Evaluation of drug dependence treatment in VA hospitals

A nationwide evaluation of 49 Veterans Administration drug dependence treatment programs was conducted using a sample of 1,655 patients. Their status with reference to seven treatment goals was assessed at admission and again 11 months later to determine change. The following changes were observed: a large decrease in heroin use; a small increase in the use of alcohol; moderate decline of involvement in the drug culture; moderate increase in psychological well-being; and small increase in economic independence. No statistically significant changes were observed in frequency of arrests, in establishment of stable living arrangements, in drug related medical problems, or in the ability to relate to other people. Implications of the findings for further research and program modification are discussed.