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Observations of substance use treatment engagement during the period of community re-entry following residential treatment.
Newberger, Noam G; Ho, Diana; Thomas, Emmanuel D; Goldstein, Silvi C; Coutu, Stephen M; Avila, Alyssa L; Stein, Lynda A R; Weiss, Nicole H.
Afiliación
  • Newberger NG; Department of Psychology, University of Rhode Island, Kingston, RI, United States of America.
  • Ho D; Department of Psychology, University of Rhode Island, Kingston, RI, United States of America.
  • Thomas ED; Department of Psychology, University of Rhode Island, Kingston, RI, United States of America.
  • Goldstein SC; Department of Psychology, University of Rhode Island, Kingston, RI, United States of America; Center for Alcohol and Addiction Studies, Brown University, Providence, RI, United States of America.
  • Coutu SM; Department of Psychology, University of Rhode Island, Kingston, RI, United States of America.
  • Avila AL; Department of Psychology, University of Rhode Island, Kingston, RI, United States of America.
  • Stein LAR; Department of Psychology, University of Rhode Island, Kingston, RI, United States of America; Center for Alcohol and Addiction Studies, Brown University, Providence, RI, United States of America; Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals, Cranston, RI, United Sta
  • Weiss NH; Department of Psychology, University of Rhode Island, Kingston, RI, United States of America. Electronic address: nicole_weiss@uri.edu.
J Subst Use Addict Treat ; 164: 209430, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38852820
ABSTRACT

BACKGROUND:

The period of community re-entry following residential substance use treatment is associated with elevated risk for return to substance use. Although continuity of care is best practice, many individuals do not engage in follow-up treatment, struggle to engage in follow-up treatment, or continue to use substances while participating in follow-up treatment. There is a need to both characterize treatment engagement during community re-entry following residential substance use treatment as well as understand how treatment impacts substance use during this high-risk period.

METHOD:

This observational study used retrospective self-report to examine treatment engagement and substance use among individuals who had exited residential substance use treatment. Participants completed a Timeline Follow-back interview reporting substance use and treatment engagement in the 30 days following residential treatment.

RESULTS:

Most participants (83.1 %) reported engaging in substance use treatment following discharge. The most common treatments were Alcoholics Anonymous/Narcotics Anonymous (61.1 %), medication for addiction treatment (40 %), and outpatient therapy (29.2 %). Participants were less likely to use substances on a day in which they engaged in outpatient therapy (OR = 0.32, 95 % CI [0.12, 0.90], p = 0.030) and more likely on days they engaged in medication treatment (OR = 21.49, 95 % CI [1.46, 316.74], p = 0.025).

CONCLUSION:

Findings characterize engagement in substance use treatment in the month following residential treatment. Treatment engagement was common during community re-entry; however, only outpatient therapy was found to reduce substance use during this high-risk period. Findings may inform intervention efforts during the high-risk period of community re-entry.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tratamiento Domiciliario / Trastornos Relacionados con Sustancias Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Subst Use Addict Treat Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tratamiento Domiciliario / Trastornos Relacionados con Sustancias Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Subst Use Addict Treat Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos