The effect of a case management intervention on drug treatment entry among treatment-seeking injection drug users with and without comorbid antisocial personality disorder

Jennifer R. Havens, Llewellyn J. Cornelius, Erin P. Ricketts, Carl A. Latkin, David Bishai, Jacqueline J. Lloyd, Steven Huettner, Steffanie A. Strathdee

Research output: Contribution to journalArticlepeer-review

Abstract

We examined the effect of a case management intervention on drug treatment entry among injection drug users (IDUs) with and without comorbid antisocial personality disorder (ASPD). Injection drug users attending the Baltimore Needle Exchange Program who sought and were granted referrals to opioid agonist treatment were randomized to receive a strengths-based case management intervention or passive referral. Of 162 IDUs, 22.8% met the DSM-IV criteria for ASPD. Compared to those without ASPD, IDUs with comorbid ASPD who spent 25 or more minutes with their case manager prior to their treatment entry date were 3.51 times more likely to enter treatment than those receiving less than 5 min, adjusting for intervention status, race, and treatment site (95% confidence interval 1.04-11.89). Providing case management services to IDUs with comorbid ASPD may facilitate treatment entry and reduce the negative consequences of drug abuse.

Original languageEnglish (US)
Pages (from-to)267-271
Number of pages5
JournalJournal of Urban Health
Volume84
Issue number2
DOIs
StatePublished - Mar 2007

Keywords

  • Antisocial personality disorder
  • Case management
  • Injection drug user

ASJC Scopus subject areas

  • Health(social science)
  • Urban Studies
  • Public Health, Environmental and Occupational Health

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