It found that problem drug-users who were younger, homeless or not currently injecting are significantly more likely to exit early, possibly because drug services are off-putting and not suited to their needs.
Since 1998, the UK has seen a big expansion in its drug programmes that has led to a 113% increase in the numbers of people being assessed for structured treatment. However, problem drug-users may not benefit from these programmes if they do not stay the course.
Researchers from the University of Kent and Kings College London analysed data from 2,624 service users from three English drug action team areas (two metropolitan and one provincial) who had been assessed and recommended for treatment programmes.
Whilst a quarter of problem drug-users exited early before completing 30 days, two thirds of these actually failed to even begin the recommended course of treatment –i.e. these programs fail to engage them at the outset. The ages of people leaving before starting treatment or before 30 days was significantly lower than those who remained on the programme.
How much drug users stuck at their treatment varied between agencies; they were more than two times more likely to exit early in agencies that have a longer waiting time between the assessment of the drug user and the start of their treatment. This finding suggests that exiting treatment early is not just due to inherent, individual factors but may relate to program differences.
Interviews with problem drug-users and agency staff backed up these findings. “Whilst it is easy to blame the early exit out rate of problem drug-users on the 'chaos' in their lives of drug and their lack of motivation our data and interviews suggest that there is much that services can do to enhance the rate of retention in the first few days and weeks,” notes Dr Alex Stevens, who led the study.
For example, problem drug-users who do not belong to the traditional client group of injecting heroin users in their late 20s and 30s (eg – those who use stimulants) may find traditional drug services, provided from central locations in often run-down buildings, off-putting.
The limited opening hours of services may exclude many potential clients, especially those who work, from being able to attend treatment. Techniques for enhancing early retention, such as proactive, personalised contacting for appointments and motivational interviewing during treatment sessions are available but not yet widespread.
Fixating on faces
26.01.2017 | California Institute of Technology
Internet use in class tied to lower test scores
16.12.2016 | Michigan State University
On January 15, 2009, Chesley B. Sullenberger was celebrated world-wide: after the two engines had failed due to bird strike, he and his flight crew succeeded after a glide flight with an Airbus A320 in ditching on the Hudson River. All 155 people on board were saved.
On January 15, 2009, Chesley B. Sullenberger was celebrated world-wide: after the two engines had failed due to bird strike, he and his flight crew succeeded...
Cells need to repair damaged DNA in our genes to prevent the development of cancer and other diseases. Our cells therefore activate and send “repair-proteins”...
The Fraunhofer IWS Dresden and Technische Universität Dresden inaugurated their jointly operated Center for Additive Manufacturing Dresden (AMCD) with a festive ceremony on February 7, 2017. Scientists from various disciplines perform research on materials, additive manufacturing processes and innovative technologies, which build up components in a layer by layer process. This technology opens up new horizons for component design and combinations of functions. For example during fabrication, electrical conductors and sensors are already able to be additively manufactured into components. They provide information about stress conditions of a product during operation.
The 3D-printing technology, or additive manufacturing as it is often called, has long made the step out of scientific research laboratories into industrial...
Nature does amazing things with limited design materials. Grass, for example, can support its own weight, resist strong wind loads, and recover after being...
13.02.2017 | Event News
10.02.2017 | Event News
09.02.2017 | Event News
27.02.2017 | Materials Sciences
27.02.2017 | Interdisciplinary Research
27.02.2017 | Life Sciences