Abstract
Greater treatment retention among pregnant substance abusers is associated with improved pregnancy and neonatal outcomes, so early identification of clients most at risk for early attrition is essential. Participants were 152 pregnant women enrolled in the initial 7-day residential component of a comprehensive substance abuse treatment program for pregnant women. Twenty-nine (19%) women left treatment within the first 5 days, primarily within the first 2 days. Clinical staff identified many, but not all, patients who eventually left treatment early as many indicated their desire to leave and were troubled by drug craving and withdrawal. Other predictors of attrition included not receiving methadone maintenance, being Caucasian, and reporting more prior drug treatment episodes, fewer medical problems and, to a lesser extent, more family/social and psychiatric and fewer drug problems on the Addiction Severity Index. Interventions are needed to target pregnant clients most at risk for early treatment attrition.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 31-38 |
| Number of pages | 8 |
| Journal | Journal of Substance Abuse Treatment |
| Volume | 27 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jul 2004 |
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Keywords
- Attrition
- Drug treatment
- Pregnancy
- Retention
- Substance abuse treatment
ASJC Scopus subject areas
- Psychiatry and Mental health
- Neuroscience(all)
Cite this
Identifying pregnant women at risk for early attrition from substance abuse treatment. / Kissin, Wendy B.; Svikis, Dace S.; Moylan, Paula; Haug, Nancy A.; Stitzer, Maxine L.
In: Journal of Substance Abuse Treatment, Vol. 27, No. 1, 07.2004, p. 31-38.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Identifying pregnant women at risk for early attrition from substance abuse treatment
AU - Kissin, Wendy B.
AU - Svikis, Dace S.
AU - Moylan, Paula
AU - Haug, Nancy A.
AU - Stitzer, Maxine L
PY - 2004/7
Y1 - 2004/7
N2 - Greater treatment retention among pregnant substance abusers is associated with improved pregnancy and neonatal outcomes, so early identification of clients most at risk for early attrition is essential. Participants were 152 pregnant women enrolled in the initial 7-day residential component of a comprehensive substance abuse treatment program for pregnant women. Twenty-nine (19%) women left treatment within the first 5 days, primarily within the first 2 days. Clinical staff identified many, but not all, patients who eventually left treatment early as many indicated their desire to leave and were troubled by drug craving and withdrawal. Other predictors of attrition included not receiving methadone maintenance, being Caucasian, and reporting more prior drug treatment episodes, fewer medical problems and, to a lesser extent, more family/social and psychiatric and fewer drug problems on the Addiction Severity Index. Interventions are needed to target pregnant clients most at risk for early treatment attrition.
AB - Greater treatment retention among pregnant substance abusers is associated with improved pregnancy and neonatal outcomes, so early identification of clients most at risk for early attrition is essential. Participants were 152 pregnant women enrolled in the initial 7-day residential component of a comprehensive substance abuse treatment program for pregnant women. Twenty-nine (19%) women left treatment within the first 5 days, primarily within the first 2 days. Clinical staff identified many, but not all, patients who eventually left treatment early as many indicated their desire to leave and were troubled by drug craving and withdrawal. Other predictors of attrition included not receiving methadone maintenance, being Caucasian, and reporting more prior drug treatment episodes, fewer medical problems and, to a lesser extent, more family/social and psychiatric and fewer drug problems on the Addiction Severity Index. Interventions are needed to target pregnant clients most at risk for early treatment attrition.
KW - Attrition
KW - Drug treatment
KW - Pregnancy
KW - Retention
KW - Substance abuse treatment
UR - http://www.scopus.com/inward/record.url?scp=3042519111&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=3042519111&partnerID=8YFLogxK
U2 - 10.1016/j.jsat.2004.03.007
DO - 10.1016/j.jsat.2004.03.007
M3 - Article
C2 - 15223091
AN - SCOPUS:3042519111
VL - 27
SP - 31
EP - 38
JO - Journal of Substance Abuse Treatment
JF - Journal of Substance Abuse Treatment
SN - 0740-5472
IS - 1
ER -