title: Predictors of drug treatment re-entry following relapse to cocaine use in DATOS.
abstract: Many drug abusers have repeated exposure to treatment, yet little is known about the reasons some individuals re-enter treatment following relapse to drug use. This paper examines the predictors of treatment re-entry among cocaine abusers who relapsed to cocaine use (N = 347) within 5 years following their index treatment episode. In-depth assessments were conducted at treatment intake in 1991-93 and at 1 and 5 years following treatment discharge. About 44% of the sample returned to treatment, at an average of 2.6 years following discharge. A logistic regression analysis demonstrated that individuals who were African American, were previously married, used cocaine at least weekly after treatment discharge, and had more service needs at the time of index treatment were more likely to re-enter treatment. The findings suggest that a longer-term perspective on treatment utilization is needed to more fully address chronic substance abuse and the problems typically associated with it.
authors.affiliation: UCLA Drug Abuse Research Center/Integrated Substance Abuse Programs, 1640 S. Sepulveda Blvd., Suite 200, Los Angeles, CA 90025, USA. grella@ucla.edu
authors.forename: Christine E
authors.initials: CE
authors.lastname: Grella
authors.forename: Yih-Ing
authors.initials: YI
authors.lastname: Hser
authors.forename: Shih-Chao
authors.initials: SC
authors.lastname: Hsieh
mesh_terms: D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data; D044383:Black People / Q000706:statistics & numerical data; D019970:Cocaine-Related Disorders / Q000453:epidemiology / Q000208:ethnology / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D016015:Logistic Models; D008297:Male; D008691:Methadone / Q000627:therapeutic use; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D010359:Patient Readmission / Q000706:statistics & numerical data*; D012008:Recurrence; D019233:Retreatment / Q000706:statistics & numerical data; D012307:Risk Factors; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D014481:United States; D014600:Utilization Review / Q000706:statistics & numerical data; D044465:White People / Q000706:statistics & numerical data; D001741:Black or African American
chemical_list: D008691:Methadone