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...

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Autores principales: Staiger, Petra K, Kyrios, Michael, Williams, James S, Kambouropoulos, Nicolas, Howard, Alexandra, Gruenert, Stefan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
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
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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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