The effect of a case management intervention on drug treatment entry among treatment-seeking injection drug users with and without comorbid antisocial personality disorder.
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.
Havens
Jennifer R
JR
Center on Drug and Alcohol Research, University of Kentucky College of Medicine, Lexington, KY, USA. jennifer.havens@uky.edu
Cornelius
Llewellyn J
LJ
Ricketts
Erin P
EP
Latkin
Carl A
CA
Bishai
David
D
Lloyd
Jacqueline J
JJ
Huettner
Steven
S
Strathdee
Steffanie A
SA
D000328:Adult; D000987:Antisocial Personality Disorder / Q000150:complications* / Q000517:prevention & control; D015142:Baltimore / Q000453:epidemiology; D019090:Case Management; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D009294:Narcotics / Q000627:therapeutic use; D018671:Needle-Exchange Programs / Q000706:statistics & numerical data*; D009293:Opioid-Related Disorders / Q000150:complications / Q000534:rehabilitation*; D011957:Receptors, Opioid / Q000819:agonists; D012309:Risk-Taking; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D015819:Substance Abuse, Intravenous / Q000150:complications / Q000534:rehabilitation*; D013997:Time Factors; D019037:Urban Health Services
D009294:Narcotics; D011957:Receptors, Opioid