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Related Experiment Videos

Patient and program factors in obtaining supportive services in DATOS.

Bennett W Fletcher1, Kirk M Broome, Peter J Delany

  • 1National Institute on Drug Abuse National Institutes of Health, 6001 Executive Boulevard, Room 5159, Bethesda, MD 20892, USA. bennet_fletcher@nih.gov

Journal of Substance Abuse Treatment
|December 13, 2003
PubMed
Summary
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Patients in drug abuse treatment received few supportive services, especially early on. Female patients and those with higher problem severity were more likely to receive services.

Area of Science:

  • Addiction research
  • Health services research
  • Psychology

Background:

  • Access to supportive services is crucial for successful drug abuse treatment outcomes.
  • Understanding factors influencing service receipt can optimize patient care.
  • The Drug Abuse Treatment Outcome Studies (DATOS) provide a rich dataset for examining treatment processes.

Purpose of the Study:

  • To identify patient- and program-level factors associated with receiving scheduled supportive services.
  • To compare service receipt across different modalities: long-term residential (LTR), outpatient methadone treatment (OMT), and outpatient drug-free programs.
  • To analyze service utilization within the first three months of treatment.

Main Methods:

  • Hierarchical regression analysis was employed using data from 2,932 patients across 73 programs.

Related Experiment Videos

  • Patient-level factors (e.g., gender, problem severity) and program-level factors were examined.
  • Supportive services were categorized into seven types: medical, psychological, family, legal, educational, vocational, and financial.
  • Main Results:

    • Long-term residential (LTR) patients received more services than outpatient (OMT) patients.
    • Overall service utilization was low during the initial three months of treatment.
    • Patient factors associated with higher service receipt included being female and higher problem severity at intake.
    • Program-level finding: Outpatient clients with higher problem severity received more services in programs with less troubled peers.

    Conclusions:

    • Patient characteristics, particularly gender and problem severity, significantly influence supportive service receipt in drug abuse treatment.
    • Treatment modality impacts the quantity of services received, with residential programs offering more.
    • There is a critical need to improve early access to supportive services for all patients in drug abuse treatment programs.