Effect of co-occurring disorders and intimate partner violence on substance abuse treatment outcomes.
This retrospective cohort study examined risk factors for co-occurring substance use and mental disorders (COD) and the effect of COD and intimate partner violence (IPV) victimization among women and IPV-related arrest among men on 1-year substance abuse treatment outcomes. The study sample included clients admitted to Washington State publicly funded substance abuse treatment facilities in 2004-2007. COD was associated with a high substance use and IPV risk profile at admission. Having a COD decreased the odds of completing treatment by 30% among men and women and increased the risk of treatment reentry by 9% and 12% among men and women, respectively. IPV also decreased the odds of completing treatment among women and increased the risk of treatment reentry among men. Men with COD were less likely than those without COD to be arrested for substance-related crimes but more likely to be arrested for violence-related crimes in the follow-up period. Implications of these findings are discussed.
Center for Healthcare Improvement for Addictions, Mental Illness and Medically Vulnerable Populations (CHAMMP), University of Washington at Harborview Medical Center, Seattle, WA 98104-2499, USA. lipsky@u.washington.edu
Sherry
S
Lipsky
Antoinette
A
Krupski
Peter
P
Roy-Byrne
Barbara
B
Lucenko
David
D
Mancuso
Alice
A
Huber
D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation*; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010352:Patient Dropouts / Q000523:psychology / Q000706:statistics & numerical data; D010359:Patient Readmission / Q000706:statistics & numerical data; D011329:Prisoners / Q000331:legislation & jurisprudence / Q000523:psychology / Q000706:statistics & numerical data; D012008:Recurrence; D012307:Risk Factors; D012959:Socioeconomic Factors; D013179:Spouse Abuse / Q000331:legislation & jurisprudence / Q000517:prevention & control / Q000523:psychology / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation*; D016896:Treatment Outcome; D014754:Violence / Q000331:legislation & jurisprudence / Q000517:prevention & control / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult