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Biomedical subjects

W H Spillane

Publications and source records attributed to W H Spillane.

4 recordsLinked to original sources

Drug treatment outcomes: is sex a factor?

A small random sample of data from the National CODAP system is used to determine and explain differences in treatment outcomes for men and women. Only small percentage differences, discerned through examination of categorical relationships between males and females, are found to exist. The authors conclude that this finding may suggest more positive outcomes for women in treatment since women experience more social prejudices than their male counterparts, and encounter greater barriers in completing treatment.

Education

The effect of prior treatment on treatment success.

The characteristics of clients discharged from federally funded treatment facilities reporting to CODAP are analyzed in terms of several variables. These are the reasons for discharge (treatment completed, transfer or referral, or treatment not completed), the primary drug of abuse at admission (opiates and nonopiates), and the number of prior treatment experiences. Two independent replications using data for two consecutive quarters produced the same results, finding that the likelihood of completing treatment decreases as the number of prior treatment experiences increases. This relationship was found to apply to both opiate and nonopiate users. Although large differences exist in completion rates between opiate and nonopiate users without prior treatment experience, only small differences exist between opiate and nonopiate users who have had prior treatment. The largest difference in treatment outcome occurs between those with no prior treatment and those who have been treated before. Having one or more prior treatment experiences does not seem to have a major impact on the probability of completing treatment.

Heroin Dependence

Effects of client characteristics on admission activity in United States federally funded drug treatment facilities.

Utilizing data from the National Institute on Drug Abuse's CODAP, this paper examines the effect of client characteristics and drug of abuse on certain admission activity variables. It generally sustains the hypotheses (1) that the demographic characteristics of clients (i.e., sex, age, race-ethnicity, and education) admitted to treatment have no effect on admission activity and (2) that type of primary drug problem (opiates, marijuana, alcohol, barbiturates, and amphetamines) at admission is strongly associated with admission activity. The implications of these data for nondiscriminatory admissions policies; for effective utilization of intake, treatment, and follow-up resources; and for training treatment agents are discussed.

Adolescent