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Predicting Outcome of In-Patient Opiate Detoxification Successes and Failures at Completion of Detoxification and Longer-Term Abstinence.

Cottee, Helen. (2002) Predicting Outcome of In-Patient Opiate Detoxification Successes and Failures at Completion of Detoxification and Longer-Term Abstinence. Doctoral thesis, University of Surrey (United Kingdom)..

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Abstract

Predictors of outcome of in-patient opiate detoxification and abstinence at 3-month follow-up were investigated using a prospective design. 70 individuals admitted to an in-patient Unit were interviewed at admission to the Unit, and outcome status at three months was ascertained for 89% of participants. A variety of baseline distal or personal measures were taken at admission. Intermediate or background measures were taken at admission, discharge and at 3-month follow-up. 59% of participants successfully completed in-patient detoxification. None of the distal or intermediate measures predicted successful completion of detoxification. The best predictor of completion of in-patient detoxification was key worker ratings of confidence that their client would complete the detoxification. Of those with a known outcome, 45% were abstinent from opiates or opioids at 3-month follow-up. None of the distal or intermediate measures predicted outcome at 3-month follow-up, although there was evidence that higher client coping self-efficacy (as measured by the DTCQ-8) at admission and at discharge, related to outcome status at three months. The best predictors of abstinence at 3-month follow-up were key worker ratings of confidence in their client's ability to remain abstinent, taken at discharge from the Unit, and the client going to a residential treatment centre. Implications for clinical practice and future research are discussed.

Item Type: Thesis (Doctoral)
Divisions : Theses
Authors : Cottee, Helen.
Date : 2002
Additional Information : Thesis (Psy.D.)--University of Surrey (United Kingdom), 2002.
Depositing User : EPrints Services
Date Deposited : 30 Apr 2019 08:08
Last Modified : 20 Aug 2019 15:33
URI: http://epubs.surrey.ac.uk/id/eprint/851484

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