TY - JOUR
T1 - Predicting outpatient treatment entry following detoxification for injection drug use
T2 - The impact of patient and program factors
AU - Campbell, Barbara K.
AU - Tillotson, Carrie J.
AU - Choi, Dongseok
AU - Bryant, Katherine
AU - DiCenzo, Jessica
AU - Provost, Scott E.
AU - Zammarelli, Lucy
AU - Booth, Robert E.
AU - McCarty, Dennis
N1 - Funding Information:
The study was conducted within the National Drug Abuse Treatment CTN and supported through cooperative agreements with the National Institute on Drug Abuse Northern New England Node (U10 DA15831), Great Lakes Node (U10 DA13710), Rocky Mountain Node (U10 DA13716), Oregon/Hawaii Node (U10 DA13036), and Pacific Northwest Node (U10 DA13714). Study conclusions are solely our responsibility and do not necessarily represent the official views of the National Institute on Drug Abuse. Data analysis for this publication received assistance from the Biostatistics Shared Resource of Oregon Health and Science University and from the Oregon Clinical and Translational Research Institute (OCTRI; Grant UL1 RR024140 01 from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH), and NIH Roadmap for Medical Research). We are grateful to the eight participating detoxification centers, directors and staff, for their commitment to conducting research while delivering quality clinical services and to all the patient participants of the Risk Reduction Study.
PY - 2010/6
Y1 - 2010/6
N2 - This article examines variables that predicted outpatient treatment entry within 6 months of residential detoxification. Patient data were collected from 632 injection drug users enrolled in a randomized trial conducted at eight detoxification programs within the National Drug Abuse Treatment Clinical Trials Network (CTN) with follow-up assessments conducted at 2, 8, 16, and 24 weeks. Detoxification program characteristics were collected during this study and from a survey of CTN treatment organizations. Survival analysis found that estimated proportions of reported outpatient treatment entry varied across sites from .06 to .72. A model-building approach determined variables significantly associated with outpatient treatment entry. The best predictive model contained five program-level variables: accreditation, fewer beds, longer stays, shorter distance between detoxification and outpatient unit, and larger city population. Results suggest the importance of detoxification program characteristics in facilitating further treatment and the need for systems modifications to improve continuity of care.
AB - This article examines variables that predicted outpatient treatment entry within 6 months of residential detoxification. Patient data were collected from 632 injection drug users enrolled in a randomized trial conducted at eight detoxification programs within the National Drug Abuse Treatment Clinical Trials Network (CTN) with follow-up assessments conducted at 2, 8, 16, and 24 weeks. Detoxification program characteristics were collected during this study and from a survey of CTN treatment organizations. Survival analysis found that estimated proportions of reported outpatient treatment entry varied across sites from .06 to .72. A model-building approach determined variables significantly associated with outpatient treatment entry. The best predictive model contained five program-level variables: accreditation, fewer beds, longer stays, shorter distance between detoxification and outpatient unit, and larger city population. Results suggest the importance of detoxification program characteristics in facilitating further treatment and the need for systems modifications to improve continuity of care.
KW - Detoxification
KW - Outpatient treatment
KW - Program variables
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U2 - 10.1016/j.jsat.2009.12.012
DO - 10.1016/j.jsat.2009.12.012
M3 - Article
C2 - 20307800
AN - SCOPUS:77950206286
SN - 0740-5472
VL - 38
SP - S87-S96
JO - Journal of Substance Abuse Treatment
JF - Journal of Substance Abuse Treatment
IS - SUPPL. 1
ER -