Day hospital and residential addiction treatment: randomized and nonrandomized managed care clients.

Day hospital and residential addiction treatment: randomized and nonrandomized managed care clients.
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日间医院和住院成瘾治疗:随机和非随机管理护理客户。

DOI:
10.1037/0022-006x.75.6.947
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发表时间:
2007
影响因子:
5.9
通讯作者:
Moore,Charles
Moore,Charles
中科院分区:
心理学1区
文献类型:
--
作者:
Witbrodt,Jane;Bond,Jason;Kaskutas,LeeAnn;Weisner,Constance;Jaeger,Gary;Pating,David;Moore,Charles

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Male and female managed care clients randomized to day hospital (n= 154) or community residential treatment (n= 139) were compared on substance use outcomes at 6 and 12 months. To address possible bias in naturalistic studies, outcomes were also examined for clients who self-selected day hospital (n= 321) and for clients excluded from randomization and directed to residential treatment because of high environmental risk (n= 82). American Society of Addiction Medicine criteria defined study and randomization eligibility. More than 50% of followed clients reported past-30-day abstinence at follow-ups (unadjusted rates, not significant between groups). Despite differing baseline severities, randomized, self-selecting, and directed clients displayed similar abstinence outcomes in multivariate longitudinal models. Index treatment days and 12-step attendance were associated with abstinence (p<. 001). Other prognostic effects (including gender and ethnicity) were not significant predictors of differences in outcomes for clients in the treatment modalities. Although 12-step attendance continued to be important for the full 12 months, treatment beyond the index stay was not, suggesting an advantage for engaging clients in treatment initially and promoting 12-step attendance for at least a year.(PsycINFO Database Record (c) 2019 APA, all rights reserved)
DOI: --
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期刊:
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作者:
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期刊: Journal of Addictive Diseases
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作者:
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DOI: 10.1007/978-0-306-47193-3_9
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期刊: Recent developments in alcoholism : an official publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism
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