Treatment choices and subsequent attendance by substance-dependent patients who disengage from intensive outpatient treatment.

Abstract:

:In an effort to increase engagement in effective treatment, we offered a choice of alternate evidence-based treatments to 137 alcohol- or cocaine-dependent adults (110 males, 27 females) who entered an intensive outpatient program (IOP) but disengaged within the first 8 weeks. We hypothesized that disengaged patients would choose and subsequently attend alternatives to IOP when given the chance, that their choices would be consistent with their previously-stated preferences, and that demographic and clinical characteristics would be predictive of alternatives chosen. Of 96 participants reached by phone, 19% chose no treatment; 49% chose to return to IOP; 24% chose individual psychotherapy; 6% chose telephone counseling; 2% chose naltrexone with medication management. There were few relationships between participant characteristics and choices made upon disengagement. Participants who chose alternative treatments were equally likely to attend their chosen treatment as those who chose IOP. Limited interest in alternative treatments may reflect allegiance to IOP, which was initially chosen by all participants. Implications for implementation of patient-centered adaptive treatment are discussed.

journal_name

Addict Res Theory

authors

Van Horn DH,Drapkin M,Lynch KG,Rennert L,Goodman JD,Thomas T,Ivey M,McKay JR

doi

10.3109/16066359.2015.1017570

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

391-403

issue

5

eissn

1606-6359

issn

1476-7392

journal_volume

23

pub_type

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