title: Posttreatment drug use abstinence: does the majority program clientele matter?
abstract: The current study examines differences in organizational characteristics and client posttreatment drug use abstinence in residential substance abuse treatment programs serving clients with high or low levels of legal coercion to participate in treatment. The findings show that low legal coercion programs have higher counselor caseloads (Z = 59, p < .05) than high coercion programs. Although the results showed that programs with a large proportion of African American clients (β = 14.26, p < .0001) and high legal coercion programs (β = 19.99, p < .05) predicted longer abstinence posttreatment, the final models suggest organizational factors are the key predictors of client posttreatment abstinence.
authors.affiliation: a U.S. Health, Public Health & Epidemiology , Abt Associates, Inc. , Bethesda , Maryland.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Duncan
authors.forename: Gerald
authors.initials: G
authors.lastname: Melnick
authors.forename: Rashid
authors.initials: R
authors.lastname: Ahmed
authors.forename: C Debra
authors.initials: CD
authors.lastname: Furr-Holden
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D003376:Counseling / Q000458:organization & administration*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D037141:Mandatory Programs / Q000706:statistics & numerical data*; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration*; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D013997:Time Factors
keywords: legal coercion; race; substance abuse treatment