title: Services received and treatment outcomes in day-hospital and residential programs.
abstract: This longitudinal health services study (N = 733) (1) examines the impact of services received on 6-month outcomes, and (2) compares day-hospital to residential programs on services received. Services were measured at 2, 4, and 8 weeks postbaseline using a version of the Treatment Services Review. Higher odds of total sobriety at 6 months were associated with greater participation in (a) extracurricular (but not curricular) 12-step meetings, (b) sober recreational events, and (c) educational sessions. Program effects also emerged. Unexpectedly, extracurricular 12-step meeting attendance and the odds of having a sponsor were lower among residential (vs. day hospital) participants through 4 weeks, despite higher participation in curricular 12-step meetings among residential participants at 2 weeks. Still, residential participants reported higher involvement in sober recreation and informal peer socialization across most analyses. Findings suggest that residential and day-hospital programs might maximize outcomes by facilitating optional 12-step involvement and sober recreation, respectively.
authors.affiliation: Alcohol Research Group, Emeryville, CA 94608, USA. szemore@arg.org
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Zemore
authors.forename: Lee Ann
authors.initials: LA
authors.lastname: Kaskutas
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D007902:Length of Stay; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011998:Recreation; D012112:Residential Facilities; D012114:Residential Treatment / Q000592:standards*; D012657:Self-Help Groups; D012944:Social Support; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D013997:Time Factors; D016896:Treatment Outcome