NCJ Number
196444
Journal
Adolescent & Family Health Volume: 2 Issue: 3 Dated: 2001 Pages: 132-140
Date Published
2001
Length
9 pages
Annotation
This article describes the impact of case management on substance-abuse-treatment clients' perceptions of family relationships, parental attitudes, and perceptions of partner abuse up to 12 months after treatment in the Iowa Case Management Project (ICMP) for Rural Drug Abuse.
Abstract
ICMP was a randomized clinical trial that used a longitudinal design. Clients were recruited from the residential treatment program of a rural Midwestern substance abuse treatment agency and were randomly assigned to one of three experimental case management conditions or to a control group. The study assessed the impact of an innovative strengths-based approach to case management on perceptions of family relationships, parental attitudes, and partner abuse. In this approach, clients were encouraged to draw on strengths realized in previous positive experiences to work toward goals. Study findings show that case management had an impact on family relationships and parental attitudes, but not on perceptions of partner abuse. The impact of case management was strongest 6 months after treatment initiation, but was not evident 12 months after treatment. Analysis of subgroups revealed that the impact of case management on family relationships was better for persons over 30 years old than under 30, and the impact of case management on parental attitudes was better for persons who were employed rather than unemployed. The location of the case manager or the use of a telecommunication system did not alter the effectiveness of case management. Targeted interventions may be required to influence outcomes for various groups. 37 references