Outpatient Programs Mental Depression Cocaine Dependence Treatment Article Review

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Outpatients With Depression and Cocaine Dependence Outpatient Programs, Mental Depression, Cocaine Dependence, Treatment

Increasing Treatment Adherance Among Outpatients with Depression and Cocaine Dependence: Results of a Pilot Study

This research study by Dennis C. Daley et.al (1998) was conducted to examine the effect of a modified motivational therapy intervention on outpatient treatment adherence and completion for patients with co morbid depressive disorder and cocaine dependence. This study was located using EBSCOhost, data: academic search premier, field: TI -- title, key words; outpatient, cocaine, dependence.

The significance of this study lies in the finding that an outpatient program combining individual and group motivational therapy sessions holds promise for improving treatment adherence and completion among depressed patients with cocaine dependence. Depression is common among cocaine-dependent patients and poor adherence with outpatient treatment among cocaine-dependent patients is well documented. The majority of these patients drop out within 1 month of treatment. Cocaine-dependent patients treated on an inpatient psychiatric unit for depression who drop out of outpatient treatment before completion of...

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This study was undertaken to look into strategies to improve these patients' motivation to adhere with outpatient treatment. Motivational interventions have been employed for alcohol use disorders; however, there is a lack of practical data on motivational strategies for depressed cocaine-dependent patients.
This study aimed to investigate whether individual and group motivational therapy sessions would improve adherence to and completion of the initial 30 days of outpatient treatment among depressed cocaine-dependent patients. The researchers hypothesized that patients who received motivational therapy would have better treatment adherence and completion rates than patients who did not.

This was a quantitative study was designed to compare two groups of outpatients similar in age, marital status, education and employment status. The two groups did not differ in previous psychiatric hospitalizations. The treatment group had more Caucasians (45%) than the control group (8%). Recurrent major depression was more common among patients in the treatment group (85%) than among patients in the control group (42%).

The treatment group included 11 subjects consecutively admitted…

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References

Daley, D.C., Salloum, I.M., Zuckoff, A., Kirisci, L., & Thase, M.E. (1998, November) Increasing treatment adherance among outpatients with depression and cocaine dependence: Results of a pilot study. American journal of psychiatry, 155:1611-1613. Retrieved September 19, 2011, from http://ajp.psychiatryonline.org/cgi/content/full/155/11/1611


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