Substance use disorder treatment programs in Switzerland and the USA: Program characteristics and 1-year outcomes.

Substance use disorder treatment programs in Switzerland and the USA: Program characteristics and 1-year outcomes. Research Abstract Details 

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Substance use disorder treatment programs in Switzerland and the USA: Program characteristics and 1-year outcomes. Abstract Text:

Franz Moggi,Anna Giovanoli,Werner Strik,Bernice S Moos,Rudolf H Moos,

AIM: This study compared matched samples of substance use disorder (SUD) patients in Swiss and United States (US) residential treatment programs and examined the relationship of program characteristics to patients' substance use and psychosocial functioning at a 1-year follow-up. DESIGN AND SETTING: The study used a prospective, naturalistic design and a sample of 10 public programs in the German-speaking part of Switzerland and 15 US public treatment programs. PARTICIPANTS: A total of 358 male patients in Swiss programs were matched on age, marital status and education with 358 male patients in US programs. A total of 160 Swiss and 329 US patient care staff members also participated. MEASUREMENT: Patients completed comparable inventories at admission, discharge and 1-year follow-up to assess their substance use and psychological functioning and receipt of continuing care. Staff members reported on program characteristics and their beliefs about substance use. FINDINGS: Compared to Swiss patients, US patients had more severe substance use and psychological problems at intake and although they did not differ on abstinence and remission at follow-up, had somewhat poorer outcomes in other areas of functioning. Swiss programs were longer and included more individual treatment sessions; US programs included more group sessions and were more oriented toward a disease model of treatment. Overall, length of program, treatment intensity and 12-step orientation were associated with better 1-year outcomes for patients in both Swiss and US programs. CONCLUSIONS: The sample of Swiss and US programs studied here differed in patient and treatment characteristics; however, in general, there were comparable associations between program characteristics and patients' 1-year outcomes. These findings suggest that associations between treatment processes and patients' outcomes may generalize from one cultural context to another.

Substance use disorder treatment programs in Switzerland and the USA: Program characteristics and 1-year outcomes. Publishing Authors By Initials

F Moggi,A Giovanoli,W Strik,BS Moos,RH Moos,

For similar geographic locations: americas: north america: united states research abstracts see: geographic locations: americas: north america: united states research

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Substance use disorder treatment programs in Switzerland and the USA: Program characteristics and 1-year outcomes. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Drug and alcohol dependence

VOLUME: 86

Page Numbers: 75-83

Journal Abbreviation:

ISSN: 0376-8716

DAY: 19

MONTH: 06

YEAR: 2006

Substance use disorder treatment programs in Switzerland and the USA: Program characteristics and 1-year outcomes. Information

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LANGUAGE: eng

NlmUniqueID: 7513587

Substance use disorder treatment programs in Switzerland and the USA: Program characteristics and 1-year outcomes. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: epidemiology

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Grant and Affiliation Information for Substance use disorder treatment programs in Switzerland and the USA: Program characteristics and 1-year outcomes.

AFFILIATION: University Hospital of Psychiatry Bern, Switzerland. moggi@puk.unibe.ch

Country: Ireland

AGENCY: United States NIAAA

GRANT: AA12718

ACRONYM: AA

MEDLINETA: Drug Alcohol Depend

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