<1>
[Use Link to view the full text]
Unique Identifier 97279673
Authors: Sterling RC. Gottheil E. Glassman SD. Weinstein SP. Serota RD.
Institution: Department of Psychiatry and Human Behavior, Jefferson Medical College, Philadelphia, PA 19146, USA.
Title: Patient treatment choice and compliance. Data from a substance abuse treatment program.
Source: American Journal on Addictions. 6(2)168-76, 1997 Spring.
Abstract: The authors tested the hypothesis that patients (treatment-seeking cocaine-dependent persons) given the opportunity to choose between treatment approaches would do better than patients randomly assigned to the same approaches in treatment retention and 9-month outcome. Subjects were 34 patients who voluntarily chose to enter individual therapy 1 hour per week (IND) and 33 who chose intensive group therapy for 3 hours, 3 times weekly (INT). There were no significant differences between these two groups on demographic, personality, or addiction severity variables or in treatment retention or 9-month outcome. Comparison with samples of 30 patients who had been randomly assigned to IND and 30 to INT did not confirm the hypothesis that patients who chose their treatment would either remain in treatment for longer periods of time or manifest improved 9-month outcomes. The authors raise several motivational issues.

<2>
[Use Link to view the full text]
Unique Identifier 94157519
Authors: Alterman AI. O'Brien CP. McLellan AT. August DS. Snider EC. Droba M. Cornish JW. Hall CP. Raphaelson AH. Schrade FX.
Institution: Veterans Affairs Penn Addiction Research Center, Philadelphia, Pennsylvania.
Title: Effectiveness and costs of inpatient versus day hospital cocaine rehabilitation.
Source: Journal of Nervous & Mental Disease. 182(3)157-63, 1994 Mar.
Abstract: We compared the effectiveness and costs of day hospital (DH) versus inpatient (INP) rehabilitation for cocaine dependence. The research subjects were 111 inner city, lower socioeconomic, primarily African-American male veterans who qualified for a diagnosis of cocaine dependence and presented no acute medical or psychiatric conditions requiring inpatient treatment. Fifty-six men were randomly assigned to 1 month of DH rehabilitation (27 hours of weekday treatment weekly), and 55 were assigned to 1-month INP rehabilitation (48 hours of scheduled treatment weekly). Treatment outcome was evaluated 7 months after admission into treatment (92% of the subjects), and a cost analysis was performed. A significantly greater proportion of INP subjects (89.1%) completed treatment than did DH subjects (53.6%). Significant improvements in substance use, psychosocial functioning, and health status were found 7 months postadmission for both groups, but there was little evidence of differential improvement between groups. Urine toxicology findings were consistent with the self-report data in showing improvement from baseline, but no group differences in cocaine use. The groups did not differ significantly in post-rehabilitation aftercare participation or in relapse to additional treatment. DH treatment costs were 40% to 60% of INP treatment costs, depending upon the measure used.

[litsrch98/footer_generic.html]