Document Detail


Individual and program predictors of attrition from VA substance use treatment.
MedLine Citation:
PMID:  18188705     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The study investigated patient- and program-level variables associated with attrition from intensive outpatient (IOP) substance use treatment in a national VA sample. National databases were used to identify a recent cohort of veterans receiving intensive IOP substance use treatment. Attrition was defined as receiving less than five visits of IOP treatment. Patient-level variables examined included age, gender, race, and psychiatric and medical comorbidities. Program-level variables examined included the number of hours of treatment offered, the percentage of patients living on-campus, and extent of staff cuts in the past year. Twenty-seven percent of veterans left treatment early. Being older, female, and having a psychotic disorder was associated with attrition. Program-level factors associated with attrition were the number of hours the program offered treatment, in that more treatment offered was associated with higher attrition. Focus on individual and program level factors associated with attrition is crucial to retaining individuals in treatment.
Authors:
Geoffrey M Curran; Tracy Stecker; Xiaotong Han; Brenda M Booth
Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2008-01-11
Journal Detail:
Title:  The journal of behavioral health services & research     Volume:  36     ISSN:  1556-3308     ISO Abbreviation:  J Behav Health Serv Res     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-02-13     Completed Date:  2009-06-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9803531     Medline TA:  J Behav Health Serv Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  25-34     Citation Subset:  IM    
Affiliation:
VA Health Services Research and Development, Center for Mental Health and Outcomes Research, Central Arkansas Veterans Healthcare System, 2200 Fort Roots Drive, North Little Rock, AR 72114, USA. currangeoffreym@uams.edu
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Care
Diagnosis, Dual (Psychiatry)
Female
Humans
Male
Middle Aged
Patient Dropouts*
Substance-Related Disorders / psychology*,  therapy*
United States
Veterans*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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