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.
The competitive edge: Dietary competition played a key role in the evolution of early primates
01.08.2018 | Grand Valley State University
Diversity and education influence India’s population growth
31.07.2018 | International Institute for Applied Systems Analysis (IIASA)
There are currently great hopes for solid-state batteries. They contain no liquid parts that could leak or catch fire. For this reason, they do not require cooling and are considered to be much safer, more reliable, and longer lasting than traditional lithium-ion batteries. Jülich scientists have now introduced a new concept that allows currents up to ten times greater during charging and discharging than previously described in the literature. The improvement was achieved by a “clever” choice of materials with a focus on consistently good compatibility. All components were made from phosphate compounds, which are well matched both chemically and mechanically.
The low current is considered one of the biggest hurdles in the development of solid-state batteries. It is the reason why the batteries take a relatively long...
New design tool automatically creates nanostructure 3D-print templates for user-given colors
Scientists present work at prestigious SIGGRAPH conference
Most of the objects we see are colored by pigments, but using pigments has disadvantages: such colors can fade, industrial pigments are often toxic, and...
Scientists at the University of California, Los Angeles present new research on a curious cosmic phenomenon known as "whistlers" -- very low frequency packets...
Scientists develop first tool to use machine learning methods to compute flow around interactively designable 3D objects. Tool will be presented at this year’s prestigious SIGGRAPH conference.
When engineers or designers want to test the aerodynamic properties of the newly designed shape of a car, airplane, or other object, they would normally model...
Researchers from TU Graz and their industry partners have unveiled a world first: the prototype of a robot-controlled, high-speed combined charging system (CCS) for electric vehicles that enables series charging of cars in various parking positions.
Global demand for electric vehicles is forecast to rise sharply: by 2025, the number of new vehicle registrations is expected to reach 25 million per year....
17.08.2018 | Event News
08.08.2018 | Event News
27.07.2018 | Event News
20.08.2018 | Information Technology
20.08.2018 | Life Sciences
20.08.2018 | Information Technology