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Comparing Outcomes of "Voluntary" and Quasi-Compulsory" Treatment of Substance Dependence in Europe


Schaub, Michael P; Stevens, B; Berto, D; Hunt, N; Kerschl, V; McSweeney, T; Oeuvray, K; Puppo, I; Santa Maria, A; Trinkl, B; Werdenich, W; Uchtenhagen, Ambros (2010). Comparing Outcomes of "Voluntary" and Quasi-Compulsory" Treatment of Substance Dependence in Europe. European Addiction Research, 16(1):53-60.

Abstract

AIM: This study evaluates quasi-compulsory drug treatment (QCT) arrangements for substance-dependent offenders receiving treatment instead of imprisonment in comparison to voluntary treatment within five European countries.
METHODS: Participants were interviewed with the European Addiction Severity Index, the ASI-crime module, questions on perception of pressure and self-efficacy, and the Readiness-to-Change Questionnaire at treatment entry and after 6, 12, and 18 months.
RESULTS: Reductions in substance use and crime as well as improvements in health and social integration were observed in QCT and voluntary treatment groups. After controlling for various factors, subjects in the QCT and the comparison group showed similar reductions in substance use and crime over time. Study retention was comparable in both groups.
CONCLUSION: QCT is as effective as voluntary treatment provided in the same services in reducing substance use and crime.

AIM: This study evaluates quasi-compulsory drug treatment (QCT) arrangements for substance-dependent offenders receiving treatment instead of imprisonment in comparison to voluntary treatment within five European countries.
METHODS: Participants were interviewed with the European Addiction Severity Index, the ASI-crime module, questions on perception of pressure and self-efficacy, and the Readiness-to-Change Questionnaire at treatment entry and after 6, 12, and 18 months.
RESULTS: Reductions in substance use and crime as well as improvements in health and social integration were observed in QCT and voluntary treatment groups. After controlling for various factors, subjects in the QCT and the comparison group showed similar reductions in substance use and crime over time. Study retention was comparable in both groups.
CONCLUSION: QCT is as effective as voluntary treatment provided in the same services in reducing substance use and crime.

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16 citations in Web of Science®
18 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Psychiatric University Hospital Zurich > Clinic for Clinical and Social Psychiatry Zurich West (former)
04 Faculty of Medicine > Swiss Research Institute for Public Health and Addiction
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2010
Deposited On:02 Mar 2010 12:39
Last Modified:01 Jul 2016 13:49
Publisher:Karger
ISSN:1022-6877
Additional Information:© 2010 S. Karger AG
Publisher DOI:10.1159/000265938
PubMed ID:20016186
Permanent URL: http://doi.org/10.5167/uzh-28897

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