دورية أكاديمية
أعرض في EDS

Risk factors for dropout from psychological substance use disorder treatment programs in criminal justice settings.

التفاصيل البيبلوغرافية
العنوان: Risk factors for dropout from psychological substance use disorder treatment programs in criminal justice settings.
المؤلفون: Lantz L; Faculty of Medicine, Uppsala University, Sweden., Chang Z; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden., Virtanen S; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Sweden; School of Educational Sciences and Psychology, University of Eastern Finland, Finland. Electronic address: suvi.maria.virtanen@ki.se.
المصدر: Drug and alcohol dependence [Drug Alcohol Depend] 2024 Jun 01; Vol. 259, pp. 111314. Date of Electronic Publication: 2024 Apr 26.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Ireland NLM ID: 7513587 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-0046 (Electronic) Linking ISSN: 03768716 NLM ISO Abbreviation: Drug Alcohol Depend Subsets: MEDLINE
أسماء مطبوعة: Publication: Limerick : Elsevier
Original Publication: Lausanne, Elsevier Sequoia.
مواضيع طبية MeSH: Patient Dropouts*/psychology , Substance-Related Disorders*/therapy , Substance-Related Disorders*/epidemiology , Substance-Related Disorders*/psychology , Criminal Law*, Humans ; Male ; Female ; Adult ; Risk Factors ; Middle Aged ; Cohort Studies ; Young Adult ; Crime/psychology
مستخلص: Background: Substance use disorders are highly prevalent in people within the criminal justice system. Psychological programs are the most common type of treatment available and have been shown to decrease recidivism, but dropping out of treatment is common. Risk factors associated with treatment dropout remain unclear in this setting, and whether the risk factors differ by treatment form (group-based vs. individual).
Methods: Outcome (treatment dropout) was defined as not finishing the program due to client's own wish, misbehavior, no-shows, or because program leader found client to be unsuitable. Predictors of treatment dropout included a comprehensive set of individual-level clinical, socioeconomic, and crime-related pre-treatment characteristics. Multivariable regression models were used to estimate the associations between predictors and dropout.
Findings: The study cohort included 5239 criminal justice clients who participated in a psychological treatment program (group-based or individual). Multivariable logistic regression models showed that female sex (OR=1.64, 95% CI 1.20-2.25), age (0.99, [0.97-1.00]), sentence length (0.98, [0.97-0.98]), higher education (0.54, [0.28-1.00]), number of violent offenses (1.03, [1.01-1.05]), and anxiety disorders (1.32, [1.01-1.72]) were associated with dropout from the individual treatment program. For the group-based program, age (OR=0.98, 95% CI 0.96-1.00), sentence length (OR=0.96, 95% CI 0.94-0.98), stimulant use disorder (OR=1.48, 95%, 1.00-2.19), and self-harm (OR 1.52, 95% CI 1.00-2.34) were associated with dropout.
Conclusions: We identified certain sociodemographic, crime-related, and clinical characteristics that were particularly important in predicting dropout from psychological treatment. Further, we find that there are similarities and differences in predictors of dropout from group-based and individual treatment forms.
Competing Interests: Declaration of Competing Interest Authors declare no conflicts of interests.
(Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.)
فهرسة مساهمة: Keywords: Criminal justice; Prison; Psychological; Risk factor; Substance use; Treatment; dropout
تواريخ الأحداث: Date Created: 20240502 Date Completed: 20240521 Latest Revision: 20240521
رمز التحديث: 20240522
DOI: 10.1016/j.drugalcdep.2024.111314
PMID: 38696932
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-0046
DOI:10.1016/j.drugalcdep.2024.111314