Abstract/Details

Client characteristics and treatment retention in an outpatient drug -free chemical dependency program


2009 2009

Other formats: Order a copy

Abstract (summary)

Substance abuse and dependence have detrimental effects at both micro and macro societal levels. Even so, these disorders appear to be amenable to treatment and persons who receive treatment for such problems generally achieve positive outcomes. However, reported substance abuse treatment dropout rates have varied greatly and no consistent “treatment dropout” profile has been detected. This study aimed to describe the characteristics of clients entering an intensive outpatient chemical dependency treatment program and to examine how these variables differed between clients who were retained in treatment to completion and clients who dropped out of treatment prematurely. Additionally, it explored whether meaningful subgroups of this sample could be identified. Results indicated that age, marital status, income, psychological comorbidity, substance(s) of use, and extent of substance use were related to treatment retention. Cluster analysis findings delineated four subgroups of clients based on age, negative consequences related to substance use, and ASI composite scores across medical, employment, alcohol and drug, legal, social, and psychiatric domains. Identified subgroups appeared to vary along two broad dimensions: degree of functional impairment and type(s) of substance use. Results are compared and contrasted with the existing substance abuse treatment literature. Study limitations are discussed, along with implications regarding theory building, assessment, and treatment interventions. Future investigations at the individual program level are recommended to guide the design, implementation, and evaluation of clinically-relevant and empirically-driven assessment procedures and treatment interventions to enhance substance abuse treatment retention and outcomes within a particular program.

Indexing (details)


Subject
Clinical psychology
Classification
0622: Clinical psychology
Identifier / keyword
Psychology; Chemical dependency; Cluster analysis; Outpatient treatment; Subgroups of substance users; Substance abuse; Treatment dropout; Treatment retention
Title
Client characteristics and treatment retention in an outpatient drug -free chemical dependency program
Author
Thull, Jessica A.
Number of pages
249
Publication year
2009
Degree date
2009
School code
0116
Source
DAI-B 70/07, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
ISBN
9781109247602
Advisor
Campbell, Todd C.
Committee member
Brondino, Michael; Melchert, Timothy
University/institution
Marquette University
Department
Counseling Psychology
University location
United States -- Wisconsin
Degree
Ph.D.
Source type
Dissertations & Theses
Language
English
Document type
Dissertation/Thesis
Dissertation/thesis number
3360206
ProQuest document ID
304923769
Copyright
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
http://search.proquest.com/docview/304923769
Access the complete full text

You can get the full text of this document if it is part of your institution's ProQuest subscription.

Try one of the following:

  • Connect to ProQuest through your library network and search for the document from there.
  • Request the document from your library.
  • Go to the ProQuest login page and enter a ProQuest or My Research username / password.