Effects of halfway house placement on retention of patients in substance abuse aftercare.
One hundred twenty-four male veterans were enrolled in the Birmingham VAMC Outpatient Substance Abuse Clinic (OSAC) aftercare program following inpatient treatment for alcohol, cocaine, or mixed alcohol-cocaine abuse/dependence.
Forty-two of the patients were concurrently admitted to a nearby halfway house (HH) while the remaining 82 patients made community-based (CB) living arrangements.
Chi-square analysis showed the two groups were matched, p>. 05, in regard to age, race, marital status, presenting problem, and referral source.
The CB group experienced significantly, p<. 05, higher early dropout (40 vs 0%) from aftercare.
Of the others engaging in treatment, the HH patients stayed in OSAC aftercare 60 days longer and had significantly, p<. 01, more clinic visits.
A higher proportion, p<. 01, of HH patients completed each of four treatment milestones : education group, psychological testing, psychological interview, and treatment planning/update.
On average, the HH patients remained in OSAC an additional 90 days after their halfway house discharge.
Although not significantly different, p>. 05, the frequency of HH patients receiving administrative discharge status of Treatment Complete was twice (28.2%) that of CB patients (15.1%). It is concluded that concurrent halfway house placement can aid in aftercare retention and completion.
Mots-clés Pascal : Toxicomanie, Alcoolisme, Traitement, Sevrage toxique, Prévention, Récidive, Institution, Etude comparative, Traitement communautaire, Psychiatrie communautaire, Organisation santé, Etats Unis, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Drug addiction, Alcoholism, Treatment, Poison withdrawal, Prevention, Relapse, Institution, Comparative study, Community treatment, Community psychiatry, Public health organization, United States, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0449506
Code Inist : 002B18I15. Création : 01/03/1996.