Differences in factors associated with first treatment entry and treatment re-entry among cocaine users.
OBJECTIVE
To investigate factors associated with first entry to treatment and with treatment re-entry among cocaine users.


METHODS
Cross-sectional study.


METHODS
Cocaine users (n=313) recruited from community and treatment settings in Brazil.


METHODS
Structured questionnaire including selected items from the addiction severity index (ASI), general health questionnaire, version 28 (GHQ-28), CAGE and the severity of dependence scale (SDS).


RESULTS
Higher dose use, being a problematic drinker and increased awareness of their problem were associated with increased odds of making first contact with an agency. Greater severity of dependence, being involved in acquisitive crime and social support increased the chance of treatment re-entry. Being involved in acquisitive crimes and concerns about confidentiality were associated with decreased odds of first treatment contact. Being a problematic drinker was associated with decreased odds of re-entry treatment.


CONCLUSIONS
These findings suggest that the distinction between first treatment contact and subsequent entry to treatment is useful, clinically relevant and deserving of further investigation.
National Addiction Centre, Institute of Psychiatry, London, UK. c.ferri@iop.kcl.ac.uk
Cleusa P
CP
Ferri
Michael
M
Gossop
Sophia
S
Rabe-Hesketh
Ronaldo R
RR
Laranjeira
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D017668:Age of Onset; D002648:Child; D002675:Child, Preschool; D019970:Cocaine-Related Disorders / Q000628:therapy*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D012008:Recurrence; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires