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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • DeMarce, JM; Lash, SJ; Stephens, RS; Grambow, SC; Burden, JL

Published Date

  • September 2008

Published In

Volume / Issue

  • 33 / 9

Start / End Page

  • 1104 - 1112

PubMed ID

  • 18573617

International Standard Serial Number (ISSN)

  • 0306-4603

Digital Object Identifier (DOI)

  • 10.1016/j.addbeh.2008.02.008


  • eng

Conference Location

  • England