DATOS Home Page
  

DATOS Home > Adults >

Engagement

ABOUT DATOS
BACKGROUND

  (DARP/TOPS)

ADULTS
  Introduction
  Services
  1-Year Outcomes
  Retention
  Engagement
  History Effects
  Cocaine Treatment
  Cost Benefits
  5-Year Outcomes

ADOLESCENTS
  Introduction
  Services
  1-Year Outcomes
  Engagement
  Special Populations

PUBLICATIONS
  Listed by Year
  Listed by Topics
  Special Collections

PRESENTATIONS
WHAT'S NEW

CONTENTS

SEARCH

Treatment Engagement and Process

A "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 longer.
     
  • 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.

 

References

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]

Broome, K. 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]

See also:
Simpson, 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]

Return to top

 



www.datos.org/
adults/adults-
engagement.html
Last Revised:
13 December 2001

Site Comments:
Contact Webmaster

Contents     Search

Research Centers
NIDA | NDRI | TCU | UCLA

DATOS Home | About DATOS | Background |
Research Findings:  Adults;  Adolescents |
PublicationsListed by Year;  Listed by Topics; Special Collections |  
Presentations | What’s New