Patterns of Drop-Outs from a Methadone Program for Narcotic Addicts

Rosenberg, Chaim M.; Davidson, Gerald E.; Patch, Vernon D.

doi:10.3109/10826087209028096

Cited by 15 publications

(7 citation statements)

References 5 publications

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“…Sex was not found to be associated with compliance in the majority of studies reviewed by Baekeland & Lundwall (1975). Low socio-economic status is a recognized corollary of poor compliance in alcoholism (Pisani & Motansky, 1970) and drug addiction (Rosenberg et al 1972) and similar findings have been recorded with regard to compliance with neuroleptic medication (Winkelman, 1964). Baekeland & Lundwall (1975) concluded that less socially stable patients were more likely to drop out of treatment and this view is supported by the work of Altman et al (1972 a) who found that psychiatric in-patients who were single and not earning a salary were more likely to, in the authors' words, 'elope'.…”

Section: Introductionmentioning

confidence: 90%

A two-year prospective study of treatment compliance in patients with schizophrenia

1992

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SYNOPSIS The study is a prospective investigation of the factors associated with treatment compliance in 61 patients discharged from hospital with a ward diagnosis of schizophrenia. All cases were classified using reliable diagnostic criteria and all were followed up for two years. Compliance was assessed by inspection of records and by analysis of urine. Sociodemographic factors and illness variables were unrelated to compliance. Some aspects of a patient's insight and attitude, namely, a belief that medication had helped during the admission, a stated willingness to take treatment after discharge and a generally optimistic outlook, were associated with improved compliance. Other variables which showed such an association were the absence of the drug sideeffect akinesia, good previous compliance and voluntary, as opposed to compulsory, admission to hospital.

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Section: Introductionmentioning

confidence: 90%

A two-year prospective study of treatment compliance in patients with schizophrenia

1992

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“…A feature that addiction treatment programs seem to share with all other forms of treatment is their high initial dropout rate. Over 50% of the patients applying for admission to methadone maintenance programs (Ottomanelli, 1973;Rosenberg, Davidson, & Patch, 1972) and 30% of the patients in a cyclazocine program (Kissin, Ottomanelli, Sang, & Halloran, 1973) dropped out during an initial orientation period before they were admitted for detoxification. Initial dropout rates are also highest in the early phases of treatment per se.…”

Section: Heroin Addictionmentioning

confidence: 99%

“…Despite methodological differences, eight variables were associated with dropping out of methadone maintenance programs in a majority of the studies that took them into account: age (Brown et al, 1972;Quatrone, 1973;Sells, Chatham, & Joe, 1972;, pretreatment employment status (Babst et al, 1971;Perkins, 1970;Perkins & Bloch, 1971;Rosenberg et al, 1972), education (Brown et al, 1972;Cusky et al, 1971;Quatrone, 1973;Sells, Chatham, & Joe, 1972), marital status (Babst et al, 1971;Brown et al, 1972;Perkins, 1970;Perkins & Bloch, 1971;, prior arrest record (Babst et al, 1971;Brown et al, 1972;Perkins, 1970;Perkins & Bloch, 1971;Quatrone, 1973), multiple drug abuse (Babst et al, 1971;Cusky et al, 1971;Sells, Chatham, & Joe, 1972;, dosage of methadone used (Brown et al, 1972;Goldstein & Judson, 1973;Perkins & Bloch, 1971;Rosenberg et al, 1972), and having made fewer previous treatment attempts (Brown et al, 1972;. Other variables that have been implicated include juvenile delinquency (Sells, Person, & Joe, 1972) and residential mobility (Sells, Chatham, & Joe, 1972), and various studies disagree about the prognostic value of whether a patient is involuntarily admitted to a program (Brown et al, 1972;Wieland &Novack, 1973).…”

Section: Heroin Addictionmentioning

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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“…More comprehensive community programs include education and practical components such as providing tutoring, or resume writing (Clark, 1980;Cohen, Kulik & Kulik, 1982;Johnson, 1975;Powell et al, 1999). Despite some shown efficacy of these programs, high rates of drop-out exist in community interventions, particularly in the initial three months (Rosenberg, Davidson, & Patch, 1972;Rahav, Nuttbrock, Rivera, & Ng-Mak, 1997;Stein, Hyde, & Monopolis, 1991). Adults have higher retention rates in treatment than adolescents; approximately, they are twice as likely to remain in treatment (Pompi & Resnick, 1987).…”

mentioning

confidence: 97%

Mentoring Improves Acceptance of a Community Intervention For Court-Referred Male Persons in Need of Supervision (PINS)

Gur

Miller

2004

Child Adolesc Soc Work J

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Despite excellent community-based interventions for court-referred adolescent boys, low rates of retention in the initial phase of treatment often lower overall effectiveness. This study assessed the contribution of mentoring towards improving compliance with a community-based intervention for court-referred adolescent male Persons in Need of Supervision (PINS). Charts on 79 court-referred adolescent boys (mean age ¼ 14.28; SD ¼ 1.37) admitted to a community based intervention in a large metropolitan area were systematically reviewed for patterns of service utilization (mentoring and group treatment), familial history, and substance use and psychopathology. Male adolescent PINS who utilized mentoring were ten times more likely to remain in the community-based intervention during the initial 6 months. Following the initial 6 months period, utilization of group treatment, but not mentoring, was associated with retention in the community-based intervention and positive outcome. Community-based intervention for court-referred adolescents might include mentoring during the initial 6 months of treatment to improve compliance.

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Patterns of Drop-Outs from a Methadone Program for Narcotic Addicts

Cited by 15 publications

References 5 publications

A two-year prospective study of treatment compliance in patients with schizophrenia

A two-year prospective study of treatment compliance in patients with schizophrenia

Dropping out of treatment: A critical review.

Mentoring Improves Acceptance of a Community Intervention For Court-Referred Male Persons in Need of Supervision (PINS)

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