African-American crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention.
Journal Article (Journal Article)
Background
Individual and sociocultural factors may pose significant barriers for drug abusers seeking treatment, particularly for African-American crack cocaine abusers. However, there is evidence that pretreatment interventions may reduce treatment initiation barriers. This study examined the effects of a pretreatment intervention designed to enhance treatment motivation, decrease crack use, and prepare crack abusers for treatment entry.Methods
Using street outreach, 443 African-American crack users were recruited in North Carolina and randomly assigned to either the pretreatment intervention or control group.Results
At 3-month follow-up, both groups significantly reduced their crack use but the intervention group participants were more likely to have initiated treatment.Conclusion
The intervention helped motivate change but structural barriers to treatment remained keeping actual admissions low. Policy makers may be interested in these pretreatment sites as an alternative to treatment for short term outcomes.Full Text
Duke Authors
Cited Authors
- Wechsberg, WM; Zule, WA; Riehman, KS; Luseno, WK; Lam, WKK
Published Date
- March 29, 2007
Published In
Volume / Issue
- 2 /
Start / End Page
- 10 -
PubMed ID
- 17394653
Pubmed Central ID
- PMC1847815
Electronic International Standard Serial Number (EISSN)
- 1747-597X
International Standard Serial Number (ISSN)
- 1747-597X
Digital Object Identifier (DOI)
- 10.1186/1747-597x-2-10
Language
- eng