Brief report a comparison of three “interventions” on pretreatment dropout rates in an outpatient substance abuse clinic

Stasiewicz, Paul R.; Stalker, Robert

doi:10.1016/s0306-4603(98)00082-3

Cited by 52 publications

(43 citation statements)

References 7 publications

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“…Blaming the mother for her previous behavior will not facilitate positive behavior change. Intake appointments should be completed within the same day or no later than 2 working days after first contact to significantly reduce the attrition rate between initial contact and the intake appointment (Festinger, Lamb, Kirby, & Marlowe, 1996;Festinger, Lamb, Kountz, Kirby, & Marlowe, 1995;Festinger, Lamb, Marlowe, & Kirby, 2002;Stark, Campbell, & Brinkerhoff, 1990;Stasiewicz & Stalker, 1999).…”

Section: Assessment To Build a Therapeutic Alliancementioning

confidence: 99%

Treatment of opioid-dependent pregnant women: Clinical and research issues

Jones

Martin

Heil

et al. 2008

Journal of Substance Abuse Treatment

167

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This article addresses common questions that clinicians face when treating pregnant women with opioid dependence. Guidance, based on both research evidence and the collective clinical experience of the authors, which include investigators in the Maternal Opioid Treatment: Human Experimental Research (MOTHER) project, is provided to aid clinical decision making. The MOTHER project is a double-blind, double-dummy, flexible-dosing, parallel-group clinical trial examining the comparative safety and efficacy of methadone and buprenorphine for the treatment of opioid dependence in pregnant women and their neonates. The article begins with a discussion of appropriate assessment during pregnancy and then addresses clinical management stages including maintenance medication selection, induction, and stabilization; opioid agonist medication management before, during, and after delivery; pain management; breast-feeding; and transfer to aftercare. Lastly, other important clinical issues including managing co-occurring psychiatric disorders and medication interactions are discussed.

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Section: Assessment To Build a Therapeutic Alliancementioning

confidence: 99%

Treatment of opioid-dependent pregnant women: Clinical and research issues

Jones

Martin

Heil

et al. 2008

Journal of Substance Abuse Treatment

167

View full text Add to dashboard Cite

show abstract

“…Some useful procedures include providing personal introductions to treatment staff, arranging immediate initial intake assessments or regular clinic visits (Festinger et al, 1995;Stasiewicz & Stalker, 1999), and regular telephone reminders to sustain motivation (Gariti et al, 1995). With respect to AA, providers can introduce patients to an AA sponsor or recovery guide, address potential barriers such as lack of transportation and childcare services, and maintain contact to enhance continuing attendance (Johnson & Chappel, 1994).…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

Participation in treatment and Alcoholics Anonymous: A 16‐year follow‐up of initially untreated individuals

Moos¹,

Moos²

2006

J Clin Psychol

218

122

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This study focused on the duration of participation in professional treatment and Alcoholics Anonymous (AA) for previously untreated individuals with alcohol use disorders. These individuals were surveyed at baseline and 1 year, 3 years, 8 years, and 16 years later. Compared with individuals who remained untreated, individuals who obtained 27 weeks or more of treatment in the first year after seeking help had better 16-year alcohol-related outcomes. Similarly, individuals who participated in AA for 27 weeks or more had better 16-year outcomes. Subsequent AA involvement was also associated with better 16-year outcomes, but this was not true of subsequent treatment. Some of the association between treatment and long-term alcohol-related outcomes appears to be due to participation in AA.*

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“…Research across disciplines has consistently shown that length of time between intake and first appointment is predictive of non-engagement, the longer the wait the greater likelihood of non-engagement (Festinger, et al, 1995;Folkins, Hersch, & Dahlen, 1980;Stasiewicz & Stalker, 1999). Results are mixed regarding the effectiveness of reminder telephone calls or appointment cards as a means of increasing first session attendance (Hochstadt & Trybula, 1980;Stasiewicz & Stalker, 1999).…”

Section: Clinic Factorsmentioning

confidence: 99%

“…Results are mixed regarding the effectiveness of reminder telephone calls or appointment cards as a means of increasing first session attendance (Hochstadt & Trybula, 1980;Stasiewicz & Stalker, 1999). Unfortunately, no research regarding the impact of critical clinic variables (e.g., hours of operation, location and parking, fee, availability of public transportation, or clinic confidentiality) on clients' decision to engage in therapy could be located.…”

Section: Clinic Factorsmentioning

confidence: 99%

“Almost There”...Why Clients Fail to Engage in Family Therapy: An Exploratory Study

et al. 2006

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A great deal of clinical research has sought to describe and suggest remedies for the client dropout phenomenon. However, few studies have addressed the equally pervasive, yet often ignored, non-engagement problem. An exploratory study was conducted to understand why many clients fail to engage in family therapy services after they have completed the initial intake. The results of the study suggest that therapist gender and experience level, clinic policies regarding videotaping sessions, family concerns, and changes in the presenting problem prior to the first session, had an impact on potential clients' decision to engage in therapy. Implications and future research are discussed.

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Brief report a comparison of three “interventions” on pretreatment dropout rates in an outpatient substance abuse clinic

Cited by 52 publications

References 7 publications

Treatment of opioid-dependent pregnant women: Clinical and research issues

Treatment of opioid-dependent pregnant women: Clinical and research issues

Participation in treatment and Alcoholics Anonymous: A 16‐year follow‐up of initially untreated individuals

“Almost There”...Why Clients Fail to Engage in Family Therapy: An Exploratory Study

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