Evaluation of a Chemopsychotherapeutic Program for the Rehabilitation of Alcoholics. Observations over a Two-Year Period

Fox, Vernelle; Smith, Marguerite A.

doi:10.15288/qjsa.1959.20.767

Cited by 31 publications

(2 citation statements)

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“…Thus, it is possible that it is precisely the patient who drops out of treatment who would be most responsive to it in the early stages. In outpatient studies of alcoholics, treatment length has repeatedly been found to be positively related to outcome (Fox & Smith, 1959;Gerard & Saenger, 1966;Kissin, Rosenblatt, & Machover, 1968;Ritson, 1969;Thomas et al, 19S9). Nevertheless, since treatment length or intensity and prognostic factors were confounded in both the inpatient and outpatient studies (the same comment applies equally to the studies of general psychiatric outpatients), the issue of treatment length and outcome must remain an open one.…”

Section: Temporal Variables and Improvementmentioning

confidence: 99%

Dropping out of treatment: A critical review.

Baekeland

Lundwall²

1975

Psychological Bulletin

1,013

554

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After a discussion of methodological issues of the past 20 years, literature on dropping out of treatment was critically reviewed in six areas: hospital treatment of general psychiatric and tubercular patients, outpatient treatment of internal medical conditions, alcoholism, heroin addiction, general psychiatric outpatient psychotherapy, and double-blind drug studies. Fifteen factors were found to predict dropping out in 100%, 83%-88%, and 60%-75% of the relevant studies: (a) social isolation and/or unaffiliation, therapist attitudes and behavior, discrepancies between patient and therapist treatment expectations; (b) passive-aggressive behavior, family attitudes and behavior, motivation, behavioral and/or perceptual dependence, psychological mindedness and/ or -denial, symptom levels and symptom relief, socioeconomic status, sociopathic features, alcoholism and/or drug dependence; (c) age, sex, and social stability.One of the most vexing problems facing the physician, whether he is a surgeon, internist, or psychiatrist, is that far too many of those entrusted to his care, both inpatients and outpatients, drop out of treatment before they have completed it to his satisfaction. Although the question of the dropout has most often engaged the attention of psychiatrists, it also crops up from time to time in papers by internists, for whom there is no reason to believe that it is any less serious a problem. Where studied, the dropout problem has usually been in the context of treating chronic conditions that require prolonged treatment. The extent of this problem can be inferred ^rom the fact that in general psychiatric clinics, 20%-57% of the patients fail to return after the first visit (Blenkner,

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Section: Temporal Variables and Improvementmentioning

confidence: 99%

Dropping out of treatment: A critical review.

Baekeland

Lundwall²

1975

Psychological Bulletin

1,013

554

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“…It is often assumed that persons who remain longer in alcoholism programs receive more treatment and therefore experience better outcomes. Empirically, however, a longer stay in inpatient programs has been associated with (a) more positive outcome on one or more dimensions (Bowen & Androes, 1968;Davies, Shepherd, & Myers, 1956;Ferneau & Desroches, 1969;Fitzgerald, Pasewark, & Clark, 1971;Fox & Smith, 1959;Katz, 1966;McWilliams & Brown, 1977;Moore & Ramseur, 1960; Craft, Sheehan, Driggers, & DuBois, Note 1), (b) better outcome at one follow-up but not at a second follow-up (Ellis & Krupinski, 1964;Tomsovic, 1970;Williams, 1977; Wieman, Bechtel, & Sheehan, Note 2), (c) no better outcome than that from a shorter duration of treatment (Gillies et al, 1974;Gillis & Keet, 1969;Rathod, Gregory, Blows, & Thomas, 1966;Ritson, 1969;Selzer & Holloway, 1957;Vogler, Compton, & Weissbach, 1975), and (d) poorer outcome (Edwards, 1966;Rae, 1972). 2 The inconsistency in the above results may be due to a number of factors associated with the design of the studies, the nature of the treatment programs, and the characteristics of the patient populations sampled (some of which are discussed later).…”

Section: Length Of Stay and Treatment Outcomementioning

confidence: 99%

Length of stay and program component effects in the treatment of alcoholism: A comparison of two techniques for process analyses.

Finney¹,

Moos²,

Chan³

1981

Journal of Consulting and Clinical Psychology

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The effects of length of treatment and specific treatment components (therapy sessions, Alcoholics Anonymous meetings, and films and lectures on alcoholism) of three residential alcoholism programs were examined. Two statistical techniques, partial correlation and treatment-effect correlation, were compared for their estimates of treatment effects after controlling for patient background characteristics and functioning at intake. Longer periods of treatment were associated with better outcome for residents of a halfway house but not for patients at a milieu-oriented program or a Salvation Army center. Some evidence suggested that the three program components tended to have moderately beneficial effects on outcome, although the results varied in some cases, depending on whether partial or treatment-effect correlation was used in the analysis. The substantive and methodological implications of the findings are considered.

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Nonabstinent Drinking Goals in the Treatment of Alcoholism-Nonabstinent Drinking Goals in the Treatment of Alcoholism

Em¹

1976

Arch Gen Psychiatry

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Evaluation of a Chemopsychotherapeutic Program for the Rehabilitation of Alcoholics. Observations over a Two-Year Period

Cited by 31 publications

References 0 publications

Dropping out of treatment: A critical review.

Dropping out of treatment: A critical review.

Length of stay and program component effects in the treatment of alcoholism: A comparison of two techniques for process analyses.

Nonabstinent Drinking Goals in the Treatment of Alcoholism-Nonabstinent Drinking Goals in the Treatment of Alcoholism

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