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Abstract
The current study examines differences in organizational characteristics and client posttreatment drug use abstinence in residential substance abuse treatment programs serving clients with high or low levels of legal coercion to participate in treatment. The findings show that low legal coercion programs have higher counselor caseloads (Z = 59, p < .05) than high coercion programs. Although the results showed that programs with a large proportion of African American clients (β = 14.26, p < .0001) and high legal coercion programs (β = 19.99, p < .05) predicted longer abstinence posttreatment, the final models suggest organizational factors are the key predictors of client posttreatment abstinence.
Acknowledgments
This research was supported in part by grants (T32DA07233 and T32DA007292) from the National Institute on Drug Abuse, which were awarded to Public Health Solutions and Johns Hopkins University Bloomberg School of Public Health, respectively.
The authors thank Hollisa Rosa for her help in preparing the manuscript for publication.
Notes
FTE = Full Time Equivalent.
a High legal coercion is a group classification of 3, 4, 5, or 6 on the legal coercion measure. Low legal coercion is a group classification of 1 or 2 on the measure.
b The percentage is column percentage for program type. Fraction in parentheses in the high legal coercion and low legal coercion columns represents number of programs responding to variable divided by number of programs with information on variable. The text in parentheses represents number of programs with valid data for variable. Only variables with response rates of at least 50% by program type are reported and variables of theoretical importance are also reported.
Bold values indicate statistical significance at p ≥ 0.05.