Predictors of attrition from an outpatient chemical dependency program
- 1 June 1998
- journal article
- research article
- Published by SAGE Publications in Substance Abuse
- Vol. 19 (2), 49-59
- https://doi.org/10.1080/08897079809511374
Abstract
This study investigated differences between completers and noncompleters of an intensive outpatient substance abuse treatment program to identify key predictors of attrition. Participants (n= 138) completed a comprehensive intake/assessment package that included the Addiction Severity Index as a precursor to participation in the program. Discriminant function analyses (DFA) suggested that ASI composite scores and severity ratings were not useful predictors. However, analysis of individual items was useful in identifying “red flags”; as predictors for treatment attrition. The subsequent DFA identified the following variables as significant predictors: Hispanic ethnicity, absence of a professional skill, shorter time since last hospitalization, cocaine or cannabis use in the last 30 days, total number of family members with drug problems, presence of emotional abuse in last 30 days, concern with family problems, and number of family group meetings that family members attended. These red flags can serve the important function of providing clinicians with enough information to intervene early with patients at risk for treatment dropout.Keywords
This publication has 19 references indexed in Scilit:
- Physicians' Attitudes and Retention of Patients in Their Methadone Maintenance ProgramsSubstance Use & Misuse, 1996
- Problems in the application of the Addiction Severity Index (ASI) in rural substance abuse servicesJournal of Substance Abuse, 1995
- Effects of Halfway House Placement on Retention of Patients in Substance Abuse AftercareThe American Journal of Drug and Alcohol Abuse, 1995
- Attrition from conjoint alcoholism treatment: Do dropouts differ from completers?Journal of Substance Abuse, 1994
- The fifth edition of the addiction severity indexJournal of Substance Abuse Treatment, 1992
- Psychopathology and substance abuse as predictors of program completion in a therapeutic community for drug abusers: a prospective studyActa Psychiatrica Scandinavica, 1991
- Treatment Retention of Patients Referred by Public Assistance to an Alcoholism ClinicThe American Journal of Drug and Alcohol Abuse, 1990
- Characteristics of Alcoholics and Codependents Who Did and Did Not Complete TreatmentInternational Journal of the Addictions, 1990
- The Dropout in Alcoholism Research: A Brief ReportInternational Journal of the Addictions, 1987
- Dropping out of treatment: A critical review.Psychological Bulletin, 1975