How do treatment repeaters use the drug treatment system? An analysis of injection drug users in Massachusetts

Lundgren, Lena; Sullivan, Lisa M.; Amodeo, Maryann

doi:10.1016/j.jsat.2005.10.007

Cited by 17 publications

(14 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…But of most interest for the purposes of this paper, utilization of some services was actually greater in the year immediately following treatment discharge, compared to the prior year, but by analyzing administrative data covering the second and third years following discharge, eventual decreases indicating service utilization below the pre-admission levels were revealed. Similarly, Lundgren et al (2006)3 used administrative drug treatment data to explore service utilization patterns among 22,006 injection-drug-using treatment repeaters in Massachusetts over a 5-year period. Findings revealed variation in patterns of care, an overuse of detox only, and an underutilization of the state’s continuum-of-care model.…”

Section: Resultsmentioning

confidence: 99%

Using Administrative Data for Longitudinal Substance Abuse Research

Evans¹,

Grella²,

Murphy³

et al. 2008

J Behav Health Serv Res

View full text Add to dashboard Cite

The utilization of administrative data in substance abuse research has become more widespread than ever. This selective review synthesizes recent extant research from 31 articles to consider what has been learned from using administrative data to conduct longitudinal substance abuse research in four overlapping areas: (1) service access and utilization, (2) underrepresented populations, (3) treatment outcomes, and (4) cost analysis. Despite several notable limitations, administrative data contribute valuable information, particularly in the investigation of service system interactions and outcomes among substance abusers as they unfold and influence each other over the long term. This critical assessment of the advantages and disadvantages of using existing administrative data within a longitudinal framework should stimulate innovative thinking regarding future applications of administrative data for longitudinal substance abuse research purposes.

show abstract

Section: Resultsmentioning

confidence: 99%

Using Administrative Data for Longitudinal Substance Abuse Research

Evans¹,

Grella²,

Murphy³

et al. 2008

J Behav Health Serv Res

View full text Add to dashboard Cite

show abstract

“…For example, drug dependence is a chronic medical illness (McLellan, 2002; McLellan, Lewis, O’Brien, & Kleber, 2000), and younger participants may be in need of a more intensive level of care because they may be earlier in their drug use careers and have had fewer substance abuse treatment episodes. Individuals with SUDs often need multiple treatment episodes in order to reduce the likelihood of relapse and/or recidivism (Booth, Staton, & Leukefeld, 2001; Lundgren, Sullivan, & Amodeo, 2006; Oser et al, 2009); therefore, those who only received outpatient treatment before prison entry, but relapsed and became involved in criminal activities might need a more intensive treatment plan both during and after incarceration. A negative relationship between legal employment and drug use severity has consistently been documented in the literature (Webster, Staton-Tindall, Duvall, Garrity, & Leukefeld, 2007; Wolkstein & Spiller, 1998).…”

Section: Discussionmentioning

confidence: 99%

Inmate Prerelease Assessment (IPASS) Aftercare Placement Recommendation as a Predictor of Rural Inmate's 12-step Attendance and Treatment Entry Postrelease

Oser¹,

Biebel²,

Havens³

et al. 2009

Journal of Offender Rehabilitation

View full text Add to dashboard Cite

The purpose of this study is to use the Criminal Justice Drug Abuse Treatment Studies’ (CJ-DATS) Inmate Pre-Release Assessment (IPASS), which recommends either intensive or non-intensive treatment after release, to predict rural offenders’12-step attendance and treatment entry within 6 months of release from prison. IPASS scores indicated that 52% of rural offenders needed intensive treatment upon community re-entry. In bivariate analyses, rural offenders with an intensive aftercare placement recommendation were significantly younger, more likely to have been employed more months in the year prior to incarceration, to have ever injected drugs, and to have ever received outpatient substance abuse treatment. The variables which were significant at the bivariate level were entered into two logistic multivariate models predicting 12-step attendance and treatment entry within 6 months of being released from prison. Age and having ever injected drugs were positive predictors of having attended a 12-step meeting, while the number of months legally employed was negatively related to 12-step attendance. In the treatment entry model, age increased the odds of entering formal treatment while having ever injected a drug decreased the odds. IPASS aftercare placement recommendation was not significant in either of the multivariate models. Findings from this study suggest that offenders re-entering rural communities may receive limited community-based continued care and future studies should explore geographic-specific treatment barriers. Implications for rural substance abuse treatment are provided.

show abstract

“…Due to shifting trends in use of psychoactive drugs, high rates of medical and mental health comorbidity, the multiple factors and pathways underlying addiction and treatment resistance, the chronic relapsing nature of the disorder among some drug users, and the “natural recovery” observed for others, continued research on contextual factors associated with substance use and studies of treatment efficacy are essential for successful public health efforts to address this epidemic (Amaro, Arevalo, Gonzalez, Szapocznik, & Iguchi, 2006; Dodgen & Shea, 2000; Gorelick, 1992; Leshner, 1997; Lundgren, Amodeo, & Sullivan, 2006; Sobell, Ellingstad, & Sobell, 2002; Stahler et al, 2007). Ethical challenges along with the benefits of a national research agenda on drug use and misuse are associated with the multiple vulnerabilities of persons within these populations.…”

Section: Introductionmentioning

confidence: 99%

Addiction Research Ethics and the Belmont Principles: Do Drug Users Have a Different Moral Voice?

Fisher

2010

Substance Use & Misuse

View full text Add to dashboard Cite

This study used semi-structured interviews and content analysis to examine moral principles that street drug users apply to three hypothetical addiction research ethical dilemmas. Participants (n = 90) were ethnically diverse, economically disadvantaged drug users recruited in New York City in 2009. Participants applied a wide range of contextually sensitive moral precepts, including respect, beneficence, justice, relationality, professional obligations, rules, and pragmatic self-interest. Limitations and implications for future research and the responsible conduct of addiction research are discussed.

show abstract

How do treatment repeaters use the drug treatment system? An analysis of injection drug users in Massachusetts

Cited by 17 publications

References 30 publications

Using Administrative Data for Longitudinal Substance Abuse Research

Using Administrative Data for Longitudinal Substance Abuse Research

Inmate Prerelease Assessment (IPASS) Aftercare Placement Recommendation as a Predictor of Rural Inmate's 12-step Attendance and Treatment Entry Postrelease

Addiction Research Ethics and the Belmont Principles: Do Drug Users Have a Different Moral Voice?

Contact Info

Product

Resources

About