Correlates of Stimulant Treatment Outcome Across Treatment Modalities, The American Journal of Drug and Alcohol Abuse, Informa Healthcare

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Correlates of Stimulant Treatment Outcome Across Treatment Modalities

2009, Vol. 35, No. 1 , Pages 48-53 (doi:10.1080/00952990802455444)

Jessica M. Peirce, Ph.D.¹ ^†, Nancy M. Petry, Ph.D.², John M. Roll, Ph.D.³, Ken Kolodner, Sc.D.¹, Joe Krasnansky, C.S.W.⁴, Patricia Q. Stabile, M.S.W.⁵, Chanda Brown, Ph.D.⁶ and Maxine L. Stitzer, Ph.D.¹

¹Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

²University of Connecticut Health Center, Farmington, Connecticut, USA

³Washington State University, Spokane, Washington, USA

⁴Lower Eastside Service Center, Inc., New York, New York, USA

⁵Harbel Prevention and Recovery Center, Baltimore, Maryland, USA

⁶Charleston Center, Charleston, South Carolina, USA

^†Correspondence: Jessica M. Peirce, Department of Psychiatry, Johns Hopkins University School of Medicine, Mason F. Lord Building, 6th Floor East, 5200 Eastern Avenue, Baltimore, MD, 21224, USA

Objective: This study evaluated variables associated with stimulant use outcomes in stimulant users (N = 800) receiving care in community outpatient psychosocial or methadone maintenance treatment clinics as part of a national multi-site clinical trial. Methods: Results from the full sample were examined first, and then predictors were examined separately in the two treatment modalities. Results: A cocaine-positive urine sample at study intake was the most robust and consistent correlate of stimulant use outcome in all analyses. Psychiatric distress, social environment and employment had differential effects on outcome across modalities. Conclusions/Significance: This study confirms that intake assessments have considerable value in identifying problems to be addressed in treatment.