Schaub, Michael, Stevens, Alex, Haug, Severin, Berto, Daniele, Hunt, Neil, Kerschl, Viktoria, McSweeney, Tim, Oeuvray, Kerrie, Puppo, Irene, Santa Maria, Alberto, and others. (2011) Predictors of retention in the 'voluntary' and 'quasi-compulsory' treatment of substance dependence in Europe. European Addiction Research, 17 (2). pp. 97-105. ISSN 1022-6877. (doi:10.1159/000322574) (KAR id:29908)
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Official URL: http://dx.doi.org/10.1159/000322574 |
Abstract
Background Policies and practices related to the quasi-compulsory treatment (QCT) of
substance-dependent offenders are currently implemented in many countries, despite the
absence of reliable knowledge about significant predictors of treatment retention. This study
aimed to identify such predictors in QCT and voluntary treatment.
Methods Participants were treated in one of 65 institutions in 5 European countries. They
were interviewed at intake on substance use, committed crimes, perceived pressure for
treatment, self-efficacy, stage of change, employment, and health-related variables. Binary
logistic regression models were computed to identify predictors of treatment retention at an
18-month follow-up. Moderator analyses were computed to investigate whether these
predictors vary by treatment condition (quasi-compulsory vs. voluntary).
Results A higher number of working days in the previous month was positively associated
with treatment retention, while use of heroin, crack, and multiple drugs, psychiatric problems
in the previous month, and lifetime depression were negatively associated with treatment
retention. Higher perceived medical pressure resulted in higher treatment retention rates only
for participants in QCT.
Conclusion Predictors of substance abuse treatment retention are quite similar across both
the quasi-compulsory and voluntary treatments. Perceived medical pressure is of higher
relevance than the often-believed legal pressure for treatment retention in QCT.
Item Type: | Article |
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DOI/Identification number: | 10.1159/000322574 |
Uncontrolled keywords: | Predictors; coercion treatment; compulsory treatment; substance use |
Subjects: | H Social Sciences > HV Social pathology. Social and public welfare > HV5800 Drug habits and abuse |
Divisions: | Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research |
Depositing User: | Taryn Duhig |
Date Deposited: | 18 Jul 2012 13:01 UTC |
Last Modified: | 16 Nov 2021 10:07 UTC |
Resource URI: | https://kar.kent.ac.uk/id/eprint/29908 (The current URI for this page, for reference purposes) |
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