Length of stay as a predictor of reliable change in psychological recovery and well being following residential substance abuse treatment

@article{Turner2016LengthOS,
  title={Length of stay as a predictor of reliable change in psychological recovery and well being following residential substance abuse treatment},
  author={Brie E. Turner and Frank P. Deane},
  journal={Therapeutic Communities: The International Journal of Therapeutic Communities},
  year={2016},
  volume={37},
  pages={112-120}
}
  • B. Turner, F. Deane
  • Published 8 September 2016
  • Psychology, Medicine
  • Therapeutic Communities: The International Journal of Therapeutic Communities
Purpose Longer length of stay (LOS) in residential alcohol and other drug treatment has been associated with more favourable outcomes, but the optimal duration has yet to be determined for reliable change indices. Optimal durations are likely to be a function of participant and problem characteristics. The purpose of this paper is to determine whether LOS in a residential therapeutic community for alcohol and other drug treatment community independently predicts reliable change across… 

Tables from this paper

Longitudinal Substance Use and Biopsychosocial Outcomes Following Therapeutic Community Treatment for Substance Dependence
TLDR
The value of the Therapeutic Community model in achieving substantial and sustained improvements in substance use and psychosocial outcomes for a cohort with severe substance dependence and complex presentations is demonstrated.
An evaluation of the maintenance to abstinence (MTA) program in achieving abstinence in opioid users and improving mental health and quality of life
TLDR
Depression, anxiety and stress reduced more markedly in program completers, and policy makers and programmers could use these findings to further validate their own programs to improve mental health and quality of life of opioid users.
Work-Related Satisfaction among Clinicians Working at Inpatient Treatment Facilities for Substance Use Disorder: The Role of Recovery Orientation
TLDR
Clinicians should be supported and involved in the process of implementing measures to increase inpatient involvement in the treatment programmes, and treatment measures that enable inpatients to pursue their goals and choices should be enhanced.
Measuring the performance of the Mental Health Continuum-Short Form (MHC-SF) in a primary care youth mental health service
TLDR
Examination of the performance of the Mental Health Continuum-Short Form in an Irish primary care youth mental health service for 12–25 year olds suggested that the MHC-SF’s three-factor structure is valid for use in this context.
Recovery as Life Transformation: Examining the Relationships between Recovery, Hope, and Relapse
TLDR
The mediation model demonstrated that hope partially mediates the effect of recovery progress on risk of relapse, providing empirical support for holistic recovery models of recovery and prevention of relapse.
Examining Recovery Program Participants by Gender: Program Completion, Relapse, and Multidimensional Status 12 Months After Program Entry
TLDR
Lower quality of life rating at program entry was associated with program completion and with better multidimensional status at follow-up, and the recovery program provides an important option for some of the most vulnerable individuals with SUD.
The recovery-oriented therapeutic community for addictions (ROTC): a response to contemporary substance use disorder treatments in the Philippines
  • Sixtus Dane A Ramos
  • Medicine
    Therapeutic Communities: The International Journal of Therapeutic Communities
  • 2019
TLDR
Recommendations for addressing the issue of substance use disorder treatment through a modification of the therapeutic community (TC) in the Philippine context are provided, aimed at improving the odds of securing recovery for people suffering from addiction.
...
...

References

SHOWING 1-10 OF 39 REFERENCES
Clinical and Reliable Change in an Australian Residential Substance Use Program Using the Addiction Severity Index
TLDR
The research indicates that residential substance abuse treatment can make important differences in client's lives at a clinical and functional level, however, the research highlights the challenge of effectively targeting psychiatric comorbidity within alcohol and other drug abuse populations.
Comparing outcomes for alcohol and drug abuse clients: A 6-month follow-up of clients who completed a residential treatment programme
TLDR
Overall, a positive impact of the addiction treatment programme was noted as clients reported a significant reduction in substance use and improvement in quality of life and some variability was noted among substance use groups—namely that cocaine poly-drug users obtained lowest levels of post-treatment reduction in Substance use.
Predicting dropout in the first 3 months of 12-step residential drug and alcohol treatment in an Australian sample.
TLDR
Assessing patient's primary drug of concern and levels of forgiveness may be useful for residential drug treatment providers in constructing programs that provide differential treatment based on the results of these assessments.
Predictors of 3-month retention in a drug treatment therapeutic community.
TLDR
These residents had a better baseline mental health score, higher lifetime depression, higher current sedative/hypnotic dependence and less lifetime stimulant dependence, supporting a non-discriminatory approach to new residents by clinicians.
Retention, early dropout and treatment completion among therapeutic community admissions.
TLDR
The fact that neither psychopathology nor primary problem drug was related to treatment indicates that these should not be seen as poor prognostic indicators for treatment success in a drug free treatment setting.
The impact of treatment on 3 years' outcome for heroin dependence: findings from the Australian Treatment Outcome Study (ATOS).
TLDR
There were impressive reductions in drug use, criminality, psychopathology and injection-related health problems following treatment exposure over 3 years among heroin-dependent Australians.
Effectiveness of Long‐Term Residential Substance Abuse Treatment for Women: Findings from Three National Studies
TLDR
Strong associations between length of stay in treatment and posttreatment abstinence rate were found in all three studies, suggesting that women's length ofStay in residential treatment is a major determinant of treatment effectiveness.
Predicting clinically significant change in an inpatient program for people with severe mental illness
TLDR
Inpatient treatment is associated with clinically significant improvements for some patients with a severe mental illness, and patients with schizo-affective disorders are proportionally more likely to make improvement.
Does retention matter? Treatment duration and improvement in drug use.
TLDR
Contrary to previous arguments for a sharp retention threshold for onset of treatment effects, smooth curves relating treatment duration to drug use improvements in methadone maintenance, out-patient non-methadone and long-term residential modalities are found.
...
...