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Predictors of retention in the 'voluntary' and 'quasi-compulsory' treatment of substance dependence in Europe

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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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
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)
Stevens, Alex: https://orcid.org/0000-0002-4878-3871
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