Alcohol and drug treatment involvement, 12-step attendance and abstinence: 9-year cross-lagged analysis of adults in an integrated health plan

Abstract This study explored causal relationships between post-treatment 12-step attendance and abstinence at multiple data waves and examined indirect paths leading from treatment initiation to abstinence 9-years later. Adults ( N = 1945) seeking help for alcohol or drug use disorders from integrat...

Full description

Saved in:
Bibliographic Details
Published in:Journal of substance abuse treatment 2014-04, Vol.46 (4), p.412-419
Main Authors: Witbrodt, Jane, Ph.D, Ye, Yu, M.A, Bond, Jason, Ph.D, Chi, Felicia, M.P.H, Weisner, Constance, Ph.D., M.S.W, Mertens, Jennifer, Ph.D
Format: Article
Language:English
Subjects:
12-Step attendance
Abstinence
Addictive behaviors
Adult
Adult and adolescent clinical studies
Alcohol and drug treatment
Alcoholism - rehabilitation
Ambulatory Care - organization & administration
Biological and medical sciences
Causality
Delivery of Health Care, Integrated - organization & administration
Desintoxication. Drug withdrawal
Drug abuse
Drug addiction
Drug use
Female
Follow-Up Studies
Gender differences
Health care
Health insurance
Humans
Longitudinal data
Male
Managed care
Medical sciences
Mental health care
Middle Aged
Miscellaneous
Outpatient treatment
Path model
Patient Compliance - statistics & numerical data
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
Self-Help Groups
Substance abuse treatment
Substance-Related Disorders - rehabilitation
Time Factors
Treatment Outcome
Treatments
Twelve step model
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract This study explored causal relationships between post-treatment 12-step attendance and abstinence at multiple data waves and examined indirect paths leading from treatment initiation to abstinence 9-years later. Adults ( N = 1945) seeking help for alcohol or drug use disorders from integrated healthcare organization outpatient treatment programs were followed at 1-, 5-, 7- and 9-years. Path modeling with cross-lagged partial regression coefficients was used to test causal relationships. Cross-lagged paths indicated greater 12-step attendance during years 1 and 5 and were casually related to past-30-day abstinence at years 5 and 7 respectfully, suggesting 12-step attendance leads to abstinence (but not vice versa) well into the post-treatment period. Some gender differences were found in these relationships. Three significant time-lagged, indirect paths emerged linking treatment duration to year-9 abstinence. Conclusions are discussed in the context of other studies using longitudinal designs. For outpatient clients, results reinforce the value of lengthier treatment duration and 12-step attendance in year 1.
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2013.10.015