Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Predicting Attrition in the Treatment of Substance Use Disorders

Robert Sky Allen1* and Bradley D Olson2

1Regional Mental Health Center, Indianapolis Boulevard, East Chicago, Indiana, USA

2Community Psychology Program of National Louis University, Chicago, Illinois, USA

Corresponding Author:
Robert Sky Allen, Ph.D.
3903 Indianapolis Boulevard
East Chicago, IN 46312
Tel: 219 201 7613
Fax: 219 392 6998
E-mail: skyallen@comcast.net

Received date: June 25, 2015; Accepted date: July 30, 2015; Published date: August 06, 2015

Citation: Allen RS, Olson BD (2015) Predicting Attrition in the Treatment of Substance Use Disorders. J Addict Res Ther 6:238. doi:10.4172/2155-6105.1000238

Copyright: © 2015 Allen RS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Objective: The purpose of this study was to examine the problem of attrition in the treatment of substance use disorders. The authors analyzed the retention rates of 191 participants who were assigned to an episode of substance abuse treatment. Two types of attrition, the first due to participants withdrawing prematurely from treatment and the second due to participants failing to complete a posttest survey, were investigated. Relationships were found between severity of the substance use disorder and a tendency to withdraw prematurely from treatment. Though the study is far from perfect, the authors strongly believe that it confirms the importance of a rigorous alliance between therapist and client, especially for those likely to disengage early.

Method: Participants provided a self-report assessment of their substance use patterns on a pretest survey, and also received a clinical assessment of psychosocial functioning. The scores from these two instruments were used to calculate an index quantifying the severity of substance use disorders. When scale data began to suggest that the severity of the disorder correlated with retention rates, the authors conducted more complex statistical analyses to determine which elements of the participants' profile were most likely to predict attrition.

Results: A significant finding of the study is that attrition can be predicted with some certainty. When the probability of premature disengagement is predicted, decisions can be made to direct participants to supportive environments that foster therapeutic alliance and increase readiness for treatment. In spite of being a reliable predictor of attrition, however, these variables explained only about 27% of variance in therapy outcomes.

Conclusion: Recommendations for future research are made, including the need to highlight the importance of contextual factors, such as therapeutic alliance and motivational interviewing, on client retention. Future research could identify new predictors, and raise questions about others. Prospective studies should be theory-driven, should utilize measures of known reliability and validity, and should employ statistical methods appropriate to the hypothesis or theory under investigation.

Keywords

Google Scholar citation report
Citations : 4859

Journal of Addiction Research & Therapy received 4859 citations as per Google Scholar report

Journal of Addiction Research & Therapy peer review process verified at publons
Indexed In
  • CAS Source Index (CASSI)
  • Index Copernicus
  • Google Scholar
  • Sherpa Romeo
  • Open J Gate
  • Genamics JournalSeek
  • Academic Keys
  • JournalTOCs
  • SafetyLit
  • China National Knowledge Infrastructure (CNKI)
  • Electronic Journals Library
  • RefSeek
  • Hamdard University
  • EBSCO A-Z
  • OCLC- WorldCat
  • SWB online catalog
  • Virtual Library of Biology (vifabio)
  • Publons
  • Geneva Foundation for Medical Education and Research
  • Euro Pub
  • ICMJE
Share This Page
Top