Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_3371
PhysicalDescription
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electronic resource
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application/pdf
InternetMediaType
text/xml
Note
Supplementary File: Appendix B
Extent
x, 155 p. : ill.
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = statement of responsibility)
by James M. O‟Dea
Abstract (type = abstract)
This retrospective study attempts to identify variables predictive of treatment dropout, using the information collected in the New Jersey Substance Abuse Monitoring System, a data collection program based on the Addiction Severity Index, and used by the large majority of substance abuse treatment programs in the State. Client characteristics, client/clinician interaction, program characteristics/environment and practical barriers to treatment were examined as potential predictors of dropout. The dependent variable was completed treatment/quit or dropped out. The sample consisted of all clients (704), 184 women and 520 men whose primary drug of abuse was alcohol, who were treated in large drug free outpatient program between January 1, 2004 and May 31, 2007, at a medical center in Union County, New Jersey. The mean age of the subjects was 39.8 years. A series of bivariate analyses were performed using Chi-Square and t tests to select a group of potential predictor variables. These were then used as independent variables in logistic regressions in an attempt to find the variables with the best predictive validity for treatment dropout. Length of stay was found to be a good predictor of dropout, with clients with shorter lengths of stay being more likely to leave treatment before completion. Level of treatment intensity, assessed by the program the client was referred to (Standard Outpatient, Intensive Outpatient, or Partial Hospital) was also found to predict dropout, with clients treated in the Standard Outpatient Program more than three times as likely to complete treatment as those treated in the other two programs. The predictive validity for dropout for some variables were different for men than for women –for men, but not for women, living with their children, and being mandated into treatment reduced the likelihood of dropout. Women who used alcohol and one other drug were 3.5 times as likely to drop out as women using alcohol only, but the number of drugs used was not predictive of dropout for men. The study tested whether subjects with more severe bio-psycho-social problems, as measured by the sum of the ASI composite scores, were more at risk of dropout, however this proved unfounded.
Rutgers University. Graduate School - New Brunswick
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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