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Substance use and job behaviors were assessed in a sample of municipal employees from a large city in the southwestern United States. Job behaviors included psychological and physical withdrawal, positive work behaviors, and antagonistic work behaviors. Employees who reported substance use at or away from work were found to more frequently engage in(More)
Innovate and adapt are watchwords for substance abuse treatment programs in today's environment of legislative mandates, effective new interventions, and competition. Organizations are having to evolve - ready or not - and those that are ready have superior chances for success and survival. The Texas Christian University Organizational Readiness for Change(More)
Sustained and effective use of evidence-based practices in substance abuse treatment services faces both clinical and contextual challenges. Implementation approaches are reviewed that rely on variations of plan-do-study-act (PDSA) cycles, but most emphasize conceptual identification of core components for system change strategies. A two-phase procedural(More)
BACKGROUND This national study focused on posttreatment outcomes of community treatments of cocaine dependence. Relapse to weekly (or more frequent) cocaine use in the first year after discharge from 3 major treatment modalities was examined in relation to patient problem severity at admission to the treatment program and length of stay. METHODS We(More)
BACKGROUND Long-term (5-year) outcomes of community treatment for cocaine dependence were examined in relation to problem severity at treatment entry and treatment exposure throughout the follow-up period. METHODS Interviews were conducted at 1 and 5 years after treatment for 708 subjects (from 45 programs in 8 cities) who met DSM-III-R criteria for(More)
Three types of individual drug abuse counseling were investigated in a private methadone clinic in order to replicate and extend previous work on node-link mapping techniques (two dimensional graphic approaches for visualizing problems and solutions). Standard counseling, enhanced counseling with free-form maps (f-maps), and enhanced counseling with both(More)
A sample of 1,496 persons admitted to 26 community treatment agencies participating in the Drug Abuse Reporting Program (DARP) during 1972 and 1973 were located and interviewed in 1978 and 1979. Favorableness of one-year posttreatment outcomes with respect to illicit drug use, criminality, and employment and other productive activities was found to increase(More)
This study extends previous research on the use of node-link mapping during counseling by addressing the effect that this visual representation technique has on clients with attentional problems. Participants were 13 counselors in a methadone treatment program and their 93 opioid-addicted clients who had been in treatment for more than three months. Both(More)
Long-term behavioral outcome status of 990 daily opioid users, recorded in follow-up interviews about six years after admission to community-based treatment programs, was classified in terms of longitudinal patterns of opioid use. Sixty-one percent of these individuals had achieved abstinence from opioid drugs for a year or longer immediately before the(More)
Research in psychology and communication shows a strong advantage for visual displays in comparison with typical language, and technological innovations in computer graphics and printing capabilities now make them cost-effective as well. It can be argued that the greater use of evidence-based visualization strategies can enhance communication occurring in(More)