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Purpose Problematic substance use is associated with adverse outcomes that extend beyond the individual, resulting in significant cost to the community through health care, criminal justice and other psychosocial factors, including child protection and family support. These factors create concerns for treatment services, with an increasing demand for costeffective solutions to this problem. This paper seeks to address these issues.Designmethodologyapproach This prospective cohort study examined the effect of client variables on retention within a shortterm 56 days modified therapeutic community MTC in the Australian Capital Territory. A total of 28 residents 17 males, 11 females took part in the study, which included quantitative and qualitative measures.Findings Results demonstrate a trend in favour of dynamic client variables as effective predictors of retention, with substance use severity being a significant predictor p0.023, d0.91. Content analysis demonstrates that those with severe substance use have more intentions to engage in aftercare.Originalityvalue Short term treatments are seen as providing a gateway to further treatment, especially for chronic substanceusing clients.
Therapeutic Communities The International Journal of Therapeutic Communities – Emerald Publishing
Published: Apr 5, 2013
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