title: Client consensus on beliefs about abstinence: effects on substance abuse treatment outcomes.
abstract: Organizational culture, as evinced by consensus regarding staff and client beliefs and values, has been shown to affect client engagement in residential substance abuse treatment. The present paper extends this work to treatment outcomes. Secondary analysis of data from a "Beliefs About Abstinence Scale," used in the Drug Abuse Treatment Outcomes Study (DATOS), was conducted for 76 programs, including outpatient methadone treatment, outpatient drug-free, short-term inpatient, and long-term residential programs. Findings show that higher levels of client consensus after 1 month of treatment were associated with less use of drugs and alcohol at 1-year follow-up, after controlling for the mean of the scale score, gender, age, client substance use at baseline and treatment modality. The implications of the results for substance abuse treatment are discussed.
authors.affiliation: Center for the Integration of Research & Practice (CIRP), National Development & Research Institutes Inc (NDRI), New York, NY 10010, USA. melnick@ndri.org
authors.forename: Gerald
authors.initials: G
authors.lastname: Melnick
authors.forename: Harry K
authors.initials: HK
authors.lastname: Wexler
authors.forename: Charles M
authors.initials: CM
authors.lastname: Cleland
mesh_terms: D000328:Adult; D001294:Attitude to Health; D032921:Consensus; D003469:Culture; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D015279:Organizational Culture; D012945:Social Values; D019966:Substance-Related Disorders / Q000517:prevention & control / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome