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Am J Drug Alcohol Abuse. 2011 Nov;37(6):525-31. doi: 10.3109/00952990.2011.600385. Epub 2011 Aug 18.

Utilizing peer mentorship to engage high recidivism substance-abusing patients in treatment.

Author information

1
Community Research and Recovery Program, Department of Psychiatry, New York University School of Medicine, New York, NY 10010, USA. kathleen.tracy@nyumc.org

Abstract

BACKGROUND:

Often high recidivism substance-using patients have difficulty connecting to outpatient treatment contributing to greater functioning disturbances. Approaches to address this problem frequently are staff extensive.

OBJECTIVE:

This study evaluates the impact of peer mentorship and/or enhanced dual recovery treatment (DRT) on individuals who are inpatients, substance abusing, and have a history of high recidivism. The primary outcome is post-discharge treatment attendance.

METHODS:

In an inpatient Veterans Administration hospital setting, 96 patients with a history of high recidivism and current and/or past diagnosis of substance use disorders were randomized to either (i) Treatment As Usual (TAU), (ii) TAU + DRT + Mentorship for Addictions Problems to Enhance Engagement to Treatment (MAP-Engage), or (iii) TAU + MAP-Engage.

RESULTS:

Overall MAP-Engage was found to be comparable to the DRT + MAP-Engage and both of these conditions were significantly better than TAU alone at increasing adherence to post-discharge substance abuse, medical, and mental health outpatient appointments. CONCLUSION/SCIENTIFIC SIGNIFICANCE: MAP-Engage offers an alternative approach to address lack of attendance to outpatient treatment appointments post discharge that is relatively low in staff reliance.

PMID:
21851202
DOI:
10.3109/00952990.2011.600385
[Indexed for MEDLINE]

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