The first 90 days in addiction treatment: the role of family support groups Addiction treatment and Family
Main Article Content
Abstract
Introduction: in the field of addiction, there are remarkable implications for the patient treatment completion in terms of their quality of life from both a clinical and social perspective.
Aim: of the current study is to explore the interaction of factors with regards the patient (including family assistance to therapeutic groups), and treatment completion.
Method: a retrospective study of 234 patients between the ages of 18 and 75, who had been through treatment at Fundación Recal from November 2014 to May 2018, was carried out. For this research, a group of sociodemographic and clinical variables were registered, and interaction was analyzed, whether the client completed or dropped out, using a CHAID algorithm.
Results: it was observed that the principal interaction with treatment completion was family assistance in support groups. At the same time, this variable did interact with the history of previous addiction within the family, in addition to the client’s education level. The model obtained is adequate to classify treatment completion but not drop out.
Conclusion: the results obtained provide support for the importance of introducing family into patient therapeutic plans, especially during the preliminary stages of treatment.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Archibald, M. E., & Archer, R. (2014). The Self-Help Dataset 1955-2000: An Introduction and Invitation. International Journal of Self-Help and Self-Care, 8(1), 113-141. doi: 10.2190/sh.8.1.k
Bazargan-Hejazi, S., De Lucia, V., Pan, D., Mojtahedzadeh, M., Rahmani, E., Jabori, S., … Bazargan, M. (2016). Gender Comparison in Referrals and Treatment Completion to Residential and Outpatient Alcohol Treatment. Substance Abuse: Research and Treatment, 10, SART.S39943. doi: 10.4137/SART.S39943
Becoña-Iglesias, E., & Cortés-Tomás, M. (2008). Guía clínica de intervención psicológica en adicciones. Valencia: Socidrogalcohol.
Bradshaw, S., Shumway, S. T., Wang, E. W., Harris, K. S., Smith, D. B., & Austin-Robillard, H. (2015). Hope, Readiness, and Coping in Family Recovery From Addiction. Journal of Groups in Addiction & Recovery, 10(4), 313-336. doi: 10.1080/1556035X.2015.1099125
Bradshaw, S., Shumway, S. T., Wang, E. W., Harris, K. S., Smith, D. B., & Austin-Robillard, H. (2016). Family Functioning and Readiness in Family Recovery From Addiction. Journal of Groups in Addiction & Recovery, 11(1), 21-41. doi: 10.1080/1556035X.2015.1104644
Brorson, H. H., Ajo Arnevik, E., Rand-Hendriksen, K., & Duckert, F. (2013). Drop-out from addiction treatment: A systematic review of risk factors. Clinical Psychology Review, 33(8), 1010-1024. doi: 10.1016/J.CPR.2013.07.007
Calvo, F., Carbonell, X., Valero, R., Costa, J., Turró, O., Giralt, C., & Ramírez, M. (2017). Abandono precoz y retención en servicios ambulatorios de drogodependencias: análisis transversal comparativo de factores que aumentan o disminuyen la adherencia. Atención Primaria, 50(8), 477-485. doi: 10.1016/j.aprim.2017.06.006
Cardenal, V., & Sánchez, M. P. (2007). Adaptación y baremación al español del Inventario Clínico Multiaxial de Millon-III (MCMI-III). Madrid: TEA Ediciones.
Cook, C. C. H. (1988). The Minnesota Model in the Management of Drug and Alcohol Dependency: miracle, method or myth? Part I. The Philosophy and the Programme. Addiction, 83(6), 625-634. doi: 10.1111/j.1360-0443.1988.tb02591.x
Gonzales, R., Ang, A., Marinelli-Casey, P., Glik, D. C., Iguchi, M. Y., & Rawson, R. A. (2009). Health-related quality of life trajectories of methamphetamine-dependent individuals as a function of treatment completion and continued care over a 1-year period. Journal of Substance Abuse Treatment, 37(4), 353-361. doi: 10.1016/J.JSAT.2009.04.001
Hilton, T. & Pilkonis, P.(2015). The Key to Individualized Addiction Treatment is Comprehensive Assessment and Monitoring of Symptoms and Behavioral Change. Behavioral Sciences, 5(4), 477-495. doi: 10.3390/bs5040477
Kelly, J. F., Bergman, B., Hoeppner, B. B., Vilsaint, C., & White, W. L. (2017). Prevalence and pathways of recovery from drug and alcohol problems in the United States population: Implications for practice, research, and policy. Drug and Alcohol Dependence, 181, 162-169. doi: 10.1016/j.drugalcdep.2017.09.028
King, M. W., & Resick, P. A. (2014). Data mining in psychological treatment research: A primer on classification and regression trees. Journal of Consulting and Clinical Psychology, 82(5), 895-905. doi: 10.1037/a0035886
López-Goñi, J. J., Fernández-Montalvo, J., & Arteaga, A. (2011). Addiction Treatment Dropout: Exploring Patients’ Characteristics. The American Journal on Addictions, 21(1), 78-85. doi: 10.1111/j.1521-0391.2011.00188.x
López-Goñi, J. J., Fernández-Montalvo, J., Arteaga, A., & Esarte, S. (2017). Searching objective criteria for patient assignment in addiction treatment. Journal of Substance Abuse Treatment, 76, 28-35. doi: 10.1016/J.JSAT.2017.02.014
Marcos-Sierra, J. A., & Garrido-Fernández, M. (2009). La terapia familiar en el tratamiento de las adicciones. Apuntes de Psicología, 27(2-3), 339-362. Retrieved from http://www.apuntesdepsicologia.es/index.php/revista/article/view/151
Martínez-González, J. M., Albein-Urios, N., Lozano-Rojas, O., & Verdejo-García, A. (2014). Aspectos diferenciales del riesgo de abandono al inicio del tratamiento de la adicción a la cocaína en pacientes con trastornos de la personalidad. Adicciones, 26(2), 116-125. doi: 10.20882/adicciones.13
Martínez-González, J. M., Vilar-López, R., & Verdejo-García, A. (2018). Efectividad a Largo Plazo de la Terapia de Grupo Cognitivo-conductual del Alcoholismo: Impacto de la Patología Dual en el Resultado del Tratamiento. Clínica y Salud, 29(1), 1-8. doi: 10.5093/clysa2018a1
McLellan, A. T., Lewis, D. C., O’Brien, C. P., & Kleber, H. D. (2000). Drug dependence, a chronic medical illness implications for treatment, insurance, and outcomes evaluation. Journal of the American Medical Association, 284(13), 1689-1695. doi: 10.1001/jama.284.13.1689
McLellan, A. T., McKay, J. R., Forman, R., Cacciola, J., & Kemp, J. (2005). Reconsidering the evaluation of addiction treatment: from retrospective follow-up to concurrent recovery monitoring. Addiction, 100(4), 447-458. doi: 10.1111/j.1360-0443.2005.01012.x
McPherson, C., Boyne, H., & Willis, R. (2016). The Role of Family in Residential Treatment Patient Retention. International Journal of Mental Health and Addiction, 15(4), 933-941. doi: 10.1007/s11469-016-9712-0
Newton-Howes, G., & Stanley, J. (2015). Patient characteristics and predictors of completion in residential treatment for substance use disorders. BJPsych Bulletin, 39(5), 221-227. doi: 10.1192/pb.bp.114.047639
Padula, A. E., Griffin, W. C., Lopez, M. F., Nimitvilai, S., Cannady, R., McGuier, N. S., … Mulholland, P. J. (2015). KCNN Genes that Encode Small-Conductance Ca2+-Activated K+ Channels Influence Alcohol and Drug Addiction. Neuropsychopharmacology, 40(8), 1928-1939. doi: 10.1038/npp.2015.42.
Saunders, E. C., McLeman, B. M., McGovern, M. P., Xie, H., Lambert-Harris, C., & Meier, A. (2015). The influence of family and social problems on treatment outcomes of persons with co-occurring substance use disorders and PTSD. Journal of Substance Use, 1-7. doi: 10.3109/14659891.2015.1005184
Shumway, S. T., Schonian, S., Bradshaw, S., & Hayes, N. D. (2017). A Revised Multifamily Group Curriculum: The Need for Family Member Recovery from Addiction. Journal of Groups in Addiction & Recovery, 12(4), 260-283. doi: 10.1080/1556035X.2017.1348281
Şimşek, M., Dinç, M., & Ögel, K. (2018). Determinants of the addiction treatment drop-out rates in an addiction counseling centre: a cross-sectional study. Psychiatry and Clinical Psychopharmacology, 1-9. doi: 10.1080/24750573.2018.1505283
Smyth, B. P., Barry, J., Lane, A., Cotter, M., O’Neill, M., Quinn, C., & Keenan, E. (2005). In-patient treatment of opiate dependence: medium-term follow-up outcomes. British Journal of Psychiatry, 187(04), 360-365. doi: 10.1192/bjp.187.4.360
Stahler, G. J., Mennis, J., & DuCette, J. P. (2016). Residential and outpatient treatment completion for substance use disorders in the U.S.: Moderation analysis by demographics and drug of choice. Addictive Behaviors, 58, 129-135. doi: 10.1016/J.ADDBEH.2016.02.030
Timko, C., Cronkite, R., Kaskutas, L. A., Laudet, A., Roth, J., & Moos, R. H. (2013). Al-Anon family groups: newcomers and members. Journal of studies on alcohol and drugs, 74(6), 965-976.
Timko, C., Halvorson, M., Kong, C., & Moos, R. H. (2015). Social processes explaining the benefits of Al-Anon participation. Psychology of Addictive Behaviors, 29(4), 856-863. doi: 10.1037/adb0000067
Timko, C., Laudet, A., & Moos, R. H. (2014). Newcomers to Al-Anon family groups: Who stays and who drops out? Addictive Behaviors, 39(6), 1042-1049. doi: 10.1016/j.addbeh.2014.02.019
UNODC. (2018). World Drug Report 2018. Retrieved in September 11, 2018, from https://www.unodc.org/wdr2018/
Yau, Y. H. C., & Potenza, M. N. (2015). Gambling disorder and other behavioral addictions: recognition and treatment. Harvard Review of Psychiatry, 23(2), 134-146. doi: 10.1097/HRP.0000000000000051
Zarkin, G. A., Dunlap, L. J., Bray, J. W., & Wechsberg, W. M. (2002). The effect of treatment completion and length of stay on employment and crime in outpatient drug-free treatment. Journal of Substance Abuse Treatment, 23(4), 261-271. doi: 10.1016/S0740-5472(02)00273-8