The proposed study will utilize public social service agency and institutional records, drug treatment records and followup interviews to investigate in detail the natural course of the addiction process in patients previously commmitted to the California Civil Addict Program (CAP). The study will represent a second followup of a sample previously interviewed in 1974/75. The study will enable a comprehensive and complete view of a period of 25 years in the natural history of the chronic opiate addict life cycle (from first narcotic use to the time of interview). The process of maturing out will be investigated in detail, focusing on those variables which support this process in conjunction with those which hinder it. Special emphasis will therefore be placed on psychological, environmental and sociocultural variables which support the maintenance as well as the cessation of addiction over the course of the addict career. Utilizing theoretical perspectives advanced for the maintenance and cessation of addiction, confirmatory approaches to predictive models will be tested for their relative validity. The major dependent variable in such models will be the maturing out of the addiction career as indicated not only by the cessation of compulsive narcotics use, but also as indicated by the presence of employment, satisfactory family or marital relationships, and the absence of criminal behavior and alcohol or other drug abuse. The results will also be examined to determine how the various treatment programs encountered by the subjects differentially change the course of the addict career. Additional analyses will include a categorization of addict types which will discriminate characteristics likely to be predictive of favorable responses to treatment, and/or predictive of early maturing out. The latter analysis will include a comprehensive investigation of a sample selected for showing successful completion of the CAP.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA003425-03
Application #
3207912
Study Section
(DACA)
Project Start
1984-09-15
Project End
1987-08-31
Budget Start
1986-09-01
Budget End
1987-08-31
Support Year
3
Fiscal Year
1986
Total Cost
Indirect Cost
Name
University of California Los Angeles
Department
Type
Schools of Arts and Sciences
DUNS #
119132785
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Anglin, M D; Speckart, G R; Booth, M W et al. (1989) Consequences and costs of shutting off methadone. Addict Behav 14:307-26
Rodriguez, M E; Anglin, M D (1988) The epidemiology of alcohol consumption in Spain. Int J Soc Psychiatry 34:102-11
Anglin, M D (1988) The efficacy of civil commitment in treating narcotic addiction. NIDA Res Monogr 86:8-34
Anglin, M D; Booth, M W; Ryan, T M et al. (1988) Ethnic differences in narcotics addiction. II. Chicano and Anglo addiction career patterns. Int J Addict 23:1011-27
Anglin, M D; Ryan, T M; Booth, M W et al. (1988) Ethnic differences in narcotics addiction. I. Characteristics of Chicano and Anglo methadone maintenance clients. Int J Addict 23:125-49
Anglin, M D; Fisher, D G (1987) Survival analysis in drug program evaluation. Part II. Partitioning treatment effects. Int J Addict 22:377-87
Anglin, M D; Brecht, M L (1987) AIDS virus exposure behavior in long-term addicts: a preliminary study. NIDA Res Monogr 76:200-6
Brower, K J; Anglin, M D (1987) Adolescent cocaine use: epidemiology, risk factors, and prevention. J Drug Educ 17:163-80
Fisher, D G; Anglin, M D (1987) Survival analysis in drug program evaluation. Part I. Overall program effectiveness. Int J Addict 22:115-34
Anglin, M D; Kao, C F; Harlow, L L et al. (1987) Similarity of behavior within addict couples. Part I. Methodology and narcotics patterns. Int J Addict 22:497-524

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