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Attrition from an evening alcohol rehabilitation program

R F Schilling1, C Sachs

  • 1School of Social Work, Columbia University, New York, New York 10025.

The American Journal of Drug and Alcohol Abuse
|January 1, 1993
PubMed
Summary
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Women and alcohol-only users showed higher graduation rates in outpatient alcohol treatment programs. Self-initiated clients, however, left treatment sooner, highlighting key factors in chemical dependency recovery.

Area of Science:

  • Addiction Medicine
  • Public Health
  • Psychology

Background:

  • Growing interest in cost-effective outpatient treatment for chemical dependency.
  • Need to understand factors influencing treatment success in alcohol programs.

Purpose of the Study:

  • To examine graduation and attrition rates in an evening outpatient alcohol treatment program.
  • To investigate gender effects, program level progression, and client characteristics (substance use, referral source) on treatment outcomes.

Main Methods:

  • Retrospective analysis of medical records for 107 patients.
  • Data collected from an existing agency database.
  • Comparison of outcomes based on gender, substance use (alcohol-only vs. polysubstance), and client initiation (self-referred vs. other-referred).

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Main Results:

  • 27 out of 103 patients (26.2%) graduated.
  • Women had higher graduation rates and longer program retention than men.
  • Alcohol-only users graduated at higher rates than polysubstance users.
  • No significant difference in graduation rates between self-initiated and referred clients, but self-initiated clients dropped out faster.

Conclusions:

  • Outpatient alcohol treatment shows potential for cost savings and efficacy.
  • Gender and primary substance use are significant predictors of treatment success.
  • Client motivation and referral source may influence treatment duration and completion.