title: The effectiveness of telephone-based continuing care in the clinical management of alcohol and cocaine use disorders: 12-month outcomes.
abstract: This study of continuing care for substance dependent patients compared a telephone-based monitoring and brief counseling intervention (TEL) with 2 face-to-face interventions, relapse prevention (RP) and standard 12-step group counseling (STND). The participants were graduates of intensive outpatient programs who had current dependence on alcohol and/or cocaine. Self-report, collateral, and biological measures of alcohol and cocaine use were obtained over a 12-month follow-up. The treatment groups did not differ on abstinence-related outcomes in the complete sample (N = 359) or on cocaine use outcomes in participants with cocaine dependence (n = 268). However, in participants with alcohol dependence only (n = 91), TEL produced better alcohol use outcomes than STND on all measures examined and better outcomes than RP on some of the measures.
authors.affiliation: Department of Psychiatry, University of Pennsylvania, Treatment Research Center, 3900 Chestnut Street, Philadelphia, PA 19104, USA. mckay_j@mail.trc.upenn.edu
authors.forename: James R
authors.initials: JR
authors.lastname: McKay
authors.forename: Kevin G
authors.initials: KG
authors.lastname: Lynch
authors.forename: Donald S
authors.initials: DS
authors.lastname: Shepard
authors.forename: Sara
authors.initials: S
authors.lastname: Ratichek
authors.forename: Rebecca
authors.initials: R
authors.lastname: Morrison
authors.forename: Janelle
authors.initials: J
authors.lastname: Koppenhaver
authors.forename: Helen M
authors.initials: HM
authors.lastname: Pettinati
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000628:therapy*; D019970:Cocaine-Related Disorders / Q000628:therapy*; D003266:Continuity of Patient Care; D003376:Counseling / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D055502:Secondary Prevention; D013689:Telephone