Drinking levels and problem drinking among junior and senior high-school students.
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Alcohol Drinking↗
Biomedical subjects
R L Hubbard
Publications and source records attributed to R L Hubbard.
Relationship between time spent in treatment and client outcomes from therapeutic communities.
Research found that therapeutic communities and other types of residential programs are effective in reducing drug use, unemployment, and criminal behavior and that length of time spent in treatment is an important predictor of client outcomes from programs. Studies vary considerably, however, in terms of the amount of time they found clients need to stay in treatment to produce those outcomes. Data collected for the Treatment Outcome Prospective Study (TOPS) were analyzed to explore the relationship between time spent in treatment and client outcomes from therapeutic communities and other types of residential drug treatment programs. The analysis took into account client characteristics and whether clients received drug treatment during the follow-up year. The results indicate there is a stronger relationship between time spent in treatment and client outcomes from therapeutic communities than was suggested in earlier analysis of TOPS data.
Adolescent↗
Individual Assessment Profile (IAP). Standardizing the assessment of substance abusers.
The Individual Assessment Profile (IAP), a structured intake assessment interview instrument in the public domain, was designed for use with substance-abusing populations in several large-scale and community-based drug abuse treatment projects underway in the United States. Background information is presented, including the content-based item-selection process used during the pretests and pilot testing. Validity and test-retest reliability data are also presented, along with descriptions of studies using the IAP for clinical, research, and management information purposes. Concordance between biological measures and self-reports of recent drug use, measures of internal consistency, and test-retest reliability coefficients were generally good. A computer-assisted personal interview version of the IAP and an automated reporting system were subsequently developed for clinical and management reporting purposes and used in a large-scale research demonstration project. An intreatment version of the IAP has also been developed to collect information on treatment services provided and to assess changes in behaviors after 3, 6, and 12 months of treatment. These instruments (the IAP intake and intreatment interviews) provide a comprehensive system to assess substance-abusing populations.
Adolescent↗
Role of drug-abuse treatment in limiting the spread of AIDS.
Drug-abuse treatment may have important direct and indirect effects on restricting the spread of infection with human immunodeficiency virus by decreasing the prevalence of intravenous drug use and by decreasing regular drug use that impairs the immune system. Drug-abuse treatment results in substantial declines in the use of heroin, cocaine, prescription psychotherapeutic drugs, and other drugs in the year after treatment. Declines are closely related to the length of time spent in treatment; treatment duration of greater than or equal to 6 months has a significant impact on drug use after treatment. The potential impact of drug-abuse treatment in combatting the AIDS epidemic is discussed.
Acquired Immunodeficiency Syndrome↗
Conceptualizing and assessing treatment structure and process in community-based drug dependency treatment programs.
Having established the effectiveness of drug dependency treatment, the next generation of research will necessitate a focus on treatment structure and process and the systems within which programs operate. As a foundation for a process conceptualization, we constructed a grounded theory definition of treatment consisting of core elements and related comprehensive services. We then presented the multilevel conceptual framework that guided the Drug Abuse Treatment Outcome Study (DATOS) treatment structure and process study design and instrumentation, anchored by supporting empirical literature. The framework emphasizes seven critical levels of process measurement that future research should consider in order to avoid potential spurious findings.
Community Mental Health Services↗