The effectiveness of telephone-based continuing care in the clinical management of alcohol and cocaine use disorders: 12-month outcomes.
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.
McKay
James R
JR
Department of Psychiatry, University of Pennsylvania, Treatment Research Center, 3900 Chestnut Street, Philadelphia, PA 19104, USA. mckay_j@mail.trc.upenn.edu
Lynch
Kevin G
KG
Shepard
Donald S
DS
Ratichek
Sara
S
Morrison
Rebecca
R
Koppenhaver
Janelle
J
Pettinati
Helen M
HM
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