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International Journal of Mental Health and Addiction

Published in:

01-08-2016

Predicting Outcome in Public Addiction Services Using Data Collected During Routinely Assessment Procedures

Authors: Pierpaolo Congia, Maria Germana Orrù, Mercedes Masia, Elisabetta Muscas, Sebastiana Manca

Published in: International Journal of Mental Health and Addiction | Issue 4/2016

Abstract

The study examined the ability of several baseline variables to predict retention and treatment outcome in a cohort study that included 137 participants with heroin and cocaine addiction attending a public addiction service in Italy. Predictors included past drug use, intravenous use, initial urine drug screen results, cocaine and heroin craving and self-reported psychiatric symptoms. Severe depression and, in a lesser extent, anxiety symptoms, predicted lower retention. Only intravenous use was a significant predictor of cocaine use in the whole sample. Positive urine for cocaine and intravenous use predicted worse outcome among heroin addicts. Three Symptoms Checklist-90 (SCL-90) scales scores were associated with lower cocaine and heroin use. Multiple logistic regression showed that cocaine positivity and more structured psychosocial treatment predicted successful outcome. Results highlight the prognostic value of carefully assessing patterns of cocaine use and co-use, routes of administration and psychiatric symptoms at the beginning of treatment, especially in heroin addicts.

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Title: Predicting Outcome in Public Addiction Services Using Data Collected During Routinely Assessment Procedures
Authors: Pierpaolo Congia
Maria Germana Orrù
Mercedes Masia
Elisabetta Muscas
Sebastiana Manca
Publication date: 01-08-2016
Publisher: Springer US
Published in: International Journal of Mental Health and Addiction / Issue 4/2016
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-015-9587-5

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