Treatment outcomes for prescription drug misusers: The negative effect of geographic discordance

Carrie B. Oser; Kathi L.H. Harp

doi:10.1016/j.jsat.2014.08.002

Treatment outcomes for prescription drug misusers: The negative effect of geographic discordance

Carrie B. Oser, Kathi L.H. Harp

Research output: Contribution to journal › Article › peer-review

27 Scopus citations

Abstract

This is the first known study to examine geographic discordance (traveling from one's home residence to a county with a different socio-cultural context to receive substance abuse treatment) as a predictor of clinical and social functioning treatment outcomes (i.e., relapse, self-help attendance, anxiety, and incarceration) among a sample of prescription drug misusers. Treatment entry and 12-month follow-up client-level survey data were collected from 187 clients who misused prescription drugs, and center-level survey data were collected from the supervisors at treatment centers attended by the clients. Multivariate models reveal that geographic discordance significantly increased the odds that prescription drug misusers would report relapse to prescription opioid misuse, anxiety, and any incarceration at follow-up. Moreover, geographically discordant clients were significantly less likely to have attended a self-help group, net of the effect of other individual- and center-level factors. Implications for clinical practice and substance abuse treatment policy are provided.

Original language	English
Pages (from-to)	77-84
Number of pages	8
Journal	Journal of Substance Abuse Treatment
Volume	48
Issue number	1
DOIs	https://doi.org/10.1016/j.jsat.2014.08.002
State	Published - Jan 1 2015

Bibliographical note

Publisher Copyright:
© 2014 Elsevier Inc.

Funding

This project was supported by grants K01-DA021309 (PI: Oser), K02-DA035116 (PI: Oser), and T32-DA035200 (PI: Rush; Post-doctoral trainee: Harp) from NIDA . Funding for the client-level data was provided by the Kentucky Department of Behavioral Health, Developmental and Intellectual Disabilities, Division of Behavioral Health under a contract with the University of Kentucky Center on Drug and Alcohol Research. Neither NIDA nor the Kentucky Department of Behavioral Health had a role in the study design, data collection, analysis and interpretation of data, and in the writing of the report or the decision to submit the paper for publication. The opinions expressed are those of the authors. The authors would like to acknowledge the contributions of Dr. TK Logan, Dr. Jennifer Cole, and Robert Walker, MSW in the collection/management of the KTOS data.

Funders	Funder number
Kentucky Department for Behavioral Health
Center on Drug and Alcohol Research, University of Kentucky
National Institute on Drug Abuse	K01DA021309

Keywords

Geographic discordance
Prescription drug misuse
Rural
Treatment outcomes

ASJC Scopus subject areas

Psychiatric Mental Health
Medicine (miscellaneous)
Clinical Psychology
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jsat.2014.08.002

Cite this

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Treatment outcomes for prescription drug misusers: The negative effect of geographic discordance

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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