Evaluating Alcohol and Drug Abuse Treatment Effectiveness (eBook)

Front Cover 1
Evaluating Alcohol and Drug Abuse Treatment Effectiveness: Recent Advances 4
Copyright Page 5
Table of Contents 8
CONTRIBUTORS 10
FOREWORD 12
INTRODUCTION 14
CHAPTER 1. A HISTORICAL PERSPECTIVE ON ALCOHOL AND DRUG TREATMENT OUTCOME RESEARCH 18
Design of Studies: Methodological Problems 18
Reliability and Validity of Self-Reports 21
Follow-Up Techniques 25
Measuring More Than Substance Abuse 26
References 28
CHAPTER 2. THE USE OF MULTIPLE MEASURES OF LIFE HEALTH TO ASSESS ALCOHOL TREATMENT OUTCOME: A REVIEW AND CRITIQUE 32
Background: Traditional Models of Alcoholism 32
Literature Review Procedures 37
General Findings 40
Interrelationships Among Outcome Measures 64
Discussion 82
Implications and Conclusions 85
References 87
CHAPTER 3. BEHAVIORAL ASSESSMENT AND TREATMENT EVALUATION OF NARCOTIC ADDICTION 94
Direct Observation of Heroin Ingestion 95
Treatment Monitoring 97
Animal Laboratory Investigations Relevant to Heroin Addiction 102
Conclusion 104
References 105
CHAPTER 4. EVALUATING BEHAVIORAL AND TRADITIONAL TREATMENT FOR PROBLEM DRINKERS 110
Method 111
Discussion 121
References 124
CHAPTER 5. CONTINGENCY CONTRACTING WITH DRUG ABUSERS IN THE NATURAL ENVIRONMENT: TREATMENT EVALUATION 126
Methods 128
Results 131
Discussion 141
Conclusions and Implications 143
References 144
CHAPTER 6. DEVELOPING A PROTOTYPE FOR EVALUATING ALCOHOL TREATMENT EFFECTIVENESS 146
Background 146
An Alternative Approach 148
Design of the Study 149
Data Gathering Interview Procedures 152
Standard Drink Conversion Chart 153
The Best of Plans Can Be Torn Asunder 153
Subject Characteristics 156
Preliminary Process and Outcome Results 160
Problems and Anecdotes 164
Preliminary Appraisal and Future Plans 165
References 165
CHAPTER 7. PROBLEMS IN CONDUCTING ALCOHOL TREATMENT OUTCOME STUDIES: A REVIEW 168
Alcoholism Treatment Outcome Evaluative Studies 170
Current Research in Alcoholism Treatment Outcome Evaluation 172
Emergence of New Evaluation Techniques 172
The Validity of Alcoholism Treatment Outcome Studies 174
Suggestions for Conducting Effective Treatment Outcome Evaluation 177
The Development of the Present Study 178
Issues Associated with Having Independent Investigators Conduct Follow-up 182
Issues Associated with Employing a Double-Blind Follow-up Design 183
A Model for the Management of Treatment Outcome Evaluation 185
Summary 189
References 189
CHAPTER 8. CONVERGENT VALIDITY: AN APPROACH TO INCREASING CONFIDENCE IN TREATMENT OUTCOME CONCLUSIONS WITH ALCOHOL AND DRUG ABUSERS 194
Sources of Outcome Data 194
A Convergent Validity Criterion 198
References 199
SUBJECT INDEX 202