Abstract:
OBJECTIVES:This study examined organizational trends from 1990 to 2000 and unit characteristics associated with the duration of nonmethadone outpatient addiction treatment. METHODS:Program directors and clinical supervisors from a nationally representative panel of nonmethadone outpatient units in the United States were surveyed in 1990, 1995, and 2000. Treatment duration was measured from clinical supervisors' reports of the average length of stay. Negative binominal regression models controlled for multivariate effects. RESULTS:Treatment duration modestly declined between 1990 and 2000 while addiction severity increased. Affiliation with a mental health center, older program age, JCAHO accreditation-ostensibly a marker for structural quality-and serving more clients with prior authorization requirements- a measure of managed care stringency-were associated with shorter treatment durations. CONCLUSIONS:These findings suggest that treatment duration did not increase between 1990 and 2000 despite clients' worsening addiction severity and growing evidence that longer duration of formal treatment improves treatment outcome. In addition, programs with JCAHO accreditation and stronger managed care oversight appeared to seek efficiencies through reductions in treatment duration.
journal_name
Subst Abusjournal_title
Substance abuseauthors
Friedmann PD,Alexander JA,Yey Y,Nahra T,Soliman S,Pollack HAdoi
10.1300/J465v27n03_07subject
Has Abstractpub_date
2006-09-01 00:00:00pages
47-53issue
3eissn
0889-7077issn
1547-0164journal_volume
27pub_type
杂志文章相关文献
Substance Abuse文献大全abstract::This paper used bivariate and multivariate analyses to estimate the relationships between chronic drug use and various measures of criminal activity. The data for these analyses were derived from the 1993 (1) and 1995 (2) National Household Surveys on Drug Abuse (NHSDA). Measures of criminal justice system contact and...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897070009511422
更新日期:2000-06-01 00:00:00
abstract:BACKGROUND:The objective of this study was to compare the prevalence of substance use in e-cigarette (EC)-only users with combustible cigarette (CC)-only users, dual users, and nonusers in a large sample of middle school-aged adolescents. METHODS:Population-based cross-sectional school survey conducted in 15 middle sc...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2017.1343218
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Medication-assisted treatment with buprenorphine or methadone is recommended for pregnant patients with opioid use disorders (OUDs) to minimize adverse maternal and neonatal outcomes. Collaborative care approaches have been successfully utilized with office-based opioid treatment with buprenorphine in primar...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2015.1129525
更新日期:2017-07-01 00:00:00
abstract::The purpose of this study is to determine if a significant relationship exists between the sociodemographics, substance use characteristics, criminal history, and completion of substance abuse treatment. In this study, 115 individuals being monitored for substance abuse treatment on probation at the Probation and Help...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2011.630948
更新日期:2012-01-01 00:00:00
abstract::Individuals with substance use disorders (SUDs). including co-occurring disorders, are among the highest-risk populations for medical and psychiatric rehospitalizations, and are often underdiagnosed at initial hospitalization. This study examined predictors for these individuals at baseline hospitalization and subsequ...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897070802608770
更新日期:2009-01-01 00:00:00
abstract::The first 3 questions of the Alcohol Use Disorders Identification Test (AUDIT-C) are often used as a brief alcohol screening instrument. However, the implications of common modifications made to the original AUDIT questions and response options have not been considered. The authors examined existing data from a random...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2011.600673
更新日期:2011-10-01 00:00:00
abstract::The Baylor College of Medicine SBIRT Medical Residency Training Program is a multilevel project that trains residents and faculty in evidenced-based screening, brief intervention, and referral to treatment (SBIRT) methods for alcohol and substance use problems. This paper describes the training program and provides in...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2011.640160
更新日期:2012-01-01 00:00:00
abstract::This paper examines the association of psychosocial factors and long-term drug use behaviors (year-5.5) among adolescents with a substance dependence disorder. One group received treatment with a 12-Step approach (n = 159) and one group was on a waiting list (n = 62). Four psychosocial factors (deviant behavior, peer ...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897070802093460
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:The effect of conduct disorder (CD) as a major risk factor of substance use disorder (SUD), controlling for other psychiatric problems, has been well established in the literature. However, other psychiatric problems are associated as confounders with an increased risk of SUD. When confounding exists, the us...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2013.816651
更新日期:2014-01-01 00:00:00
abstract::The aim of the current study was to examine, through posthoc analyses, changes in and predictive utility of mood-related cognitive variables as a function of treatment modality in a group of alcohol dependent patients with elevated depressive symptoms. In addition to the background partial hospital treatment for alcoh...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897070209511487
更新日期:2002-09-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to estimate opioid use disorder prevalence rates at the county level among veterans in Alabama and to determine hotspots of said rates. Methods: By combining data from the National Survey on Drug Use and Health and the American Community Survey, we developed a mixed-effects gene...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2019.1703066
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Simultaneous alcohol and marijuana (SAM) use poses threats to health, particularly among adolescents. These risks would be exacerbated to the extent that high-intensity drinking (e.g., 10+ drinks in a row) and marijuana use (e.g., 1+ joints per day) are associated with a higher likelihood of SAM use. The cur...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2017.1356421
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Drug use in Malaysia remains a significant public health and social problem despite implementation of harsh punitive drug policies such as forcibly placing suspected drug users into compulsory drug detention centers (CDDCs). Following criticism over human right violations in CDDCs, Malaysia has begun to tran...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2016.1146648
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:This study aimed to test the effectiveness of a Web-based intervention in preventing alcohol abuse among nightclub patrons. METHODS:A probabilistic sample of the patrons of 31 nightclubs in São Paulo, Brazil, was invited to participate in an online screening using the Alcohol Use Disorders Identification Te...
journal_title:Substance abuse
pub_type: 杂志文章,随机对照试验
doi:10.1080/08897077.2018.1437586
更新日期:2018-01-01 00:00:00
abstract::Background: The May 2017 publication of the updated Associated Press (AP) Stylebook offered guidance that advised against stigmatizing. The objective of this study was to assess the frequency of stigmatizing terms describing substance use and disorder in news articles before and after the update of the AP Stylebook.Me...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2020.1748167
更新日期:2020-04-29 00:00:00
abstract::
The objectives of the present paper were to determine the rate and factors associated with seeking readmission among the clients admitted to an inpatient medical withdrawal management program, Vancouver Detox (VD). All clients who were admitted to VD between July 1, 2003, and June 30, 2004, were included in the stu...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897070802418519
更新日期:2008-01-01 00:00:00
abstract::Alcohol, steroids and cocaine have all been shown to be independent risk factors for osteonecrosis when taken in excess. Here we present a case of a young girl who developed debilitating osteonecrosis secondary to low doses of alcohol, steroids and cocaine. We feel it is important to highlight to those caring for such...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2011.562751
更新日期:2011-07-01 00:00:00
abstract::This retrospective-anecdotal study was conducted to determine if involvement in a learner-centered continuing education program in substance abuse prevention would influence the careers and work-related activities of thefacilitators. A questionnaire was sent to 33 individuals who served as facilitators of a large subs...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897070109511460
更新日期:2001-09-01 00:00:00
abstract::Background: Unhealthy substance use is a growing public health issue. Intersections with the health care system offer an opportunity for intervention; however, recent estimates of prevalence for unhealthy substance use among all types of hospital inpatients are unknown. Methods: Universal screening for unhealthy alcoh...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2019.1635961
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Krathom (Mitragyna speciosa Korth.) is the most commonly used illicit substance in Thailand, and its use has become widespread internationally. Studies on krathom dependence and its health impact are scarce, as there has been no instrument to measure its dependence syndrome and classify krathom users. This s...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2014.924464
更新日期:2014-01-01 00:00:00
abstract::The specific risk factors for addiction within religious community members remain poorly understood and undefined. This paper presents data on the characteristics of chemically dependent women Religious (nuns) in order to understand the etiology and treatment needs of this special group. This study contrasts a group o...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897070902802026
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:People who inject drugs (PWID) have high rates of hepatitis C virus (HCV) infection. Little is known about the rates of diagnosis and treatment for HCV among PWID. Therefore, this study aims to characterize the cascade of care in Vancouver, Canada, to improve HCV treatment access and delivery for PWID. METH...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2018.1485128
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Alcohol consumption at hazardous levels is more prevalent and associated with poor health outcomes among persons living with the human immunodeficiency virus (HIV; PLWH). Although PLWH are receptive to using technology to manage health issues, it is unknown whether a cell phone app to self-manage alcohol use...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2017.1356793
更新日期:2018-01-02 00:00:00
abstract::Community substance abuse treatment programs face many barriers to adopting "evidence-based" therapies. Training budgets are inadequate to permit acquisition of complex skills, there is little clinical supervision available, and almost all counseling is done in group sessions. The authors adopted an approach widely us...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897070903041194
更新日期:2009-07-01 00:00:00
abstract::Most women in substance abuse treatment have experienced significant losses. This preliminary study examined the effectiveness of a therapy group addressing grief and loss among women enrolled in a gender-specific residential substance abuse treatment program. The intervention group consisted of 24 grief group partici...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897079909511393
更新日期:1999-03-01 00:00:00
abstract:UNLABELLED:There are some rationales for developing anticonvulsants for the treatment of substance abuse. The blockade of the AMPA/kainate subtype of glutamate receptor by topiramate may be of particular interest, as preclinical studies of withdrawal from opioids suggest that whilst AMPA-receptor antagonists may not be...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1300/j465v25n04_04
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND:Illicit drug use is common among emergency department (ED) patients, yet the association between drug use and subsequent mortality is not well understood. This study examines 36-month mortality rates for a sample of ED patients based on reported use of alcohol, cannabis, and cocaine, both individually and in...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2017.1389799
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to assess drinking patterns of Spanish-speaking patients using a bilingual computerized alcohol screening and brief intervention (CASI) tablet computer equipped with the Alcohol Use Disorders Identification Test (AUDIT). METHODS:This retrospective study was conducted in a tert...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2012.728990
更新日期:2013-01-01 00:00:00
abstract::Background: Low-income, racial/ethnic minority individuals face significant barriers in access to substance use (SU) treatment. Peer recovery coaches (PRCs), individuals with lived experience with substance use disorder (SUD), may be uniquely well suited to assist those encountering barriers to treatment. PRCs can als...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2020.1846663
更新日期:2020-12-03 00:00:00
abstract:BACKGROUND:Despite the increasing rates of morbidity, mortality, and costs from the opioid addiction crisis, there is a paucity of literature on nationwide patterns of opioid abuse and dependence admissions and readmissions. We sought to investigate common comorbidities, readmission rates, and variables associated with...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2020.1823548
更新日期:2020-10-12 00:00:00