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Predicting posttreatment cocaine abstinence for first-time admissions and treatment repeaters

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  • Hser, Y.-I.
  • Joshi, V.
  • Anglin, M.D.
  • Fletcher, B.

Abstract

Objectives. This study examined client and program characteristics that predict posttreatment cocaine abstinence among cocaine abusers with different treatment histories. Methods. Cocaine abusers (n = 507) treated in 18 residential programs were interviewed at intake and 1-year follow-up as part of the nationwide Drug Abuse Treatment Outcome Study (DATOS). Program directors provided the program-level data in a mail survey. We applied the hierarchical linear modeling approach for the analysis. Results. No prior treatment and longer retention in DATOS programs were positive predictors of posttreatment abstinence. The interactive effect of these 2 variables was also significantly positive. Programs that offered legal services and included recovering staff increased their clients' likelihood of cocaine abstinence. Crack use at both the client and program level predicted negative impact. None of the program variables assessed differentially affected the outcomes of first-timers and repeaters. Conclusions: Although treatment repeaters were relatively difficult to treat, their likelihood of achieving abstinence was similar to that of first-timers if they were retained in treatment for a sufficient time. First-timers and repeaters responded similarly to the treatment program characteristics examined. The treatment and policy implications of these findings are discussed.

Suggested Citation

  • Hser, Y.-I. & Joshi, V. & Anglin, M.D. & Fletcher, B., 1999. "Predicting posttreatment cocaine abstinence for first-time admissions and treatment repeaters," American Journal of Public Health, American Public Health Association, vol. 89(5), pages 666-671.
  • Handle: RePEc:aph:ajpbhl:1999:89:5:666-671_7
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    Cited by:

    1. Hser, Yih-Ing & Huang, David & Teruya, Cheryl & Anglin, M. Douglas, 2004. "Diversity of drug abuse treatment utilization patterns and outcomes," Evaluation and Program Planning, Elsevier, vol. 27(3), pages 309-319, August.
    2. Christine E. Grella & Vandana Joshi & Yih-Ing Hser, 2000. "Program Variation in Treatment Outcomes Among Women in Residential Drug Treatment," Evaluation Review, , vol. 24(4), pages 364-383, August.
    3. Yih-Ing Hser & Douglas Longshore & M. Douglas Anglin, 2007. "The Life Course Perspective on Drug Use," Evaluation Review, , vol. 31(6), pages 515-547, December.
    4. Alexandre Laudet & Virginia Stanick & Brian Sands, 2007. "An Exploration of the Effect of On-Site 12-Step Meetings on Post-Treatment Outcomes among Polysubstance-Dependent Outpatient Clients," Evaluation Review, , vol. 31(6), pages 613-646, December.

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