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The Combined Effects of Treatment Intensity, Self-Help Groups and Patient Attributes on Drinking Outcomes

S. Magura, C. Fong, G.L. Staines, C. Cleland, J. Foote, A. Rosenblum, N. Kosanke & A. DeLuca; Journal of Psychoactive Drugs; 37(1); 85-92; March 2005
Originally posted 4/16/2005:
[www.doctordeluca.com/Library/AbstinenceHR/CombinedEffectsDrinkOutcome-Deluca05.htm]

[Full text of this article not yet available - it will be, soon]

ABSTRACT

Better understanding of the diverse factors that predict alcoholism treatment outcomes is essential to improving treatment strategies.

Patients accepted for treatment at a multimodality program were interviewed and followed-up at three months and one year after admission. The study tested a set of hypotheses relating to the effects on drinking outcomes of treatment modality, modality matching, treatment retention, aftercare, self-help group participation and patient attributes at admission.

Drinking frequency diminished substantially between baseline and the two follow-ups. Outcomes for inpatient were better than for outpatient treatment in bivariate analysis, but outcomes for these modalities were equal after adjusting for the effect of patient-treatment mismatching. Aftercare treatment, time in treatment for outpatients, community 12-Step group participation, and several patient attributes such as motivation for change and psychiatric severity significantly predicted drinking outcomes at one or both follow-ups.

Clinical implications of the results are discussed.

Keywords: alcoholism treatment, ASAM criteria, treatment outcomes, 12 Steps, treatment matching 

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Alexander DeLuca, M.D., FASAM

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Originally posted:  4/16/2005

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