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NCJ Number: 182707 Add to Shopping cart Find in a Library
Title: Predictors of Treatment Retention in Enhanced and Standard Methadone Maintenance Treatment for HIV Risk Reduction
Journal: Journal of Drug Issues  Volume:27  Issue:2  Dated:Spring 1997  Pages:203-224
Author(s): Christine E. Grella; Stuart E. Wugalter; M. Douglas Anglin
Date Published: 1997
Page Count: 22
Sponsoring Agency: National Institute on Drug Abuse
Bethesda, MD 20892-9561
Grant Number: R18-DA06250;DA00146
Type: Report (Study/Research)
Format: Article
Language: English
Country: United States of America
Annotation: This study used survival analysis to determine the predictors of discharge from a methadone maintenance treatment program for heroin addicts at high risk for HIV infection and/or transmission.
Abstract: The analysis identified a consistent set of predictors that was associated with treatment discharge at 90 days, 12 months, 18 months, and 24 months. Individuals who were HIV seropositive at intake, were younger, used cocaine, drank alcohol daily, and scored high on measures of depression and interpersonal problems were at a higher risk for discharge. Receipt of enhanced methadone treatment -- which included case management services, group participation, psychiatric services, contingency-based reinforcers, and transportation assistance -- was associated with a higher probability of retention, particularly in the first 90 days. These findings can be used to target individuals who are vulnerable to early discharge from treatment and to provide adjunctive services that may improve retention. Several of these predictors, particularly cocaine use and psychological problems, have also been associated with HIV risk among methadone clients. Increasing retention in methadone treatment will not only improve treatment efficacy, but will also address the public health imperative to limit the transmission of HIV. 6 tables, 4 figures, 6 notes, and 45 references
Main Term(s): Drug treatment
Index Term(s): AIDS/HIV prevention; Heroin maintenance; Methadone detoxification treatment; Methadone maintenance; Treatment techniques
Note: DCC
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