Relative effects of extrinsic and intrinsic pressure on retention in treatment.
Item
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Title
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Relative effects of extrinsic and intrinsic pressure on retention in treatment.
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Identifier
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AAI9000066
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identifier
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9000066
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Creator
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Siddiqi, Qudsia.
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Contributor
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Adviser: Charles Winick
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Date
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1989
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Language
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English
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Publisher
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City University of New York.
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Subject
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Sociology, General
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Abstract
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This research examined the relationship between extrinsic and intrinsic pressure (motivation), and retention in treatment for drug abuse. The data derive from 788 clients admitted to a New York City therapeutic community in 1986. Extrinsic pressure refers to external conditions that force people into treatment. The measures of extrinsic pressure were legal pressure, criminal activity in the six months before entering treatment, and legal problems. Intrinsic pressure (motivation) characterizes an individual who has entered drug treatment voluntarily on the basis of his or her own inner desires for change. Intrinsic pressure was measured by client's perceived length of treatment; treatment history; and previous attempts to stop drug use.;Since one third of the study sample consisted of Treatment Outreach Center referrals (a pre-residential outpatient facility where individuals accepted for residential treatment wait for their beds), all variables were examined both for Treatment Outreach Center referrals and direct admissions. The variables found to be significant for direct admissions in univariate analysis were sex, legal pressure, and perceived length of treatment. The significant variables for Treatment Outreach Center referrals in univariate analysis were criminal history in the six months before entering treatment and clients' perceived length of treatment. The variables with significant beta coefficients in the multiple regression analysis were Blacks, clients' perceived length of treatment (medium and long term), legally referred, and legally involved clients.;As clients' perceived length of treatment contributed to about 40 per cent of the variance explained in this study, all variables were examined with respect to clients' perceived length of stay. A second regression analysis examined the clients' correlates of perceived length of stay itself. Stepwise multiple regression analysis was performed. Marijuana abuse was negatively correlated with short term retention (31-180 days) for perceived short term treatment group. Hispanics and marijuana abusers were significantly correlated with perceived medium term treatment (over 180 days). Marijuana abusers and legal referrals were significantly associated with the perceived long term treatment (over 300 days).
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Type
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dissertation
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Source
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PQT Legacy CUNY.xlsx
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degree
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Ph.D.
