Improving the retention rate for residential treatment of substance abuse by sequential intervention for social anxiety
BACKGROUND: Residential drug rehabilitation is often seen as a treatment of last resort for people with severe substance abuse issues. These clients present with more severe symptoms, and frequent psychiatric comorbidities relative to outpatients. Given the complex nature of this client group, a hig...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3936994/ https://www.ncbi.nlm.nih.gov/pubmed/24533512 http://dx.doi.org/10.1186/1471-244X-14-43 |
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author | Staiger, Petra K Kyrios, Michael Williams, James S Kambouropoulos, Nicolas Howard, Alexandra Gruenert, Stefan |
author_facet | Staiger, Petra K Kyrios, Michael Williams, James S Kambouropoulos, Nicolas Howard, Alexandra Gruenert, Stefan |
author_sort | Staiger, Petra K |
collection | PubMed |
description | BACKGROUND: Residential drug rehabilitation is often seen as a treatment of last resort for people with severe substance abuse issues. These clients present with more severe symptoms, and frequent psychiatric comorbidities relative to outpatients. Given the complex nature of this client group, a high proportion of clients seeking treatment often do not enter treatment, and of those who do, many exit prematurely. Given the highly social nature of residential drug rehabilitation services, it has been argued that social anxieties might decrease the likelihood of an individual entering treatment, or increase the likelihood of them prematurely exiting treatment. The current paper reports on the protocol of a Randomised Control Trial which examined whether treatment of social anxiety prior to entry to treatment improves entry rates and retention in residential drug rehabilitation. METHOD/DESIGN: A Randomised Control Trial comparing a social skills treatment with a treatment as usual control group was employed. The social skills training program was based on the principles of Cognitive Behaviour Therapy, and was adapted from Ron Rapee’s social skills training program. A permutated block randomisation procedure was utilised. Participants are followed up at the completion of the program (or baseline plus six weeks for controls) and at three months following entry into residential rehabilitation (or six months post-baseline for participants who do not enter treatment). DISCUSSION: The current study could potentially have implications for addressing social anxiety within residential drug treatment services in order to improve entry and retention in treatment. The results might suggest that the use of additional screening tools in intake assessments, a focus on coping with social anxieties in support groups for clients waiting to enter treatment, and greater awareness of social anxiety issues is warranted. AUSTRALIAN NEW ZEALAND CLINICAL TRIALS REGISTRY: Australian New Zealand Clinical Trials Registry (ACTRN) registration number: ACTRN12611000579998 |
format | Online Article Text |
id | pubmed-3936994 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-39369942014-02-28 Improving the retention rate for residential treatment of substance abuse by sequential intervention for social anxiety Staiger, Petra K Kyrios, Michael Williams, James S Kambouropoulos, Nicolas Howard, Alexandra Gruenert, Stefan BMC Psychiatry Study Protocol BACKGROUND: Residential drug rehabilitation is often seen as a treatment of last resort for people with severe substance abuse issues. These clients present with more severe symptoms, and frequent psychiatric comorbidities relative to outpatients. Given the complex nature of this client group, a high proportion of clients seeking treatment often do not enter treatment, and of those who do, many exit prematurely. Given the highly social nature of residential drug rehabilitation services, it has been argued that social anxieties might decrease the likelihood of an individual entering treatment, or increase the likelihood of them prematurely exiting treatment. The current paper reports on the protocol of a Randomised Control Trial which examined whether treatment of social anxiety prior to entry to treatment improves entry rates and retention in residential drug rehabilitation. METHOD/DESIGN: A Randomised Control Trial comparing a social skills treatment with a treatment as usual control group was employed. The social skills training program was based on the principles of Cognitive Behaviour Therapy, and was adapted from Ron Rapee’s social skills training program. A permutated block randomisation procedure was utilised. Participants are followed up at the completion of the program (or baseline plus six weeks for controls) and at three months following entry into residential rehabilitation (or six months post-baseline for participants who do not enter treatment). DISCUSSION: The current study could potentially have implications for addressing social anxiety within residential drug treatment services in order to improve entry and retention in treatment. The results might suggest that the use of additional screening tools in intake assessments, a focus on coping with social anxieties in support groups for clients waiting to enter treatment, and greater awareness of social anxiety issues is warranted. AUSTRALIAN NEW ZEALAND CLINICAL TRIALS REGISTRY: Australian New Zealand Clinical Trials Registry (ACTRN) registration number: ACTRN12611000579998 BioMed Central 2014-02-17 /pmc/articles/PMC3936994/ /pubmed/24533512 http://dx.doi.org/10.1186/1471-244X-14-43 Text en Copyright © 2014 Staiger 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 credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Study Protocol Staiger, Petra K Kyrios, Michael Williams, James S Kambouropoulos, Nicolas Howard, Alexandra Gruenert, Stefan Improving the retention rate for residential treatment of substance abuse by sequential intervention for social anxiety |
title | Improving the retention rate for residential treatment of substance abuse by sequential intervention for social anxiety |
title_full | Improving the retention rate for residential treatment of substance abuse by sequential intervention for social anxiety |
title_fullStr | Improving the retention rate for residential treatment of substance abuse by sequential intervention for social anxiety |
title_full_unstemmed | Improving the retention rate for residential treatment of substance abuse by sequential intervention for social anxiety |
title_short | Improving the retention rate for residential treatment of substance abuse by sequential intervention for social anxiety |
title_sort | improving the retention rate for residential treatment of substance abuse by sequential intervention for social anxiety |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3936994/ https://www.ncbi.nlm.nih.gov/pubmed/24533512 http://dx.doi.org/10.1186/1471-244X-14-43 |
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