This research was supported by the Health Services and Research Development Program of the Department of Veterans Affairs Project 93-383 and N1AAA Grant R01 AA05526.
Impact of a Stimulant-Focused Enhanced Program on the Outcome of Alcohol- and/or Stimulant-Dependent Men
Article first published online: 30 MAY 2006
Alcoholism: Clinical and Experimental Research
Volume 23, Issue 11, pages 1772–1779, November 1999
How to Cite
Smith, T. L., Volpe, F. R., Hashima, J. N. and Schuckit, M. A. (1999), Impact of a Stimulant-Focused Enhanced Program on the Outcome of Alcohol- and/or Stimulant-Dependent Men. Alcoholism: Clinical and Experimental Research, 23: 1772–1779. doi: 10.1111/j.1530-0277.1999.tb04072.x
We thank Denise Wilfley, Ph.D., and Robinson Welch, Ph.D., for materials, consulting, and training regarding interpersonal psychotherapy materials; the Addiction Therapists and the psychology interns and graduate students for their hard work; and the veterans for their gracious participation.
- Issue published online: 30 MAY 2006
- Article first published online: 30 MAY 2006
- Received for publication June 17, 1999; accepted September 7, 1999.
- KeyWords: Stimulant-Dependent;
: The approaches to the treatment of most forms of substance dependence are similar. It is not clear whether specific treatment components need to be added to address specific substances. This study asks two questions: What is the impact of a more intense drug treatment program, and do different substance problems require different treatment interventions?
: The 383 veterans included in this study represent two groups of consecutive inpatient male admissions with current alcohol dependence and/or dependence on amphetamines or cocaine at the inpatient Alcohol and Drug Treatment Program of the Veterans Affairs San Diego Healthcare System. All were interviewed at intake by trained interviewers using a standardized semistructured assessment instrument, and a resource person interview also was conducted with 85% of them. The first group of men received the Standard Treatment Program (STP), whereas the second group received the Enhanced Treatment Program (ETP). The latter included an addition of 10 hr per week of intense treatment aimed at stimulants, including two newly developed manual-driven groups (Relapse Prevention and Interpersonal Counseling), each of which met twice a week.
: The patient follow-up was 92% at 3 months and 83% at 12 months. Abstinence from substances of abuse for ETP and STP were 63% vs. 49% at 3 months and 43% vs. 24% at 12 months. Logistic regressions demonstrated that treatment type continued to predict outcome even in the context of other potentially predictive variables.
: Despite the ETP emphasis on stimulants, both alcohol- and stimulant-dependent men appeared to benefit, suggesting a generic improvement in substance use.