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Surviving Drug Addiction

The Effect of Treatment and Abstinence on Mortality

Bibliographic Data

ID11030283
AuthorsChristy K Scott (0000-0002-5233-4702, Christy K. Scott is with the Lighthouse Institute, Chestnut Health Systems, Chicago, IL. Michael L. Dennis is with the Global Appraisal of Individual Needs Coordinating Center, Chestnut Health Systems, Normal, IL. Alexandre Laudet is with the Institute for Research, Education, and Training in Addictions, Pittsburgh, PA. Rodney R. Funk is with Chestnut Health Systems, Normal, IL. Ronald S. Simeone is with Simeone Associates, Albany, NY.), Michael L Dennis (0000-0002-2580-5345, Christy K. Scott is with the Lighthouse Institute, Chestnut Health Systems, Chicago, IL. Michael L. Dennis is with the Global Appraisal of Individual Needs Coordinating Center, Chestnut Health Systems, Normal, IL. Alexandre Laudet is with the Institute for Research, Education, and Training in Addictions, Pittsburgh, PA. Rodney R. Funk is with Chestnut Health Systems, Normal, IL. Ronald S. Simeone is with Simeone Associates, Albany, NY.), Alexandre B Laudet (Chestnut Health Systems), Alexandre Laudet (Christy K. Scott is with the Lighthouse Institute, Chestnut Health Systems, Chicago, IL. Michael L. Dennis is with the Global Appraisal of Individual Needs Coordinating Center, Chestnut Health Systems, Normal, IL. Alexandre Laudet is with the Institute for Research, Education, and Training in Addictions, Pittsburgh, PA. Rodney R. Funk is with Chestnut Health Systems, Normal, IL. Ronald S. Simeone is with Simeone Associates, Albany, NY.), Rodney R Funk (0000-0003-0774-2982, Christy K. Scott is with the Lighthouse Institute, Chestnut Health Systems, Chicago, IL. Michael L. Dennis is with the Global Appraisal of Individual Needs Coordinating Center, Chestnut Health Systems, Normal, IL. Alexandre Laudet is with the Institute for Research, Education, and Training in Addictions, Pittsburgh, PA. Rodney R. Funk is with Chestnut Health Systems, Normal, IL. Ronald S. Simeone is with Simeone Associates, Albany, NY.), Ronald S Simeone (Christy K. Scott is with the Lighthouse Institute, Chestnut Health Systems, Chicago, IL. Michael L. Dennis is with the Global Appraisal of Individual Needs Coordinating Center, Chestnut Health Systems, Normal, IL. Alexandre Laudet is with the Institute for Research, Education, and Training in Addictions, Pittsburgh, PA. Rodney R. Funk is with Chestnut Health Systems, Normal, IL. Ronald S. Simeone is with Simeone Associates, Albany, NY.)
Year2011
Volume101
Issue4
Pages737-744
Publication date2011-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2010.197038
PMID21330586
PMCIDPMC3052346
OpenAlexW2133483162
LanguageEN
Citations received14
References cited36

Objectives. We examined the relationships between substance abuse treatment, abstinence, and mortality in a sample of individuals entering treatment. We also estimated overall mortality rates and the extent to which they varied according to demographic, clinical severity, and treatment variables. Methods. We used data from a 9-year longitudinal study of 1326 adults entering substance abuse treatment on the west side of Chicago, of whom 131 died (11.0 per 1000 person-years). Baseline predictors, initial and long-term treatment response, and substance use patterns were used to predict mortality rates and time to mortality. Results. Older age, health problems, and substance use were associated with an increased risk of mortality, and higher percentages of time abstinent and longer durations of continuous abstinence were associated with a reduced risk of mortality. Treatment readmission in the first 6 months after baseline was related to an increased likelihood of abstinence, whereas readmission after 6 months was related to a decreased likelihood of abstinence, suggesting that treatment timing is significant. Conclusions. Our findings suggest the need to shift the addiction treatment field from an acute care model to a chronic disease management paradigm and the need for more aggressive screening, intervention, and addiction management over time

Abstinence · Addiction · Intervention (counseling) · Longitudinal study · Psychiatry · Substance abuse · Demography · Gambling Behavior and Treatments · Medicine · Opioid Use Disorder Treatment · Substance Abuse Treatment and Outcomes

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Unique citing works14
Citations per year1,08
Citation span2013 - 2025 (13)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 13

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