1 / 27

Characteristics of Primary Alcohol Users With and Without Secondary Drug Use

Characteristics of Primary Alcohol Users With and Without Secondary Drug Use. Laurel Mangrum, Ph.D. and Richard Spence, Ph.D. Addiction Research Institute University of Texas at Austin. Purpose of Study.

aysha
Download Presentation

Characteristics of Primary Alcohol Users With and Without Secondary Drug Use

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Characteristics of Primary Alcohol Users With and Without Secondary Drug Use Laurel Mangrum, Ph.D. and Richard Spence, Ph.D. Addiction Research Institute University of Texas at Austin

  2. Purpose of Study • A naturalistic study examining two different primary alcohol user populations receiving substance abuse treatment • Although not randomly assigned, the client groups are expected to differ due to non-random reasons • Studies of this nature are needed to inform clinician expectations of client outcomes based on presenting characteristics

  3. Study Sample • 15,102 primary alcohol users who received substance abuse treatment in state-funded programs during the Texas 2004 fiscal year. • The sample was divided into two groups based on secondary drug use: • Alcohol-Only Users (AO; n = 7,494) • Alcohol-Drug Users (AD; n = 7,608)

  4. Demographic Characteristics

  5. Employment • The AO group had higher employment rates at admission (29% vs. 21%) • Of those employed, the AO group had a greater level of full-time employment (21% vs. 13%) • The AO group reported higher annual income ($7,965 vs. $6,239)

  6. Legal Involvement • Incidence of legal involvement was equivalent between the groups (45%) • The AO group had a higher rate of DWI arrest during the past year (23 vs. 13%) • The AD group had a higher rate of other substance related arrests during the past year (13% vs. 6%)

  7. Substance Use and Treatment History

  8. Frequency of Alcohol Use

  9. Secondary Substances of Alcohol-Drug Group

  10. Number of Problem Days in Past Month at Admission

  11. Treatment Level at Admission

  12. Discharge Characteristics • Length of treatment was significantly longer in the AO group (49 vs. 44 days) • A significantly greater percentage of clients in the AO group were assessed as completing treatment (74% vs. 69%) • The groups were equivalent in the proportion of clients who attended AA (75%) and were abstinent (81%) during the previous month

  13. Reason for Discharge

  14. 60-Day Follow-Up • Follow-up data were available for approximately 30% of each group • Abstinence rates at follow-up significantly higher for the AO group (85% vs. 82%) • AA attendance in the past 30 days was significantly higher for the AD group (59% vs. 56%)

  15. Employment Rates

  16. Days of Alcohol Use(Past 30 Days)

  17. Alcohol/Drug Problem Days(Past 30 Days)

  18. Employment Problem Days(Past 30 Days)

  19. Psychological Problem Days(Past 30 Days)

  20. Social Problem Days(Past 30 Days)

  21. Family Problem Days(Past 30 Days)

  22. Summary of Findings

  23. Demographics • AO users were more likely to be White, married, and over 40 • AD users were more often Black, never married, under 30, unemployed, and had lower education levels

  24. Admission Characteristics • The groups reported similar patterns of alcohol use in the 30 days prior to admission • AD users had a higher incidence of previous substance abuse treatment and IV drug use • AD users reported more problem days related to employment, family, social, psychological, and substance use issues.

  25. Treatment Characteristics • The AO users were more likely to receive outpatient services, whereas the AD group had a higher rates of residential treatment • Length of treatment was greater and completion rates were higher for the AO group • The groups had comparable levels of abstinence and AA attendance at discharge

  26. Follow-Up Characteristics • Abstinence rates were higher in the AO users, but both groups displayed similar reductions in the number of alcohol use days • Employment rates remained higher for AO users, but both groups demonstrated increases in employment • Comparable outcomes were found between the AO and AD groups in the number of problem days associated with drug/alcohol use, employment, psychological issues, social, and family issues.

  27. Conclusions • AO and AD users may display similar alcohol use patterns at admission; however, AD users may have more extensive substance abuse treatment histories and higher levels of psychosocial problems • These findings highlight the importance of comprehensive assessment that includes a broad range of substance usage as well as psychosocial domains

More Related