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Am J Psychiatry. 1996 Mar;153(3):427-8.

Eliminating (almost) treatment dropout of substance abusing or dependent delinquents through home-based multisystemic therapy.

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1
Family Services Research Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston 29425, USA.

Abstract

OBJECTIVE:

This study examined the effects of an innovative treatment model that was designed to reduce treatment dropout among substance abusing or dependent juvenile offenders.

METHOD:

One hundred eighteen delinquents who met diagnostic criteria for substance abuse or dependence were randomly assigned to receive either home-based multisystemic therapy (N=58) or treatment that was provided by the usual community services (N=60).

RESULTS:

In the multisystemic therapy condition, 98% (N=57) of the families completed a full course of treatment, which lasted an average of 130 days. In contrast, 78% (N=47) of the families assigned to treatment through the usual community services received no mental health or substance abuse treatment in the 5 months after referral.

CONCLUSIONS:

The serious and long-standing problem of high dropout rates in the substance abuse field can be greatly attenuated by services that increase accessibility and place greater responsibility for engagement on service providers.

PMID:
8610836
DOI:
10.1176/ajp.153.3.427
[Indexed for MEDLINE]
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