Predictors of Residential Treatment Retention among Individuals with Co-Occurring Substance Abuse and Mental Health Disorders

A significant number of individuals with co-occurring substance abuse and mental health disorders do not engage, stay, and/or complete residential treatment. The purpose of this study is to identify factors during the initial phase of treatment which predict retention in private residential treatmen...

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Bibliographic Details
Published in:Journal of psychoactive drugs 2013-04, Vol.45 (2), p.122-131
Main Authors: Choi, Sam, Adams, Susie M., MacMaster, Samuel A., Seiters, John
Format: Article
Language:English
Subjects:
Adult
Age Factors
co-occurring substance abuse and mental disorders
Comorbidity
Drug abuse
Female
Health Behavior
Health Knowledge, Attitudes, Practice
Humans
Length of Stay
Logistic Models
Male
Mental disorders
Mental Disorders - diagnosis
Mental Disorders - epidemiology
Mental Disorders - psychology
Middle Aged
Multivariate Analysis
Odds Ratio
Patient Acceptance of Health Care - statistics & numerical data
Patient Dropouts - psychology
Patient Dropouts - statistics & numerical data
predictors
Private Practice
Residential Facilities - statistics & numerical data
residential treatment
Retention
Risk Assessment
Risk Factors
Severity of Illness Index
Sex Factors
Socioeconomic Factors
Substance abuse treatment
Substance Abuse Treatment Centers - statistics & numerical data
Substance-Related Disorders - diagnosis
Substance-Related Disorders - epidemiology
Substance-Related Disorders - psychology
Substance-Related Disorders - rehabilitation
Time Factors
Treatment Outcome
United States
Young Adult
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Summary:A significant number of individuals with co-occurring substance abuse and mental health disorders do not engage, stay, and/or complete residential treatment. The purpose of this study is to identify factors during the initial phase of treatment which predict retention in private residential treatment for individuals with co-occurring substance use and mental health disorders. The participants were 1,317 individuals with co-occurring substance abuse and mental health disorders receiving treatment at three residential treatment centers located in Memphis, TN, Malibu, CA, and Palm Springs, CA. Bivariate analysis and logistic regression were utilized to identify factors that predict treatment retention at 30 days. The findings indicate a variety of factors including age, gender, types of drug, Addiction Severity Index Medical and Psychiatric scores, and readiness to change. These identified factors could be incorporated into pretreatment assessments, so that programs can initiate preventive measures to decrease attrition and improve treatment outcomes.
ISSN:0279-1072
2159-9777
DOI:10.1080/02791072.2013.785817