A treatment reengagement intervention for syringe exchangers

Michael Kidorf, Van L. King, Jessica Peirce, Ken Kolodner, Robert K. Brooner

Research output: Contribution to journalArticle

Abstract

Poor sustained treatment engagement limits the effectiveness of all modalities of substance abuse treatment. This study evaluated the efficacy of a novel treatment reengagement intervention for a subset of syringe-exchange program (SEP) participants (N = 113) that had enrolled in treatment as part of a 4-month clinical trial (M. Kidorf et al., 2009). Three reengagement conditions for participants leaving treatment were compared. Motivational referral condition (MRC) participants (n = 31) could attend group sessions that focused on renewing treatment interest. MRC plus incentive (MRC + I) participants (n = 49) could receive modest monetary incentives for attending these sessions and reenrolling in treatment. Standard referral condition participants (n = 33) could not attend groups or receive incentives. Across a 1-year observation window, almost all study participants (86%) were discharged from treatment. MRC + I participants attended more group sessions than MRC participants and were considerably more likely to reenroll in treatment than participants in the other study conditions. Reengagement strategies can further enhance the public health benefits of SEPs by increasing rates of treatment participation over time.

Original languageEnglish (US)
Pages (from-to)415-421
Number of pages7
JournalJournal of Substance Abuse Treatment
Volume41
Issue number4
DOIs
StatePublished - Dec 1 2011

Keywords

  • Harm reduction
  • Opioid dependence
  • Public health
  • Substance abuse treatment
  • Syringe exchange
  • Treatment reengagement;

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

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