effects on client showed these scores to be relatively powerful, independent outcomes. predictors of retention. Melnick, G; Hawke, To evaluate the 1,059 participants from Tested whether participants Despite being coerced into treatment, the majority of J; Wexler, growing number of 13 prison-based from prison-based substance participants were positive about their treatment experience. H.K.(2004) prison-based substance abuse abuse treatment programs substance abuse treatment programs could be grouped according USA treatment programs to elevated, moderate, or low from the perspective perceptions of the treatment of the clients environment and according to their perceptions of the program climate. PRESSURES Storbjork, J.(2013) Explores how (N = 1,210) Informal pressures (from Interviewed when Pressures were generally associated with poorer outcome. and representative of the family and friends), formal starting a new Alcohol misusers who had experienced threats regarding child Sweden treatment-entry addiction treatment pressures (related to work, treatment episode custody did better in comparison with those not experiencing pressures are system of Stockholm healthcare, social services, and after one year such pressure. associated with social allowances, child treatment custody) and legal pressures Analyses indicated that self-choice and pressures are outcome (related to the police, criminal associated with outcome among alcohol misusers but not (dependence justice system, and among drug misusers when controlling for background factors symptoms, 0-6, 12 compulsory treatment) were and severity. Self-choice (without pressures) correlated with a months) among analysed. good outcome (a lower number of dependence criteria). alcohol and drug misusers Polcin, D. L; Assess how pressure 698 individuals entering Pressure was assessed by Interview and Being on parole or probation, not being employed full time, and Beattie, M. (2007). from different residential or outpatient asking participants if others completion of having more severe legal problems predicted pressure from sources varies treatment had suggested they enter addiction severity institutions. USA treatment, including family, measures friends, and professionals Most of the participants (73%) reported some type of pressure: within institutions. Additional 29% from personal relationships, 30% from institutions, and assessments included the 14% from both. The remaining 27% reported no pressure to Addiction Severity Index and enter treatment. readiness to change In addition, institutional pressure was associated with lower motivation at baseline, whereas relationship pressure was not
effects on client outcomes. showed these scores to be relatively powerful, independent predictors of retention. Melnick, G; Hawke, J; Wexler, H.K.(2004) USA To evaluate the growing number of prison-based substance abuse treatment programs from the perspective of the clients 1,059 participants from 13 prison-based substance abuse treatment programs Tested whether participants from prison-based substance abuse treatment programs could be grouped according to elevated, moderate, or low perceptions of the treatment environment and according to their perceptions of the program climate. Despite being coerced into treatment, the majority of participants were positive about their treatment experience. PRESSURES Storbjork, J.(2013) Sweden Explores how and treatment-entry pressures are associated with treatment outcome (dependence symptoms, 0-6, 12 months) among alcohol and drug misusers (N = 1,210) representative of the addiction treatment system of Stockholm Informal pressures (from family and friends), formal pressures (related to work, healthcare, social services, social allowances, child custody) and legal pressures (related to the police, criminal justice system, and compulsory treatment) were analysed. Interviewed when starting a new treatment episode and after one year Pressures were generally associated with poorer outcome. Alcohol misusers who had experienced threats regarding child custody did better in comparison with those not experiencing such pressure. Analyses indicated that self-choice and pressures are associated with outcome among alcohol misusers but not among drug misusers when controlling for background factors and severity. Self-choice (without pressures) correlated with a good outcome (a lower number of dependence criteria). Polcin, D. L; Beattie, M. (2007). USA Assess how pressure from different sources varies 698 individuals entering residential or outpatient treatment Pressure was assessed by asking participants if others had suggested they enter treatment, including family, friends, and professionals within institutions. Additional assessments included the Addiction Severity Index and readiness to change Interview and completion of addiction severity measures Being on parole or probation, not being employed full time, and having more severe legal problems predicted pressure from institutions. Most of the participants (73%) reported some type of pressure: 29% from personal relationships, 30% from institutions, and 14% from both. The remaining 27% reported no pressure to enter treatment. In addition, institutional pressure was associated with lower motivation at baseline, whereas relationship pressure was not