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Engagement and Process
"treatment process model" was developed in previous work by
Simpson, Joe, Rowan-Szal, and Greener (1997) to represent essential elements
of treatment readiness and engagement indicators as predictors of retention
and outcomes. Joe,
Simpson, and Broome (1999) tested this model using different therapeutic
settings represented in DATOS, including long-term residential (LTR; n
= 1,362), outpatient drug-free (ODF; n = 866), and outpatient methadone
(OMT; n = 981) treatments. Findings supported the model.
- Motivated clients
developed better relationships with their counselors and stayed in treatment
- Clients who attended
more counseling sessions and discussed a broader range of topics in
sessions stayed longer in ODF and LTR.
- Clients with more
severe background problems (like hostility or cocaine use) had difficulty
developing a working relationship with their counselors, attended fewer
sessions, and discussed fewer topics.
Broome, Simpson, and Joe (1999) also examined
client confidence in treatment and commitment to recovery as indicators
of engagement after 3 months of LTR (n = 1,141), ODF (n
= 718), or OMT (n = 689) services.
- Clients with higher
motivation at admission developed more confidence and commitment to
treatment, as did clients who had better relationships with counseling
staff and who attended more counseling sessions.
- Programs where
clients had greater overall levels of confidence and commitment used
more social and health services, maintained consistent attendance at
counseling sessions, and served clients with more similar kinds of needs.
Joe, G. W.,
Simpson, D. D., & Broome, K. M. (1999). Retention and patient
engagement models for different treatment modalities in DATOS.
Drug and Alcohol Dependence, 57, 113-125. [Abstract]
M., Simpson, D. D., & Joe, G. W. (1999). Patient and program
attributes related to treatment process indicators in DATOS. Drug
and Alcohol Dependence, 57, 127-135. [Abstract]
D. D. Joe, G. W., Rowan-Szal, G. A. & Greener, J. M. (1997). Drug
abuse treatment process components that improve treatment. Journal
of Substance Abuse Treatment, 14, 565-572. [Abstract]
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