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

Schaub, Michael and Stevens, Alex and Haug, Severin and Berto, Daniele and Hunt, Neil and Kerschl, Viktoria and McSweeney, Tim and Oeuvray, Kerrie and Puppo, Irene and Santa Maria, Alberto and Trinkl, Barbara and Werdenich, Wolfgang and Uchtenhagen, Ambros (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: (Full text available)

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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
Uncontrolled keywords: Predictors; coercion treatment; compulsory treatment; substance use
Subjects: H Social Sciences > HV Social pathology. Social and public welfare > HV5800 Drug use and miuse
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research
Depositing User: Taryn Duhig
Date Deposited: 18 Jul 2012 13:01 UTC
Last Modified: 17 Jan 2017 23:37 UTC
Resource URI: (The current URI for this page, for reference purposes)
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