Effect of co-occurring disorders and intimate partner violence on substance abuse treatment outcomes

被引:42
作者
Lipsky, Sherry [1 ]
Krupski, Antoinette [1 ]
Roy-Byrne, Peter [1 ]
Lucenko, Barbara [2 ]
Mancuso, David [2 ]
Huber, Alice [3 ]
机构
[1] Univ Washington, Harborview Med Ctr, Dept Psychiat & Behav Sci, Ctr Healthcare Improvement Addict Mental Illness, Seattle, WA 98104 USA
[2] Washington State Dept Social & Hlth Serv, Res & Data Anal Div, Olympia, WA USA
[3] Washington State Dept Social & Hlth Serv, Div Behav Hlth & Recovery, Evaluat & Qual Assurance Sect, Olympia, WA USA
关键词
Co-occurring disorders; Intimate partner violence; Substance use; BEHAVIORAL COUPLES THERAPY; MALE ALCOHOLIC PATIENTS; DUALLY DIAGNOSED CLIENTS; FOLLOW-UP OUTCOMES; MENTAL-HEALTH; DRUG-USE; GENDER-DIFFERENCES; TREATMENT PARTICIPATION; ADDICTION TREATMENT; TREATMENT SERVICES;
D O I
10.1016/j.jsat.2009.12.005
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This retrospective cohort study examined risk factors for co-occurring substance use and mental disorders (COD) and the effect of COD and intimate partner violence (IPV) victimization among women and IPV-related arrest among men on 1-year substance abuse treatment outcomes. The study sample included clients admitted to Washington State publicly funded substance abuse treatment facilities in 2004-2007. COD was associated with a high substance use and IPV risk profile at admission. Having a COD decreased the odds of completing treatment by 30% among men and women and increased the risk of treatment reentry by 9% and 12% among men and women, respectively. IPV also decreased the odds of completing treatment among women and increased the risk of treatment reentry among men. Men with COD were less likely than those without COD to be arrested for substance-related crimes but more likely to be arrested for violence-related crimes in the follow-up period. Implications of these findings are discussed. (C) 2010 Elsevier Inc. All rights reserved.
引用
收藏
页码:231 / 244
页数:14
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