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Community Ment Health J. 2017 Nov;53(8):972-983. doi: 10.1007/s10597-017-0105-z. Epub 2017 Feb 8.

Factors Predicting Patient's Allocation to Short- and Long-Term Therapeutic Community Treatments in the Italian VOECT Cohort Study.

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Piedmont Centre for Drug Addiction Epidemiology, ASLTO3, Via Sabaudia 164, 10095, Grugliasco, TO, Italy.
Department of Clinical and Biological Sciences, University of Torino, Regione Gonzole 10, 10043, Orbassano, TO, Italy.
Piedmont Centre for Drug Addiction Epidemiology, ASLTO3, Via Sabaudia 164, 10095, Grugliasco, TO, Italy.
Department of Psychiatry, ASL Cagliari, SPDC2 PO SS Trinità, Via Is Mirrionis 92, 09121, Cagliari, Italy.
Department of Epidemiology, Lazio Regional Health Service, Via di Santa Costanza 53, 00198, Rome, Italy.
Coordinating Centre of Italian Residential Communities (CNCA), Via di Santa Maria Maggiore, 148, 00184, Rome, Italy.
General Directorate of Health and Social Policies, Emilia-Romagna Region, Viale Aldo Moro 21, 40127, Bologna, Italy.
Department of Translational Medicine, Avogadro University, Via Solaroli 17, 28100, Novara, Italy.
Social and Health Services, ASL Cagliari, c/o Cittadella della Salute, Via Romagna 16, 09128, Cagliari, Italy.


The Evaluation of Therapeutic Community Treatments and Outcomes (VOECT) study was conducted in 131 Italian Therapeutic Communities (TCs) in 2008/2009. All of the patients entering residential treatment for drug or alcohol dependence were invited to participate. Data regarding patient socio-demographic characteristics, drug and alcohol consumption, health and psychopathological status, prior treatments and outcomes, and their motivation score were collected upon enrolment onto the study. The aim of this work was to identify the factors associated with allocation to short- versus long-term programmes in drug or alcohol dependent patients entering TCs in Italy. Of the 2470 patients included in the analysis, 30.8% were allocated to short-term treatment and 69.2% to long-term treatment. Several factors were significantly associated with the allocation to short- and long-term treatments: unstable living conditions; entering the TC when not detoxified; a high Symptom Checklist-90 somatization score; prior cessation episodes; previous in-patient detoxification treatments; psychosocial treatments; entering the TC by oneself; and a low motivation score.


Addiction; Long-term treatment; Patient characteristics; Short-term treatment; Therapeutic Community

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