Predictors of retention in "transitional rehabilitation": dynamic versus static client variables

Karis Gholab, Lynne Magor-Blatch

    Research output: Contribution to journalArticle

    Abstract

    Purpose – Problematic substance use is associated with adverse outcomes that extend beyond the individual, resulting in significant cost to the community through health care, criminal justice and other psychosocial factors, including child protection and family support. These factors create concerns for treatment services, with an increasing demand for cost-effective solutions to this problem. This paper seeks to address these issues. Design/methodology/approach – This prospective cohort study examined the effect of client variables on retention within a short-term (56 days) modified therapeutic community (MTC) in the Australian Capital Territory. A total of 28 residents (17 males, 11 females) took part in the study, which included quantitative and qualitative measures. Findings – Results demonstrate a trend in favour of dynamic client variables as effective predictors of retention, with substance use severity being a significant predictor (p ¼ 0.023, d ¼ 0.91). Content analysis demonstrates that those with severe substance use have more intentions to engage in aftercare. Originality/value – Short term treatments are seen as providing a gateway to further treatment, especially for chronic substance-using clients.
    Original languageEnglish
    Pages (from-to)16-28
    Number of pages13
    JournalThe International Journal of Therapeutic Communities
    Volume34
    Issue number1
    DOIs
    Publication statusPublished - 2013

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    Rehabilitation
    Australian Capital Territory
    Therapeutic Community
    Costs and Cost Analysis
    Community Health Services
    Aftercare
    Criminal Law
    Cohort Studies
    Therapeutics
    Prospective Studies
    Psychology

    Cite this

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    title = "Predictors of retention in {"}transitional rehabilitation{"}: dynamic versus static client variables",
    abstract = "Purpose – Problematic substance use is associated with adverse outcomes that extend beyond the individual, resulting in significant cost to the community through health care, criminal justice and other psychosocial factors, including child protection and family support. These factors create concerns for treatment services, with an increasing demand for cost-effective solutions to this problem. This paper seeks to address these issues. Design/methodology/approach – This prospective cohort study examined the effect of client variables on retention within a short-term (56 days) modified therapeutic community (MTC) in the Australian Capital Territory. A total of 28 residents (17 males, 11 females) took part in the study, which included quantitative and qualitative measures. Findings – Results demonstrate a trend in favour of dynamic client variables as effective predictors of retention, with substance use severity being a significant predictor (p ¼ 0.023, d ¼ 0.91). Content analysis demonstrates that those with severe substance use have more intentions to engage in aftercare. Originality/value – Short term treatments are seen as providing a gateway to further treatment, especially for chronic substance-using clients.",
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    author = "Karis Gholab and Lynne Magor-Blatch",
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    language = "English",
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    Predictors of retention in "transitional rehabilitation": dynamic versus static client variables. / Gholab, Karis; Magor-Blatch, Lynne.

    In: The International Journal of Therapeutic Communities, Vol. 34, No. 1, 2013, p. 16-28.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Predictors of retention in "transitional rehabilitation": dynamic versus static client variables

    AU - Gholab, Karis

    AU - Magor-Blatch, Lynne

    PY - 2013

    Y1 - 2013

    N2 - Purpose – Problematic substance use is associated with adverse outcomes that extend beyond the individual, resulting in significant cost to the community through health care, criminal justice and other psychosocial factors, including child protection and family support. These factors create concerns for treatment services, with an increasing demand for cost-effective solutions to this problem. This paper seeks to address these issues. Design/methodology/approach – This prospective cohort study examined the effect of client variables on retention within a short-term (56 days) modified therapeutic community (MTC) in the Australian Capital Territory. A total of 28 residents (17 males, 11 females) took part in the study, which included quantitative and qualitative measures. Findings – Results demonstrate a trend in favour of dynamic client variables as effective predictors of retention, with substance use severity being a significant predictor (p ¼ 0.023, d ¼ 0.91). Content analysis demonstrates that those with severe substance use have more intentions to engage in aftercare. Originality/value – Short term treatments are seen as providing a gateway to further treatment, especially for chronic substance-using clients.

    AB - Purpose – Problematic substance use is associated with adverse outcomes that extend beyond the individual, resulting in significant cost to the community through health care, criminal justice and other psychosocial factors, including child protection and family support. These factors create concerns for treatment services, with an increasing demand for cost-effective solutions to this problem. This paper seeks to address these issues. Design/methodology/approach – This prospective cohort study examined the effect of client variables on retention within a short-term (56 days) modified therapeutic community (MTC) in the Australian Capital Territory. A total of 28 residents (17 males, 11 females) took part in the study, which included quantitative and qualitative measures. Findings – Results demonstrate a trend in favour of dynamic client variables as effective predictors of retention, with substance use severity being a significant predictor (p ¼ 0.023, d ¼ 0.91). Content analysis demonstrates that those with severe substance use have more intentions to engage in aftercare. Originality/value – Short term treatments are seen as providing a gateway to further treatment, especially for chronic substance-using clients.

    KW - Aftercare

    KW - Motivation

    KW - Retention

    KW - Substance-related disorders

    KW - Therapeutic community

    KW - Substance misuse

    KW - Health care

    KW - Medical treatment

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