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Services Research Outcomes Study: Explanation of Treatment Effectiveness, Using Individual-Level and Programmatic Variables

NCJ Number
186805
Journal
Substance Use and Misuse: An International Interdisciplinary Forum Volume: 35 Issue: 12-14 Dated: 2000 Pages: 1879-1910
Author(s)
Sam Schildhaus Ph.D.; Dean Gerstein Ph.D.; Bernard Dugoni Ph.D.; Angela Brittingham M.A.; Felicia Cerbone M.A.
Date Published
2000
Length
32 pages
Annotation
This article examines the explanatory power of programmatic and individual-level variables associated with substance abuse treatment, using the first nationally representative sample of both treatment facilities and clients (Services Research Outcomes Study).
Abstract
Among the 99 facilities that participated in the study, a substantial degree of organizational change had occurred, as reported in facility director interviews completed in 1994. Multivariate statistical models accounted for almost half the variance in post-treatment heroin use, marijuana use, and any illicit drug use as well as about one-third the variance in crime. Use of any illicit drug during treatment, even after controlling for pretreatment use, was predictive of every type of drug use after treatment and three of the four major crimes analyzed. In addition, longer lengths of stay decreased the likelihood of alcohol/illicit drug use and criminal behavior after treatment; however, treatment variables added little explanatory power beyond the sociodemographic and pretreatment variables. Even after levels of pretreatment use were controlled for, males and younger clients were more likely to use alcohol and marijuana after treatment; blacks were more likely to use crack; and Hispanics were less likely to drink alcohol. Furthermore, even after criminality before treatment was controlled for, males were more likely than females to sell drugs and commit burglaries after treatment; whereas, females were more likely than males to engage in prostitution/procurement after treatment. 16 tables and 1 note