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  • 标题:Correlates of Substance Abuse Treatment Completion among Disadvantaged Communities in Cape Town, South Africa
  • 本地全文:下载
  • 作者:Bronwyn J Myers ; Sonja Pasche ; Mohamed Adam
  • 期刊名称:Substance Abuse Treatment, Prevention, and Policy
  • 电子版ISSN:1747-597X
  • 出版年度:2010
  • 卷号:5
  • 期号:3
  • DOI:10.1186/1747-597X-5-3
  • 出版社:BioMed Central
  • 摘要:

    Background
    Completion of substance abuse treatment is a proximal indicator of positive treatment outcomes. To design interventions to improve outcomes, it is therefore important to unpack the factors contributing to treatment completion. To date, substance abuse research has not examined the factors associated with treatment completion among poor, disadvantaged communities in developing countries. This study aimed to address this gap by exploring client-level factors associated with treatment completion among poor communities in South Africa.

    Methods
    Secondary data analysis was conducted on cross-sectional survey data collected from 434 persons residing in poor communities in Cape Town, South Africa who had accessed substance abuse treatment in 2006.

    Results
    Multiple regression analyses revealed that therapeutic alliance, treatment perceptions, abstinence-specific social support, and depression were significant partial predictors of treatment completion.

    Conclusions
    Findings suggest that treatment completion rates of individuals from poor South African communities can be enhanced by i) improving perceptions of substance abuse treatment through introducing quality improvement initiatives into substance abuse services, ii) strengthening clients' abstinence-oriented social networks and, iii) strengthening the counselor-client therapeutic alliance.

  • 关键词:Substance Abuse Treatments;South Africa;Therapeutic Alliance
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