TITLE

Factors predicting drop out from, and retention in, specialist drug treatment services: a case control study in the North West of England

AUTHOR(S)
Beynon, Caryl M.; McMinn, Alison M.; Marr, Adam J. E.
PUB. DATE
January 2008
SOURCE
BMC Public Health;2008, Vol. 8, p149
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
Background: In the United Kingdom (UK), the National Treatment Agency for Substance Misuse (NTA) considers retention to be the best available measure of drug treatment effectiveness. Accordingly, the NTA has set local treatment systems the annual target of retaining 75% of clients for 12 weeks or more, yet little assessment of this target or factors that improve retention has occurred. This study aims to quantify the proportion of people retained in treatment for 12 weeks in the North West of England and to identify factors associated with premature drop out. Methods: The North West National Drug Treatment Monitoring System (NDTMS) was used to identify treatment durations for everyone beginning a treatment episode between 1st April 2005 and 31st March 2006 (N = 16626). Odds ratios, chi-square and logistic regression analyses compared clients retained for 12 weeks to clients whose discharge record showed they had prematurely dropped out before 12 weeks. Individuals with other outcomes were excluded from analyses. Results: 75% of clients (N = 12230) were retained for 12 weeks and 10% (N = 1649) dropped out prematurely. Multivariate analysis showed drop out was more likely among Asian drug users (adjusted odds ratio 1.52, 95% CI 1.12 to 2.08) than their white equivalents. Drop out was more likely among residents of Cumbria and Lancashire (adjusted odds ratio 1.80, 95% CI 1.51 to 2.15) and Greater Manchester (adjusted odds ratio 2.00, 95% CI 1.74 to 2.29) than Cheshire and Merseyside and less likely among alcohol users (adjusted odds ratio 0.73, 95% CI 0.59 to 0.91). A significant interaction between age and deprivation was observed. For those aged 18 to 24 years and 25 to 34 years, drop out was significantly more likely among those living in affluent areas. For those in the older age groups the converse effect was observed. Conclusion: In combination, the drug treatment systems of the North West achieved the Government's retention target in 2005/06. A number of factors associated with drop out were identified; these should be considered in strategies that aim to improve retention. Drop out and retention are measures that capture the joint effect of many factors. Further work is required to evaluate the effect of deprivation.
ACCESSION #
51485967

 

Related Articles

  • Agency remit may include alcohol.  // Community Care;8/1/2002, Issue 1433, p11 

    Reports that the Great Britain National Treatment Agency for Substance Misuse may need to reallocate resources towards alcohol issues if its remit is expanded following a government review into binge drinking. Focus of a study on problems associated with alcohol misuse that was launched by the...

  • Debate on 'right' GP methadone dosage. Baines, Emma // GP: General Practitioner;6/14/2004, p13 

    Many GPs prescribing maintenance methadone treatment are not using an optimal dose, according to a briefing paper from the British National Treatment Agency for Substance Misuse. It states that patients are more likely to remain in a treatment programme and less likely to resume taking illegal...

  • Service fears as some drug action teams face cash cuts.  // Community Care;1/17/2008, Issue 1705, p11 

    The article reports on charities' criticisms of changes in the British government funding for drug action teams (DAT) which will see budget cuts of up to 30 percent in some areas over the next three years. The National Treatment Agency for Substance Misuse, which is responsible for allocating...

  • OTC drug addiction often tied to illegal drug use. Moberly, Tom // GP: General Practitioner;5/20/2011, p16 

    The article focuses on a research by Great Britain National Treatment Agency for Substance Misuse on the misuse of the over-the-counter (OTC) medicines. Researchers have found that in 2009-2010 there were 32,510 individuals in treatment for a problem relating to OTC or prescription drug use....

  • Heroin Prescription and History. Berridge, Virginia // New England Journal of Medicine;8/20/2009, Vol. 361 Issue 8, p820 

    The article looks at the history of the medical prescription of heroin which is now perceived in some European countries as the optimal treatment for drug users whom options are running out and in whom methadone maintenance has not worked. It highlights an article in the "New England Journal of...

  • Funding setback for treatment agencies.  // Community Care;6/29/2006, Issue 1629, p9 

    The article reports on the disappointment expressed by drug agencies with the drug treatment budget for 2006-2007, announced by the British government in June 2006. The National Treatment Agency has been allocated a 28 percent increase on the budget for 2005-2006, but the government had promised...

  • 24,000 young users treated.  // Children & Young People Now (Haymarket Business Publications Ltd;1/22/2009, p3 

    The article reports on the 24,000 young people that are being treated for drug and alcohol problems by the National Treatment Agency for Substance Misuse in Great Britain. It notes that the result is due to the expansion of drug and alcohol treatment services, rather than a rise in young...

  • More young people seek help for drug problems.  // Therapy Today;Jul2009, Vol. 20 Issue 6, p6 

    The article focuses on the figures published by the British National Treatment Agency (NTA) for BBC Radio 1 concerning people who seek help for problems with drugs. According to the NTA, the rise in the number of young people asking for help is driven by an expansion in drug treatment over the...

  • OUT FOR THE COUNT. Barton, Adrian; Teagle, Richard // Community Care;1/27/2005, Issue 1557, p42 

    Focuses on the research conducted by the National Treatment Agency of Great Britain on the impact of the evaluation culture on front-line drug workers in the voluntary sector. Themes that emerged from the interviews with workers from voluntary sector agencies; Dilemma facing outreach work.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics