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 Theoryjournal_title
Addiction research & theoryauthors
Van Horn DH,Drapkin M,Lynch KG,Rennert L,Goodman JD,Thomas T,Ivey M,McKay JRdoi
10.3109/16066359.2015.1017570subject
Has Abstractpub_date
2015-01-01 00:00:00pages
391-403issue
5eissn
1606-6359issn
1476-7392journal_volume
23pub_type
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