Short-Term Outcomes for Opiate and Crack Users Accessing TreatmentCitation formats

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Short-Term Outcomes for Opiate and Crack Users Accessing Treatment : The Effects of Criminal Justice Referral and Crack Use. / Jones, Andrew; Hayhurst, Karen P; Millar, Tim; Pierce, Matthias; Dunn, Graham; Donmall, Michael.

In: European Addiction Research, Vol. 22, No. 3, 04.2016, p. 145-52.

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@article{eeea0ef2b75946059c6660f3e6f1f8a3,
title = "Short-Term Outcomes for Opiate and Crack Users Accessing Treatment: The Effects of Criminal Justice Referral and Crack Use",
abstract = "BACKGROUND/AIMS: The English drug treatment population doubled in size between 1998 and 2008, increasingly characterised by crack cocaine use and criminal justice system (CJS) referral. We assessed short-term (median 3.5 month) behaviour changes following participation in drug treatment and the moderating effect of CJS referral/crack use.METHODS: Opiate and/or crack cocaine users (n = 1,267) were recruited from 342 agencies. Outcome effects were assessed via interaction term regression, clustered at participant level, controlling for client characteristics. Treatment retention effects were tested via Cox proportional hazard models.RESULTS: Statistically significant improvements in health, drug use and offensive behaviour were observed (e.g. heroin use from 87 to 51%, acquisitive offending from 47 to 23%). Referral route was not associated with variation in outcomes. Crack use at baseline was associated with a greater chance of non-fatal overdose at follow-up (p = 0.035, 95% CI 1.08-8.20) but a greater reduction in offending income (p = 0.002, 95% CI £104-£419).CONCLUSION: Despite changes in the English drug treatment population, equivalent short-term improvements in client behaviour were observed a decade earlier. Outcomes for CJS-referred clients were comparable to non-CJS. Crack use at treatment entry offered some scope for greater improvements in offending but may be a barrier to cessation of mortality-associated risky behaviour.",
author = "Andrew Jones and Hayhurst, {Karen P} and Tim Millar and Matthias Pierce and Graham Dunn and Michael Donmall",
note = "{\textcopyright} 2015 S. Karger AG, Basel.",
year = "2016",
month = apr,
doi = "10.1159/000438987",
language = "English",
volume = "22",
pages = "145--52",
journal = "European Addiction Research",
issn = "1022-6877",
publisher = "S. Karger AG",
number = "3",

}

RIS

TY - JOUR

T1 - Short-Term Outcomes for Opiate and Crack Users Accessing Treatment

T2 - The Effects of Criminal Justice Referral and Crack Use

AU - Jones, Andrew

AU - Hayhurst, Karen P

AU - Millar, Tim

AU - Pierce, Matthias

AU - Dunn, Graham

AU - Donmall, Michael

N1 - © 2015 S. Karger AG, Basel.

PY - 2016/4

Y1 - 2016/4

N2 - BACKGROUND/AIMS: The English drug treatment population doubled in size between 1998 and 2008, increasingly characterised by crack cocaine use and criminal justice system (CJS) referral. We assessed short-term (median 3.5 month) behaviour changes following participation in drug treatment and the moderating effect of CJS referral/crack use.METHODS: Opiate and/or crack cocaine users (n = 1,267) were recruited from 342 agencies. Outcome effects were assessed via interaction term regression, clustered at participant level, controlling for client characteristics. Treatment retention effects were tested via Cox proportional hazard models.RESULTS: Statistically significant improvements in health, drug use and offensive behaviour were observed (e.g. heroin use from 87 to 51%, acquisitive offending from 47 to 23%). Referral route was not associated with variation in outcomes. Crack use at baseline was associated with a greater chance of non-fatal overdose at follow-up (p = 0.035, 95% CI 1.08-8.20) but a greater reduction in offending income (p = 0.002, 95% CI £104-£419).CONCLUSION: Despite changes in the English drug treatment population, equivalent short-term improvements in client behaviour were observed a decade earlier. Outcomes for CJS-referred clients were comparable to non-CJS. Crack use at treatment entry offered some scope for greater improvements in offending but may be a barrier to cessation of mortality-associated risky behaviour.

AB - BACKGROUND/AIMS: The English drug treatment population doubled in size between 1998 and 2008, increasingly characterised by crack cocaine use and criminal justice system (CJS) referral. We assessed short-term (median 3.5 month) behaviour changes following participation in drug treatment and the moderating effect of CJS referral/crack use.METHODS: Opiate and/or crack cocaine users (n = 1,267) were recruited from 342 agencies. Outcome effects were assessed via interaction term regression, clustered at participant level, controlling for client characteristics. Treatment retention effects were tested via Cox proportional hazard models.RESULTS: Statistically significant improvements in health, drug use and offensive behaviour were observed (e.g. heroin use from 87 to 51%, acquisitive offending from 47 to 23%). Referral route was not associated with variation in outcomes. Crack use at baseline was associated with a greater chance of non-fatal overdose at follow-up (p = 0.035, 95% CI 1.08-8.20) but a greater reduction in offending income (p = 0.002, 95% CI £104-£419).CONCLUSION: Despite changes in the English drug treatment population, equivalent short-term improvements in client behaviour were observed a decade earlier. Outcomes for CJS-referred clients were comparable to non-CJS. Crack use at treatment entry offered some scope for greater improvements in offending but may be a barrier to cessation of mortality-associated risky behaviour.

U2 - 10.1159/000438987

DO - 10.1159/000438987

M3 - Article

C2 - 26569576

VL - 22

SP - 145

EP - 152

JO - European Addiction Research

JF - European Addiction Research

SN - 1022-6877

IS - 3

ER -