Responding to the call for research that systematically examines the interrelationship between client characteristics, program services and drug treatment outcomes, the proposed research will investigate the long-standing view among substance abuse treatment providers, researchers, and policy makers, that maximally effective drug abuse treatment must attend to the employment, health, housing, and other distal needs of the client. According to this view, attending to the primary drug problem is necessary but not always sufficient in the successful treatment of drug problems. Although the research on drug treatment effectiveness has made tremendous strides in the last two decades, our limited understanding of the effects of distal needs on treatment engagement and treatment outcomes is a noticeable gap in the empirical literature. Employing a secondary analysis of a recently completed treatment outcomes study, the proposed research will assist in closing this gap by identifying the needs of clients entering outpatient drug treatment programs. It will assess the effects of these needs on treatment engagement and treatment outcomes. It will evaluate the effectiveness of direct and ancillary services in fulfilling these needs and affecting positive treatment outcomes.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Small Research Grants (R03)
Project #
1R03DA011195-01A1
Application #
2623447
Study Section
Human Development Research Subcommittee (NIDA)
Project Start
1998-06-01
Project End
2000-05-31
Budget Start
1998-06-01
Budget End
1999-05-31
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
Fiorentine, Robert; Hillhouse, Maureen P (2003) Why extensive participation in treatment and twelve-step programs is associated with the cessation of addictive behaviors: an application of the addicted-self model of recovery. J Addict Dis 22:35-55
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