Psychiatric distress, risk behavior, and treatment enrollment among syringe exchange participants

Michael Kidorf; Van L. King; Jessica Peirce; Christopher Burke; Ken Kolodner; Robert K. Brooner

doi:10.1016/j.addbeh.2009.12.033

Psychiatric distress, risk behavior, and treatment enrollment among syringe exchange participants

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

School of Medicine

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

The present study evaluated psychiatric distress as a predictor of treatment enrollment in out-of-treatment injection opioid users newly registered at the Baltimore Needle Exchange Program (BNEP). Study participants (n = 281) completed the Addiction Severity Index (ASI), the Risk Assessment Battery (RAB), and the Symptom Checklist-90 (SCL-90-R), and were randomly assigned to one of three different conditions for 4 months that evaluated referral strategies designed to promote treatment interest and enrollment. The Global Severity Index (GSI) of the SCL-90 was used as a measure of psychiatric distress. A logistic regression showed that higher GSI scores predicted more treatment enrollment (Adjusted OR = 2.15, CI = 1.10-4.23, p < 0.05), after controlling for study condition, demographic variables, syringe exchange site, and severity of drug use. The results suggest that the data from the assessment of psychiatric distress in syringe exchange settings can be used to support motivational strategies for encouraging syringe exchangers to seek substance abuse treatment.

Original language	English (US)
Pages (from-to)	499-503
Number of pages	5
Journal	Addictive Behaviors
Volume	35
Issue number	5
DOIs	https://doi.org/10.1016/j.addbeh.2009.12.033
State	Published - May 2010

Keywords

Needle exchange
Opioid abuse
Psychiatric comorbidity
Psychiatric distress
Substance abuse treatment
Syringe exchange

ASJC Scopus subject areas

Medicine (miscellaneous)
Clinical Psychology
Toxicology
Psychiatry and Mental health

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10.1016/j.addbeh.2009.12.033

Cite this

@article{e2af8f1b51934445b876acfba946db27,

title = "Psychiatric distress, risk behavior, and treatment enrollment among syringe exchange participants",

abstract = "The present study evaluated psychiatric distress as a predictor of treatment enrollment in out-of-treatment injection opioid users newly registered at the Baltimore Needle Exchange Program (BNEP). Study participants (n = 281) completed the Addiction Severity Index (ASI), the Risk Assessment Battery (RAB), and the Symptom Checklist-90 (SCL-90-R), and were randomly assigned to one of three different conditions for 4 months that evaluated referral strategies designed to promote treatment interest and enrollment. The Global Severity Index (GSI) of the SCL-90 was used as a measure of psychiatric distress. A logistic regression showed that higher GSI scores predicted more treatment enrollment (Adjusted OR = 2.15, CI = 1.10-4.23, p < 0.05), after controlling for study condition, demographic variables, syringe exchange site, and severity of drug use. The results suggest that the data from the assessment of psychiatric distress in syringe exchange settings can be used to support motivational strategies for encouraging syringe exchangers to seek substance abuse treatment.",

keywords = "Needle exchange, Opioid abuse, Psychiatric comorbidity, Psychiatric distress, Substance abuse treatment, Syringe exchange",

author = "Michael Kidorf and King, {Van L.} and Jessica Peirce and Christopher Burke and Ken Kolodner and Brooner, {Robert K.}",

note = "Funding Information: This study was supported by research grant RO1 DA 12347 (M. Kidorf, PI) from the National Institute on Drug Abuse . We gratefully acknowledge the support of the Baltimore City Health's Department Syringe Exchange Program and its dedicated staff. Acknowledgement and thanks are also due to our research staff whose diligence ensured the integrity of the study, especially Kori Kindbom, M.A., Jim Blucher, M.A., Karin Taylor, M.A., Michael Sklar, M.A., Rachel Burns, B.A., and Samantha DiBastiani, B.A. Funding Information: Funding for this study was provided by NIH-NIDA Grant R01-DA12347 . NIH had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication. ",

year = "2010",

month = may,

doi = "10.1016/j.addbeh.2009.12.033",

language = "English (US)",

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journal = "Addictive Behaviors",

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T1 - Psychiatric distress, risk behavior, and treatment enrollment among syringe exchange participants

AU - Kidorf, Michael

AU - King, Van L.

AU - Peirce, Jessica

AU - Burke, Christopher

AU - Kolodner, Ken

AU - Brooner, Robert K.

N1 - Funding Information: This study was supported by research grant RO1 DA 12347 (M. Kidorf, PI) from the National Institute on Drug Abuse . We gratefully acknowledge the support of the Baltimore City Health's Department Syringe Exchange Program and its dedicated staff. Acknowledgement and thanks are also due to our research staff whose diligence ensured the integrity of the study, especially Kori Kindbom, M.A., Jim Blucher, M.A., Karin Taylor, M.A., Michael Sklar, M.A., Rachel Burns, B.A., and Samantha DiBastiani, B.A. Funding Information: Funding for this study was provided by NIH-NIDA Grant R01-DA12347 . NIH had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication.

PY - 2010/5

Y1 - 2010/5

N2 - The present study evaluated psychiatric distress as a predictor of treatment enrollment in out-of-treatment injection opioid users newly registered at the Baltimore Needle Exchange Program (BNEP). Study participants (n = 281) completed the Addiction Severity Index (ASI), the Risk Assessment Battery (RAB), and the Symptom Checklist-90 (SCL-90-R), and were randomly assigned to one of three different conditions for 4 months that evaluated referral strategies designed to promote treatment interest and enrollment. The Global Severity Index (GSI) of the SCL-90 was used as a measure of psychiatric distress. A logistic regression showed that higher GSI scores predicted more treatment enrollment (Adjusted OR = 2.15, CI = 1.10-4.23, p < 0.05), after controlling for study condition, demographic variables, syringe exchange site, and severity of drug use. The results suggest that the data from the assessment of psychiatric distress in syringe exchange settings can be used to support motivational strategies for encouraging syringe exchangers to seek substance abuse treatment.

AB - The present study evaluated psychiatric distress as a predictor of treatment enrollment in out-of-treatment injection opioid users newly registered at the Baltimore Needle Exchange Program (BNEP). Study participants (n = 281) completed the Addiction Severity Index (ASI), the Risk Assessment Battery (RAB), and the Symptom Checklist-90 (SCL-90-R), and were randomly assigned to one of three different conditions for 4 months that evaluated referral strategies designed to promote treatment interest and enrollment. The Global Severity Index (GSI) of the SCL-90 was used as a measure of psychiatric distress. A logistic regression showed that higher GSI scores predicted more treatment enrollment (Adjusted OR = 2.15, CI = 1.10-4.23, p < 0.05), after controlling for study condition, demographic variables, syringe exchange site, and severity of drug use. The results suggest that the data from the assessment of psychiatric distress in syringe exchange settings can be used to support motivational strategies for encouraging syringe exchangers to seek substance abuse treatment.

KW - Needle exchange

KW - Opioid abuse

KW - Psychiatric comorbidity

KW - Psychiatric distress

KW - Substance abuse treatment

KW - Syringe exchange

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Psychiatric distress, risk behavior, and treatment enrollment among syringe exchange participants

Abstract

Keywords

ASJC Scopus subject areas

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