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African-American crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention

BACKGROUND: Individual and sociocultural factors may pose significant barriers for drug abusers seeking treatment, particularly for African-American crack cocaine abusers. However, there is evidence that pretreatment interventions may reduce treatment initiation barriers. This study examined the eff...

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Autores principales: Wechsberg, Wendee M, Zule, William A, Riehman, Kara S, Luseno, Winnie K, Lam, Wendy KK
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1847815/
https://www.ncbi.nlm.nih.gov/pubmed/17394653
http://dx.doi.org/10.1186/1747-597X-2-10
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author Wechsberg, Wendee M
Zule, William A
Riehman, Kara S
Luseno, Winnie K
Lam, Wendy KK
author_facet Wechsberg, Wendee M
Zule, William A
Riehman, Kara S
Luseno, Winnie K
Lam, Wendy KK
author_sort Wechsberg, Wendee M
collection PubMed
description BACKGROUND: Individual and sociocultural factors may pose significant barriers for drug abusers seeking treatment, particularly for African-American crack cocaine abusers. However, there is evidence that pretreatment interventions may reduce treatment initiation barriers. This study examined the effects of a pretreatment intervention designed to enhance treatment motivation, decrease crack use, and prepare crack abusers for treatment entry. METHODS: Using street outreach, 443 African-American crack users were recruited in North Carolina and randomly assigned to either the pretreatment intervention or control group. RESULTS: At 3-month follow-up, both groups significantly reduced their crack use but the intervention group participants were more likely to have initiated treatment. CONCLUSION: The intervention helped motivate change but structural barriers to treatment remained keeping actual admissions low. Policy makers may be interested in these pretreatment sites as an alternative to treatment for short term outcomes.
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spelling pubmed-18478152007-04-06 African-American crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention Wechsberg, Wendee M Zule, William A Riehman, Kara S Luseno, Winnie K Lam, Wendy KK Subst Abuse Treat Prev Policy Research BACKGROUND: Individual and sociocultural factors may pose significant barriers for drug abusers seeking treatment, particularly for African-American crack cocaine abusers. However, there is evidence that pretreatment interventions may reduce treatment initiation barriers. This study examined the effects of a pretreatment intervention designed to enhance treatment motivation, decrease crack use, and prepare crack abusers for treatment entry. METHODS: Using street outreach, 443 African-American crack users were recruited in North Carolina and randomly assigned to either the pretreatment intervention or control group. RESULTS: At 3-month follow-up, both groups significantly reduced their crack use but the intervention group participants were more likely to have initiated treatment. CONCLUSION: The intervention helped motivate change but structural barriers to treatment remained keeping actual admissions low. Policy makers may be interested in these pretreatment sites as an alternative to treatment for short term outcomes. BioMed Central 2007-03-29 /pmc/articles/PMC1847815/ /pubmed/17394653 http://dx.doi.org/10.1186/1747-597X-2-10 Text en Copyright © 2007 Wechsberg et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Wechsberg, Wendee M
Zule, William A
Riehman, Kara S
Luseno, Winnie K
Lam, Wendy KK
African-American crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention
title African-American crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention
title_full African-American crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention
title_fullStr African-American crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention
title_full_unstemmed African-American crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention
title_short African-American crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention
title_sort african-american crack abusers and drug treatment initiation: barriers and effects of a pretreatment intervention
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1847815/
https://www.ncbi.nlm.nih.gov/pubmed/17394653
http://dx.doi.org/10.1186/1747-597X-2-10
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