Identifying client-level indicators of recovery among DUI, criminal justice, and non-criminal justice treatment referrals

Robert Walker, Jennifer Cole, T. K. Logan

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


This study is part of a mandated treatment outcome study on all government-funded programs in a rural state. This naturalistic study included a sample of 888 clients who served between July 2003 and June 2004 in a state-funded treatment for substance misuse and were included in a follow-up interview 12 months after treatment. To examine differences in treatment outcome, clients were examined in three referral conditions: (1) driving under the influence (DUI) referral; (2) criminal justice referral; and (3) non-criminal justice referral. While more DUI referrals reported alcohol use at 12-month follow-up, there were no other differences between referral conditions. Instead, controlling for factors like age, gender, and race, recovery intent at intake, and 12-step program participation at follow-up predicted positive treatment outcomes, while persistent depression predicted negative outcomes. This study of clients in state-funded treatment for substance misuse provides additional evidence that referral condition does not predispose clients toward positive or negative outcomes. Secondly, client-level factors related to recovery practices and intent to reduce or stop using substances may need closer attention in the clinical process. Study limitations included data being collected by clinicians during intake, which may have resulted in reliability questions about how data are entered.

Original languageEnglish
Pages (from-to)1785-1801
Number of pages17
JournalSubstance Use and Misuse
Issue number12-13
StatePublished - Oct 2008

Bibliographical note

Funding Information:
Logan, PhD, is currently a professor in the department of behavioral science at the University of Kentucky and the Center on Drug and Alcohol Research, with joint appointments in psychiatry, psychology, and social work. Dr. Logan has been funded by the NIDA, the NIAAA, and the National Institute of Justice (NIJ) to examine victimization, mental health, and substance use among women. She has a particular interest in understanding the intersection of intimate partner and sexual assault victimization, the health and mental health manifestations of victimization, help-seeking, and the justice system response to intimate partner and sexual assault victimization. She also has a


  • Naturalistic environment
  • Outcome indicators
  • Recovery indicators
  • Recovery intent
  • Treatment outcomes

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health


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