Author(s): Simpson DD, Joe GW, Broome KM
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Abstract BACKGROUND: Long-term (5-year) outcomes of community treatment for cocaine dependence were examined in relation to problem severity at treatment entry and treatment exposure throughout the follow-up period. METHODS: Interviews were conducted at 1 and 5 years after treatment for 708 subjects (from 45 programs in 8 cities) who met DSM-III-R criteria for cocaine dependence when admitted to treatment in 1991-1993. Primary outcome measures included cocaine use and arrests. Self-reported cocaine use showed high overall agreement with urine (79\% agreement) and hair (80\% agreement) toxicology analyses. RESULTS: Weekly cocaine use was reported by 25\% of the sample at 5 years, slightly higher than the 21\% at 1 year. Similarly, 26\% had cocaine detected in urine specimens at follow-up and 18\% reported having been arrested. Poorer long-term outcomes were related to higher problem severity at treatment admission and low treatment exposure. CONCLUSIONS: The large decreases in cocaine use 1 year after treatment discharge were sustained during the 5-year follow-up. Severity of drug and psychosocial problems at intake was predictive of long-term outcomes and outcomes improved in direct relation to level of treatment exposure.
This article was published in Arch Gen Psychiatry
and referenced in Journal of Antivirals & Antiretrovirals