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Selecting substance abusers for long-term treatment.

C Clemens1, M W Kahn

  • 1University of Arizona, College of Arts and Sciences, Psychology Department, Tucson 85721.

The International Journal of the Addictions
|January 1, 1990
PubMed
Summary
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This study identified key factors for selecting alcoholics for long-term treatment, finding that specific personality traits and a less severe drinking history improved selection accuracy. However, only half of those selected completed treatment, suggesting a need for improved interventions.

Area of Science:

  • Addiction research
  • Clinical psychology
  • Treatment outcomes

Background:

  • Indigent alcoholics require effective long-term treatment strategies.
  • Identifying predictors for successful treatment selection is crucial for resource allocation and patient outcomes.

Purpose of the Study:

  • To compare individuals selected for long-term alcoholism treatment with those not selected.
  • To identify demographic, personality, and drinking history variables associated with selection for long-term treatment.

Main Methods:

  • Discriminant function analysis was used to classify individuals based on selected variables.
  • The study compared selected and non-selected groups of indigent alcoholics.

Main Results:

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  • Discriminant function analysis accurately classified 84% of individuals.
  • Key selection variables included less extreme MMPI scores (psychopathic deviance, depression, dependency, hypochondriasis), higher control and ego strength, less severe alcohol history, and higher education.
  • Only 52% of selected individuals completed long-term treatment.
  • Conclusions:

    • The identified variables are consistent with those associated with treatment completion in other studies.
    • Systematic selection based on these variables may improve long-term alcoholism treatment completion rates.
    • Further research is needed to enhance treatment completion beyond initial selection.