RESUMO
To examine the substance abuse recovery process from a treatment-career perspective, this study compared the profiles of clients entering treatment for the first time versus those returning to treatment. Clients (N = 7,092) presenting for publicly funded treatment were assessed as part of the St. Louis Target Cities project. Previous treatment clients were more likely to have more severe substance abuse problems, additional psychiatric problems, and greater problems in other life areas. Comorbid psychiatric problems and motivation to change were identified as areas of focus for clinical intervention. Discriminant analysis yielded a significant function that accounted for 6.5% of the variance between groups. Results suggest that change occurs via multiple processes.
Assuntos
Centros de Tratamento de Abuso de Substâncias/estatística & dados numéricos , Transtornos Relacionados ao Uso de Substâncias/reabilitação , Adulto , Alcoolismo/diagnóstico , Alcoolismo/reabilitação , Alcoolismo/terapia , Atitude Frente a Saúde , Comportamento Aditivo/psicologia , Comportamento Aditivo/reabilitação , Diagnóstico por Computador , Diagnóstico Duplo (Psiquiatria) , Análise Discriminante , Feminino , Humanos , Masculino , Transtornos Mentais/diagnóstico , Transtornos Mentais/psicologia , Transtornos Mentais/reabilitação , Motivação , Aceitação pelo Paciente de Cuidados de Saúde , Inventário de Personalidade/estatística & dados numéricos , Escalas de Graduação Psiquiátrica/estatística & dados numéricos , Qualidade de Vida , Recidiva , Índice de Gravidade de Doença , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Transtornos Relacionados ao Uso de Substâncias/terapiaRESUMO
The Comprehensive Substance Abuse Treatment and Rehabilitation (CSTAR) program is described, and a study of its services is presented. The CSTAR program is a community program with wrap-around services and intensive case management. Eleven domains typically affected by substance abuse were measured, plus satisfaction with treatment services. A retrospective study of 280 clients at 10 facilities was done, and results analyzed separately by General Programs. Women with Children programs, and Adolescent programs. A small sample of clients who were early in their treatment was re-interviewed 90 days later. Data were also examined according to length of stay in the program. Results were consistently positive, and increased with length of time in the program.
