title: Process-of-care measures as predictors of client outcome among a methamphetamine-dependent sample at 12- and 36-month follow-ups.
abstract: This study examines the utility of several process-of-care performance measures (initiation, engagement, retention, and monitoring of drug use during treatment) as predictors of methamphetamine (MA) use outcomes at 12- and 36-month follow-ups. MA-dependent individuals (n = 871) participated in a randomized, controlled trial of outpatient psychosocial treatment from 1999-2002 and completed 12- and 36-month follow-up interviews. This sample included a treatment-as-usual group (n = 436) and a 16-week Matrix treatment (n = 435) group. Significant associations were observed between select process-of-care measures and MA use outcomes at both follow-ups. While correlational analyses showed an association between MA abstinence at follow-up and enhanced treatment engagement and retention, mixed logistic regression analyses indicated that sustained abstinence from MA during outpatient treatment was the strongest predictor of testing negative for MA use at both follow-ups. Results suggest that monitoring client drug use during treatment may be a useful process-of-care measure with MA-dependent users.
authors.affiliation: Department of Psychiatry, UCLA Integrated Substance Abuse Programs, 11075 Santa Monica Blvd, Suite 200, Los Angeles, CA 90025, USA. rrawson@mednet.ucla.edu
authors.forename: Richard A
authors.initials: RA
authors.lastname: Rawson
authors.forename: Rachel
authors.initials: R
authors.lastname: Gonzales
authors.forename: Lisa
authors.initials: L
authors.lastname: Greenwell
authors.forename: Mady
authors.initials: M
authors.lastname: Chalk
mesh_terms: D000328:Adult; D000553:Ambulatory Care; D019969:Amphetamine-Related Disorders / Q000175:diagnosis / Q000628:therapy*; D000697:Central Nervous System Stimulants / Q000009:adverse effects*; D005260:Female; D006302:Health Services Research; D006801:Humans; D016015:Logistic Models; D008297:Male; D008694:Methamphetamine / Q000009:adverse effects*; D016017:Odds Ratio; D010043:Outcome and Process Assessment, Health Care; D012008:Recurrence; D018570:Risk Assessment; D012307:Risk Factors; D015813:Substance Abuse Detection / Q000379:methods; D013997:Time Factors; D016896:Treatment Outcome; D014481:United States; D016482:Urinalysis
chemical_list: D000697:Central Nervous System Stimulants; D008694:Methamphetamine