The proposed research will determine the effects of past and current sexual and physical abuse on client engagement in drug treatment and treatment effectiveness. It will test the Abuse-Distress (A-D) theoretical model that predicts lower levels of treatment engagement and a higher risk of relapse for those with histories of sexual and physical abuse. The findings will add to the evidentiary record concerning the effects of potentially traumatic experiences and comorbidity on treatment participation, retention and outcomes. Moreover, it will empirically explore the utility of the A-D model for males and females, ethnic populations, and those with different abuse and treatment histories. Finally, it will identify client characteristics that are important predictors of treatment engagement and relapse and that are potentially amenable to clinical intervention. The analyses will utilize data from five recently completed and ongoing treatment evaluations that """"""""piggy-back"""""""" basic science questions with the evaluation concerns. The evaluations involve retrospective/prospective longitudinal designs soliciting pre-treatment, in-treatment, and post-treatment client information on more than 1000 male and female subjects with differing ethnic and racial backgrounds. All five studies include standardized measures of sexual and physical abuse along with frequently used measures and standardized scales assessing the A-D and other predictor variables. Along with OLS and logistic regressions, repeated measures, discriminant analysis, and other multivariate statistical applications, structural equations modeling (EQS) will be utilized to measure the interrelationship between the A-D predictor variables and treatment engagement and relapse risk.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Small Research Grants (R03)
Project #
1R03DA011047-01A1
Application #
2470953
Study Section
Human Development Research Subcommittee (NIDA)
Project Start
1998-01-01
Project End
1999-12-31
Budget Start
1998-01-01
Budget End
1998-12-31
Support Year
1
Fiscal Year
1998
Total Cost
Indirect Cost
Name
University of California Los Angeles
Department
Type
Other Domestic Higher Education
DUNS #
119132785
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
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Fiorentine, Robert; Hillhouse, Maureen P (2003) When low self-efficacy is efficacious: toward an addicted-self model of cessation of alcohol- and drug-dependent behavior. Am J Addict 12:346-64
Fiorentine, R (2001) Counseling frequency and the effectiveness of outpatient drug treatment: revisiting the conclusion that ""more is better."". Am J Drug Alcohol Abuse 27:617-31
Fiorentine, R; Hillhouse, M P (2000) Drug treatment and 12-step program participation: the additive effects of integrated recovery activities. J Subst Abuse Treat 18:65-74
Fiorentine, R; Hillhouse, M P (2000) Exploring the additive effects of drug misuse treatment and Twelve-Step involvement: does Twelve-Step ideology matter? Subst Use Misuse 35:367-97
Fiorentine, R; Hillhouse, M P (2000) Self-efficacy, expectancies, and abstinence acceptance: further evidence for the addicted-self model of cessation of alcohol- and drug- dependent behavior. Am J Drug Alcohol Abuse 26:497-521
Fiorentine, R; Pilati, M L; Hillhouse, M P (1999) Drug treatment outcomes: investigating the long-term effects of sexual and physical abuse histories. J Psychoactive Drugs 31:363-72
Fiorentine, R; Nakashima, J; Anglin, M D (1999) Client engagement in drug treatment. J Subst Abuse Treat 17:199-206