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Promoting continuing care adherence among substance abusers with co-occurring psychiatric disorders following residential treatment.

Publication ,  Journal Article
DeMarce, JM; Lash, SJ; Stephens, RS; Grambow, SC; Burden, JL
Published in: Addict Behav
September 2008

Epidemiological data from treatment and community samples of individuals with substance use disorders indicate that the rates of co-occurring psychiatric disorders are high and that these disorders are associated with poor treatment adherence and outcomes. A growing body of research indicates that continuing care adherence interventions positively impact treatment outcome. However, it is unclear whether these interventions are effective for individuals with co-occurring psychiatric disorders. This paper explores this question with data from 150 participants who were randomized to receive a behavioral continuing care adherence intervention involving contracting, prompting and reinforcing attendance (CPR), or standard treatment. Fifty-one percent of the participants had one or more co-occurring Axis I or Axis II psychiatric disorders in addition to a SUD diagnosis. Among individuals with co-occurring disorders, those who received the CPR intervention show increased duration of treatment and improved 1-year abstinence rates compared to those who received STX. Additionally, effects of the CPR intervention were generally more pronounced among persons with co-occurring Axis I and/or Axis II disorders than those without these disorders. Treatment implications are discussed.

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Published In

Addict Behav

DOI

ISSN

0306-4603

Publication Date

September 2008

Volume

33

Issue

9

Start / End Page

1104 / 1112

Location

England

Related Subject Headings

  • Substance-Related Disorders
  • Substance Abuse Treatment Centers
  • Substance Abuse
  • Residential Treatment
  • Patient Compliance
  • Mental Disorders
  • Male
  • Humans
  • Female
  • Diagnosis, Dual (Psychiatry)
 

Citation

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DeMarce, J. M., Lash, S. J., Stephens, R. S., Grambow, S. C., & Burden, J. L. (2008). Promoting continuing care adherence among substance abusers with co-occurring psychiatric disorders following residential treatment. Addict Behav, 33(9), 1104–1112. https://doi.org/10.1016/j.addbeh.2008.02.008
DeMarce, Josephine M., Steven J. Lash, Robert S. Stephens, Steven C. Grambow, and Jennifer L. Burden. “Promoting continuing care adherence among substance abusers with co-occurring psychiatric disorders following residential treatment.Addict Behav 33, no. 9 (September 2008): 1104–12. https://doi.org/10.1016/j.addbeh.2008.02.008.
DeMarce JM, Lash SJ, Stephens RS, Grambow SC, Burden JL. Promoting continuing care adherence among substance abusers with co-occurring psychiatric disorders following residential treatment. Addict Behav. 2008 Sep;33(9):1104–12.
DeMarce, Josephine M., et al. “Promoting continuing care adherence among substance abusers with co-occurring psychiatric disorders following residential treatment.Addict Behav, vol. 33, no. 9, Sept. 2008, pp. 1104–12. Pubmed, doi:10.1016/j.addbeh.2008.02.008.
DeMarce JM, Lash SJ, Stephens RS, Grambow SC, Burden JL. Promoting continuing care adherence among substance abusers with co-occurring psychiatric disorders following residential treatment. Addict Behav. 2008 Sep;33(9):1104–1112.
Journal cover image

Published In

Addict Behav

DOI

ISSN

0306-4603

Publication Date

September 2008

Volume

33

Issue

9

Start / End Page

1104 / 1112

Location

England

Related Subject Headings

  • Substance-Related Disorders
  • Substance Abuse Treatment Centers
  • Substance Abuse
  • Residential Treatment
  • Patient Compliance
  • Mental Disorders
  • Male
  • Humans
  • Female
  • Diagnosis, Dual (Psychiatry)