Abstract:
:This study examined whether homelessness predicted earlier resumption of substance use after detoxification, and sought evidence concerning the impact of post-detoxification stabilization programs among homeless and nonhomeless individuals. Kaplan-Meier plots and proportional hazards models were used to determine the association between homelessness, stabilization program use, and recurrent substance use in a prospective cohort of persons entering inpatient detoxification (n=470). Among 254 persons available at 6 months, 76% reported recurrent substance use. Homeless persons not using stabilization programs experienced the highest hazard of return to substance use after detoxification, Hazard Ratio (HR) 1.26, 95% CI (0.88, 1.80). Homeless persons using these programs had the lowest rate of return to substance use: HR 0.61, 95% CI (0.40, 0.94). A similar impact of stabilization programs was not seen among nonhomeless subjects. Post-detoxification stabilization programs were associated with improved outcomes for homeless addicted persons. This treatment modality may slow the "revolving door" phenomenon of relapse after detoxification among homeless persons.
journal_name
J Subst Abuse Treatjournal_title
Journal of substance abuse treatmentauthors
Kertesz SG,Horton NJ,Friedmann PD,Saitz R,Samet JHdoi
10.1016/s0740-5472(03)00026-6subject
Has Abstractpub_date
2003-04-01 00:00:00pages
197-207issue
3eissn
0740-5472issn
1873-6483pii
S0740547203000266journal_volume
24pub_type
杂志文章abstract:BACKGROUND:Early treatment motivation is a meaningful predictor of clinical outcomes in the context of methamphetamine dependence (MD). Cognitive deficits associated with MD can have a significant impact on motivational fluctuations during early treatment. We specifically examined if sustained attention and effort-base...
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journal_title:Journal of substance abuse treatment
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journal_title:Journal of substance abuse treatment
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journal_title:Journal of substance abuse treatment
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doi:10.1016/j.jsat.2012.01.001
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journal_title:Journal of substance abuse treatment
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doi:10.1016/j.jsat.2017.08.005
更新日期:2017-11-01 00:00:00
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更新日期:2009-12-01 00:00:00
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更新日期:2013-07-01 00:00:00
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更新日期:2010-01-01 00:00:00
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