Treatment Entry Questionnaire. Unpublished Instrument available from Dr. Cam Wild, Addiction Research Foundation, U.W.O. Research Park, 100 Collip Circle, London, Ontario, N6C 4X8,.

Titel: Factors Predicting Patient’s Allocation to Short- and Long-Term Therapeutic Community Treatments in the Italian VOECT Cohort Study
verfasst von: F. Vigna-Taglianti
F. Mathis
R. Diecidue
E. Trogu
U. Kirchmayer
J. Ghibaudi
G. Piras
A. Camposeragna
A. Saponaro
L. Amato
M. Davoli
F. Faggiano
P. P. Pani
VOECT Study Group
Publikationsdatum: 08.02.2017
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 8/2017
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-017-0105-z

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