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Published in: The Journal of Behavioral Health Services & Research 4/2009

01-10-2009 | Regular Article

Program and Client Characteristics as Predictors of the Availability of Social Support Services in Community-Based Substance Abuse Treatment Programs

Authors: Peter J. Delany, PhD, Joseph J. Shields, PhD, Dana L. Roberts, MA

Published in: The Journal of Behavioral Health Services & Research | Issue 4/2009

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Abstract

Recent emphases on increasing accountability, using less intensive settings, and implementing evidence-based services helped to focus the research community on the structure, processes, and outcomes of services delivered to substance abuse clients. Considerably less attention has been given to understanding how to structure services to enhance engagement and retention leading to treatment continuity. This study examined structural characteristics of community-based treatment facilities in relationship to the availability of supportive services within a sample of 1,332 substance abuse treatment programs surveyed through the Alcohol and Drug Services Study in 1996 and 1997. Structural and client characteristics are important predictors of added supportive services. Furthermore, a program with a broader and established set of core services is more likely to have expanded supportive services. These findings have implications for public health professionals, both in terms of ensuring sustainable service programming for these chronic clients and in identifying services to adopt or discard to meet a population with multiple needs.
Literature
3.
go back to reference Zanis DA, McLellan AT. Ensuring quality in treatment of chemical dependency. In: Stricker G, Troy WG, Shueman SA, eds. Handbook of Quality Management in Behavioral sHealth. New York, NY: Kluwer; 2000:193–215. Zanis DA, McLellan AT. Ensuring quality in treatment of chemical dependency. In: Stricker G, Troy WG, Shueman SA, eds. Handbook of Quality Management in Behavioral sHealth. New York, NY: Kluwer; 2000:193–215.
7.
go back to reference McLellan AT, Weisner C. Achieving the public health and safety potential of substance abuse treatment: Implications for patient referral, treatment “matching: and outcome evaluation. In: Bickel WK, DeGrandpre RJ, eds. Drug Policy and Human Nature: Psychological Perspectives on the Prevention, Management, and Treatment of Illicit Drug Abuse. New York, NY: Plenum; 1996:127–154. McLellan AT, Weisner C. Achieving the public health and safety potential of substance abuse treatment: Implications for patient referral, treatment “matching: and outcome evaluation. In: Bickel WK, DeGrandpre RJ, eds. Drug Policy and Human Nature: Psychological Perspectives on the Prevention, Management, and Treatment of Illicit Drug Abuse. New York, NY: Plenum; 1996:127–154.
8.
go back to reference Lamb S, Greenlick MR, McCarty D. Bridging the Gap Between Practice and Research: Forging Partnerships with Community-Based Drug and Alcohol Treatment. Washington, DC: National Academy Press; 1998. Lamb S, Greenlick MR, McCarty D. Bridging the Gap Between Practice and Research: Forging Partnerships with Community-Based Drug and Alcohol Treatment. Washington, DC: National Academy Press; 1998.
9.
go back to reference Andrzejewski ME, Kirby KC, Morral AR, et al. Technology transfer through performance management: the effects of graphical feedback and positive reinforcement on drug treatment counselors’ behavior. Drug and Alcohol Dependence. 2001;63(2):179–186 doi:10.1016/S0376-8716(00)00207-6.PubMedCrossRef Andrzejewski ME, Kirby KC, Morral AR, et al. Technology transfer through performance management: the effects of graphical feedback and positive reinforcement on drug treatment counselors’ behavior. Drug and Alcohol Dependence. 2001;63(2):179–186 doi:10.​1016/​S0376-8716(00)00207-6.PubMedCrossRef
10.
go back to reference Brown BS, Flynn PM. The federal role in drug abuse technology transfer. Journal of Substance Abuse Treatment. 2002;22(4):245–59.PubMedCrossRef Brown BS, Flynn PM. The federal role in drug abuse technology transfer. Journal of Substance Abuse Treatment. 2002;22(4):245–59.PubMedCrossRef
13.
20.
go back to reference Broome KM, Flynn PM, Simpson DS. Psychiatric comorbidity measures as predictors of retention in drug abuse treatment programs. Health Services Research. 1999;34(3):791–806.PubMed Broome KM, Flynn PM, Simpson DS. Psychiatric comorbidity measures as predictors of retention in drug abuse treatment programs. Health Services Research. 1999;34(3):791–806.PubMed
22.
go back to reference Grella CE, Joshi V, Hser YI. Program variation in treatment outcomes among women in residential drug treatment. Evaluation Review. 2000;24(4):364–83.PubMedCrossRef Grella CE, Joshi V, Hser YI. Program variation in treatment outcomes among women in residential drug treatment. Evaluation Review. 2000;24(4):364–83.PubMedCrossRef
23.
24.
go back to reference McLellan AT, Grissom GR, Metzger DS, et al. Problem-Service ‘matching’ in addiction treatment: a prospective study in 4 programs. Archives of General Psychiatry. 1997;54:730–735.PubMed McLellan AT, Grissom GR, Metzger DS, et al. Problem-Service ‘matching’ in addiction treatment: a prospective study in 4 programs. Archives of General Psychiatry. 1997;54:730–735.PubMed
25.
go back to reference Hser YI, Joshi V, Maglione M, et al. Effects of program and patient characteristics on retention in drug treatment patients. Evaluation and Program Planning. 2001;24(4):331–341.CrossRef Hser YI, Joshi V, Maglione M, et al. Effects of program and patient characteristics on retention in drug treatment patients. Evaluation and Program Planning. 2001;24(4):331–341.CrossRef
27.
28.
go back to reference Friedmann PD, Alexander JA, D’Aunno TA. Organizational correlates of access to primary care and mental health services in drug abuse treatment units. Journal of Substance Abuse Treatment. 1999;93:1489–1499. Friedmann PD, Alexander JA, D’Aunno TA. Organizational correlates of access to primary care and mental health services in drug abuse treatment units. Journal of Substance Abuse Treatment. 1999;93:1489–1499.
29.
go back to reference Friedman PD, Alexander JA, Jin L, et al. On-site primary care and mental health services in outpatient drug abuse treatment units. Journal of Behavioral Health Services & Research. 1999;26(1):80–94 doi:10.1007/BF02287796.CrossRef Friedman PD, Alexander JA, Jin L, et al. On-site primary care and mental health services in outpatient drug abuse treatment units. Journal of Behavioral Health Services & Research. 1999;26(1):80–94 doi:10.​1007/​BF02287796.CrossRef
30.
go back to reference US Dept. of Health and Human Services, Substance Abuse and Mental Health Services Administration, Office of Applied Studies, Alcohol and Drug Services Study, 1996–1999: [United States][Computer File], 2ND ICPSR ed. Ann Arbor, MI: Inter-University Consortium for Political and Social Research, 2002. US Dept. of Health and Human Services, Substance Abuse and Mental Health Services Administration, Office of Applied Studies, Alcohol and Drug Services Study, 1996–1999: [United States][Computer File], 2ND ICPSR ed. Ann Arbor, MI: Inter-University Consortium for Political and Social Research, 2002.
36.
go back to reference Cappaccia VA, Cotter F, Gustafson DH, et al. Making “stone soup”: Improvements in clinic access and retention in addiction treatment. Journal on Quality and Patient Safety. 2007;(33)(2):95–103. Cappaccia VA, Cotter F, Gustafson DH, et al. Making “stone soup”: Improvements in clinic access and retention in addiction treatment. Journal on Quality and Patient Safety. 2007;(33)(2):95–103.
Metadata
Title
Program and Client Characteristics as Predictors of the Availability of Social Support Services in Community-Based Substance Abuse Treatment Programs
Authors
Peter J. Delany, PhD
Joseph J. Shields, PhD
Dana L. Roberts, MA
Publication date
01-10-2009
Publisher
Springer US
Published in
The Journal of Behavioral Health Services & Research / Issue 4/2009
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-008-9153-z

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