Showing papers in "Journal of Substance Abuse Treatment in 1997"

TL;DR: In this article, an integrative model representing treatment dynamics was tested for explaining long-term program retention, based on a multisite sample of 527 daily opioid users who remained in methadone maintenance a minimum of 3 months.

TL;DR: Key findings include high resistance to entering treatment by many drug users, late development of treatment careers relative to addiction and criminal careers, short durations of most treatment episodes, cumulative and facilitative effects of treatment experiences, and beneficial effects of matching clients to treatment.

TL;DR: Treatment with naltrexone and brief drug counseling can be integrated into the Federal Probation/Parole system with favorable results on both opioid use and re-arrest rates.

TL;DR: This qualitative study explored the barriers to formal treatment seeking among women who self-managed change in their alcohol and other drug dependence and identified social stigma and labelling.

TL;DR: This paper presents a structured and scientifically-based instrument for estimating the economic cost of treatment services and discusses the DATCAP User's Manual, which will enable individual programs to begin collecting the necessary data and estimating economic costs at their own clinics.

TL;DR: Results indicate that female inmates more frequently experienced employment problems, had lower incomes, more frequently reported cocaine as the primary drug of choice, and were more likely to report depression, anxiety, suicidal behavior, and a history of physical and sexual abuse.

TL;DR: Findings suggest that nicotine dependence is more severe in those with a history of alcohol dependence and as a result, alcoholics may experience greater discomfort from nicotine withdrawal upon smoking cessation.

TL;DR: The findings from a longitudinal study of 330 subjects participating in 26 outpatient treatment programs indicate that there is a complex connection between abuse, psychopathology, treatment participation, and relapse.

TL;DR: The rationales for these three clinical approaches to addressing concerns about weight gain-more effective weight control, direct reduction in weight concerns by cognitive-behavioral treatment, and smoking cessation only-are presented, followed by descriptions of the adjunct treatments based on these approaches currently being evaluated in a clinical outcome study with women trying to quit smoking.

TL;DR: Pregnant and parenting chemically-dependent women in two urban residential treatment programs in Massachusetts made dramatic improvements in self-esteem and experienced significant gains in parenting knowledge and attitudes.

TL;DR: The development and validation of the College Alcohol Problem Scale (CAPS) for measuring different psychosocial dimensions of problem drinking in college students is described and implications for using the CAPS for identifying potential drinking problems in young persons are emphasized.

TL;DR: Participation in treatment is as important a predictor of outcomes at discharge from CRFs as are patient characteristics at intake to treatment, and suggestions are made about how providers can enhance patients' motivation to participate and remain in treatment.

TL;DR: This cognitive-behavioral treatment teaches the concerned significant other how to use behavioral principles to reduce the loved one's drinking and to encourage the drinker to seek treatment.

TL;DR: Naltrexone in the setting of a structured program is helpful in the treatment and professional reinstatement of opioid abusing health professionals.

TL;DR: Findings indicate that supportive housing can play an important role in preventing dropout for perinatal substance abusers and pregnancy may present a "window" of opportunity for treating a hard to reach population, drug abusing women with comorbid ASP.

TL;DR: A method, the Albany-Rochester Interventional Sequence for Engagement (ARISE), is described for engaging highly ambivalent alcohol- and/or drug-dependent individuals in treatment to maximize the probability of patient recruitment, while minimizing the amount of time and energy required of staff.

TL;DR: Findings support that psychoeducation treatment is producing positive treatment effects and further research is needed to assess the incremental benefit of using visualization as an adjunct to psycho education treatment.

TL;DR: Results show that a substantial proportion of alcohol- and drug-dependent patients entering inpatient treatment are willing to attempt alcohol and illicit drug cessation and tobacco cessation simultaneously and that transdermal nicotine holds promise as a treatment modality in this population.

TL;DR: This work identified, for four modalities, LOS categories such that program completion rates were relatively constant within category and differed among categories, and validated the cutoffs by showing that future utilization over a 2-year period by clients differed by category.

TL;DR: The results clearly suggest that schizophrenic patients report cocaine-induced euphoria and post-use craving despite being treated with therapeutic doses of haloperidol or fluphenazine and blockade of D2 receptors is not sufficient to block cocaine- induced subjective effects in humans.

TL;DR: The training was effective in teaching autogenic relaxation as demonstrated by increased fingertip temperature for the treatment group posttraining, while no differences were observed for the control group.

TL;DR: Findings regarding treatment and social service utilization suggest that there may not be any attempt to match service provision with patient needs for services, and a more rational approach to matching patient needs and available services is called for.

TL;DR: It is demonstrated that most methadone patients have drug-free support people who are willing to participate in their treatment and these individuals can be utilized to help patients initiate the process of building new drug- free social support networks.

TL;DR: Treatment professionals are urged to screen for pathological gambling when treating other addictions, as this growing cormorbid addiction can compound problems when undetected.

TL;DR: Urinalysis tests for opiates and cocaine were obtained over a 12-month period for a total of 155 long-term clients who participated in treatment in one of three urban methadone centers and revealed that mapping clients had significantly fewer opiate- positive UAs during months 2-6 of treatment and session attendance was a significant predictor of cocaine-positive UAs over months2-12 for mapping clients.

TL;DR: There were no functioning or symptom outcome differences across the three treatment groups, but the 12-step group had the highest intensive and supportive service costs over time, and also the greatest reductions in intensive service costs after 6 months.

TL;DR: Under the broad umbrella of harm minimisation, the Australian National Drug Strategy has emphasised the development of services aimed at reducing hazardous alcohol consumption in problem drinkers thereby shifting the focus of treatment from abstinence to moderation goals.

TL;DR: Shotgunning is a frequent drug smoking practice with the potential to transmit respiratory pathogens, underscoring the need for education of drug users about the risks of specific drug use practices, and the ongoing need for TB control among active drug users.

TL;DR: Co-dependency is a reliable social construction that substance-abuse counselors use to describe persons of both genders, and it is suggested that the concept is gender-biased, denigrates women, and blames innocent victims of substance abuse.

TL;DR: The societal implications of substance abuse by pregnant women and women of child-bearing age and their treatment needs are discussed and a treatment model for pregnant women is provided, using the Southcentral Foundation-Dena A Coy Residential Treatment Program as a model program.