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International Journal of Mental Health and Addiction

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01-04-2022 | Original Article

Predictors of Dropout from an Outpatient Treatment Program for Substance Use Disorders in India: a Retrospective Cohort Study of Patients Registered over a 10-Year Period (2009–2018)

Authors: Abhishek Ghosh, Nidhi Sharma, B. N. Subodh, Debasish Basu, Surendra Kumar Mattoo, Renjith R. Pillai

Published in: International Journal of Mental Health and Addiction | Issue 2/2022

Abstract

This was a retrospective cohort study to determine the predictors of dropout in the first year from an out-patient treatment program for substance use disorders. Study period was from January 1, 2009, to December 31, 2018. Patients registered for detailed evaluation in the outpatient treatment program and followed up at least once were included. The primary end-point was dropout from treatment, defined as no follow-up at four time-points. We used Cox proportional hazard regression model to determine the predictors of dropout. Dropout rate at the end of 12 months: 80.37%. Dispensing free medicines (hazard ratio [HR]: 1.271), and self-treatment referral (HR: 1.116) increased risk of dropout. Dual diagnosis (HR: 0.906) and prescription of maintenance medication (HR: 0.734) reduced the risks of dropout. A priori knowledge of predictors could guide clinicians, service planners, and policymakers to provide tailor-made treatment and reorganize service delivery.

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Title: Predictors of Dropout from an Outpatient Treatment Program for Substance Use Disorders in India: a Retrospective Cohort Study of Patients Registered over a 10-Year Period (2009–2018)
Authors: Abhishek Ghosh
Nidhi Sharma
B. N. Subodh
Debasish Basu
Surendra Kumar Mattoo
Renjith R. Pillai
Publication date: 01-04-2022
Publisher: Springer US
Published in: International Journal of Mental Health and Addiction / Issue 2/2022
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-020-00417-7

At a glance: The STEP trials

Springer Medicine

Predictors of Dropout from an Outpatient Treatment Program for Substance Use Disorders in India: a Retrospective Cohort Study of Patients Registered over a 10-Year Period (2009–2018)

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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