{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T20:52:52Z","timestamp":1787863972317,"version":"build-2784847793"},"reference-count":70,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2009,5,29]],"date-time":"2009-05-29T00:00:00Z","timestamp":1243555200000},"content-version":"vor","delay-in-days":2189,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2003,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The present study evaluated the impact of a structured aftercare programme following residential treatment for severe alcohol and\/or heroin dependent clients. Over 17 months, 77 participants were recruited to the study and allocated randomly to either a structured aftercare (SA) programme or to unstructured aftercare (UA) of crisis counselling on request. Independent clinicians interviewed participants and collaterals, at 4\u2013month (median) intervals, for 12 months following residential treatment. SA compared to UA was associated with a fourfold increase in aftercare attendance and one\u2010third the rate of uncontrolled principal substance use at follow\u2010up. Participants who attended either type of aftercare relapsed a median of 134 days later than those who attended no aftercare. Overall, 23% of monitored participants remained abstinent throughout, 21% maintained controlled substance use and 56% relapsed, within a median of 36 days following residential treatment. The only significant predictor of days to relapse, controlling for age, was pretreatment use of additional substances. Participants with pretreatment additional substance use relapsed a median of 192 days earlier than those who had used no other substances. The degree of agreement between participant self\u2010reports and collateral reports was fair\u2010to\u2013moderate and moderate among collaterals. Intention\u2010to\u2013treat analyses revealed significant and clinically meaningful reductions in substance use in this sample of severely dependent residential treatment clients. The generalizability of these results is limited because of significant differences in age and presenting substance between the study sample and other clients admitted to the service during the study. This latter group of younger, male, heroin\u2010dependent clients with polydrug use who refuse opioid pharmacotherapy, are more likely to drop out of treatment or relapse early following treatment and continue to present a challenge to treatment services.<\/jats:p>","DOI":"10.1080\/09595230100100624","type":"journal-article","created":{"date-parts":[[2003,10,2]],"date-time":"2003-10-02T19:39:37Z","timestamp":1065123577000},"page":"181-190","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Aftercare attendance and post\u2010treatment functioning of severely substance dependent residential treatment clients"],"prefix":"10.1111","volume":"22","author":[{"given":"C.","family":"SANNIBALE","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"HURKETT","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"VAN DEN BOSSCHE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"O'CONNOR","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"ZADOR","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"CAPUS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"GREGORY","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"MCKENZIE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,5,29]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1080\/j.1440-1614.2000.00715.x","article-title":"Alcohol\u2013 and drug\u2010use disorders in Australia: implications of the National Survey of Mental Health and Wellbeing","volume":"34","author":"Teesson M.","year":"2000","journal-title":"Aust NZ J Psychiatry"},{"key":"e_1_2_1_3_2","first-page":"116","volume-title":"Psychiatric disorders in America: the Epidemiologic Catchment Area Study","author":"Anthony JC","year":"1991"},{"key":"e_1_2_1_4_2","first-page":"81","volume-title":"Psychiatric disorders in America: the Epidemiologic Catchment Area Study","author":"Helzer JE","year":"1991"},{"key":"e_1_2_1_5_2","first-page":"328","volume-title":"Psychiatric disorders in America: the Epidemiologic Catchment Area Study","author":"Robins LN","year":"1991"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.11.4.308"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-199308000-00001"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.11.4.324"},{"key":"e_1_2_1_9_2","first-page":"2988","volume-title":"Kaplan & Sadock comprehensive textbook of psychiatry","author":"Henderson AS.","year":"2000"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.1996.57.619"},{"key":"e_1_2_1_11_2","doi-asserted-by":"crossref","first-page":"1230","DOI":"10.1176\/ajp.156.8.1230","article-title":"Influence of co\u2010morbid alcohol and psychiatric disorders on utilisation of mental health services in the National Co\u2010morbidity Study","volume":"156","author":"Wu L.","year":"1999","journal-title":"Am J Psychiatry"},{"key":"e_1_2_1_12_2","first-page":"345","volume-title":"Principles of addiction medicine","author":"Finney JW","year":"1998"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.13.1689"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1996.01830080091014"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)90409-2"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.11.4.294"},{"key":"e_1_2_1_17_2","first-page":"295","volume-title":"Principles of addiction medicine","author":"Vaillant G.","year":"1998"},{"key":"e_1_2_1_18_2","first-page":"17","volume-title":"Methadone maintenance treatment and other opioid replacement therapies","author":"Hall W.","year":"1998"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.11.4.261"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/02791072.1990.10472544"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)05356-2"},{"key":"e_1_2_1_22_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.84.2.211"},{"key":"e_1_2_1_23_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.1996.911217733.x"},{"key":"e_1_2_1_24_2","first-page":"345","volume-title":"Principles of addiction medicine","author":"Finney JW","year":"1998"},{"key":"e_1_2_1_25_2","first-page":"327","volume-title":"Principles of addiction medicine","author":"McLellan AT","year":"1998"},{"key":"e_1_2_1_26_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.1996.9167876.x"},{"key":"e_1_2_1_27_2","doi-asserted-by":"publisher","DOI":"10.1300\/J251v05n01_12"},{"key":"e_1_2_1_28_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1993.tb00820.x"},{"key":"e_1_2_1_29_2","volume-title":"Quality assurance in the treatment of drug dependence project","author":"Mattick RP","year":"1993"},{"key":"e_1_2_1_30_2","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.41.7.794"},{"key":"e_1_2_1_31_2","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.1988.49.149"},{"key":"e_1_2_1_32_2","doi-asserted-by":"publisher","DOI":"10.3109\/10826088509047759"},{"key":"e_1_2_1_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/0306-4603(90)90056-4"},{"key":"e_1_2_1_34_2","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.1992.53.435"},{"key":"e_1_2_1_35_2","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.48.1.17"},{"key":"e_1_2_1_36_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1988.tb00531.x"},{"key":"e_1_2_1_37_2","doi-asserted-by":"publisher","DOI":"10.1176\/ps.47.1.68"},{"key":"e_1_2_1_38_2","volume-title":"The course of alcoholism: four years after treatment","author":"Polich JM","year":"1980"},{"key":"e_1_2_1_39_2","doi-asserted-by":"crossref","first-page":"900","DOI":"10.1037\/0022-006X.51.6.900","article-title":"Length of stay, neuropsychological performance, and aftercare: Influences on alcohol treatment outcome","volume":"51","author":"Walker RD","year":"1983","journal-title":"J. Consult Clin Psychol"},{"key":"e_1_2_1_40_2","volume-title":"Treating addictive behaviours: processes of change","author":"Ito JR","year":"1986"},{"key":"e_1_2_1_41_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1997.tb03638.x"},{"key":"e_1_2_1_42_2","doi-asserted-by":"publisher","DOI":"10.1037\/1064-1297.4.1.46"},{"key":"e_1_2_1_43_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4899-1742-3_21"},{"key":"e_1_2_1_44_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.1996.91811275.x"},{"key":"e_1_2_1_45_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1988.tb03978.x"},{"key":"e_1_2_1_46_2","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.1993.54.652"},{"key":"e_1_2_1_47_2","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.7.2.85"},{"key":"e_1_2_1_48_2","volume-title":"Outpatient treatment of alcoholism: a review and comparative study","author":"Brandsma JM","year":"1980"},{"key":"e_1_2_1_49_2","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.1997.58.7"},{"key":"e_1_2_1_50_2","volume-title":"Composite International Diagnostic Interview (CIDI). Core cersion 2.1","author":"World Health Organization.","year":"1997"},{"key":"e_1_2_1_51_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1994.tb00875.x"},{"key":"e_1_2_1_52_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1986.tb00360.x"},{"key":"e_1_2_1_53_2","doi-asserted-by":"publisher","DOI":"10.15288\/jsa.1975.36.117"},{"key":"e_1_2_1_54_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1989.tb03463.x"},{"key":"e_1_2_1_55_2","volume-title":"The Opiate Treatment Index (OTI) Manual","author":"Darke S.","year":"1991"},{"key":"e_1_2_1_56_2","volume-title":"SCLR\u201390\u2013R: administration, scoring and procedures manual\u2010II for the revised version","author":"Derogatis LR.","year":"1983"},{"key":"e_1_2_1_57_2","volume-title":"A compendium of neuropsychological tests","author":"Spreen O.","year":"1991"},{"key":"e_1_2_1_58_2","volume-title":"Neuropsychological tssessment","author":"Lezak MD.","year":"1995"},{"key":"e_1_2_1_59_2","doi-asserted-by":"publisher","DOI":"10.15288\/jsas.1994.s12.112"},{"key":"e_1_2_1_60_2","volume-title":"Treating alcohol dependence: a coping skills training guide","author":"Monti PM","year":"1989"},{"key":"e_1_2_1_61_2","volume-title":"Cognitive behavioural coping skills therapy manual: a clinical research guide for therapists treating individuals with alcohol abuse and dependence","author":"Kadden R.","year":"1992"},{"key":"e_1_2_1_62_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-4679(197710)33:4<981::AID-JCLP2270330412>3.0.CO;2-0"},{"key":"e_1_2_1_63_2","doi-asserted-by":"publisher","DOI":"10.1080\/13854049008401496"},{"key":"e_1_2_1_64_2","volume-title":"Australian alcohol guidelines: health, risk and benefits","author":"National Health and Medical Research Council (NH&MRC).","year":"2001"},{"key":"e_1_2_1_65_2","volume-title":"Clinical epidemiology: the architecture of clinical research","author":"Feinstein AR.","year":"1985"},{"key":"e_1_2_1_66_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.1999.9410154110.x"},{"key":"e_1_2_1_67_2","volume-title":"Methadone maintenance treatment and other opioid replacement therapies","author":"Ward J.","year":"1998"},{"key":"e_1_2_1_68_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1987.01800180015002"},{"key":"e_1_2_1_69_2","first-page":"1","volume-title":"Beyond the therapeutic alliance keeping the drug dependent individual in treatment","author":"Carroll KM.","year":"1997"},{"key":"e_1_2_1_70_2","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.11.4.279"},{"key":"e_1_2_1_71_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0740-5472(97)00016-0"}],"container-title":["Drug and Alcohol Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1080%2F09595230100100624","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1080%2F09595230100100624","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1080\/09595230100100624","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T22:56:30Z","timestamp":1700261790000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1080\/09595230100100624"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,6]]},"references-count":70,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2003,6]]}},"alternative-id":["10.1080\/09595230100100624"],"URL":"https:\/\/doi.org\/10.1080\/09595230100100624","archive":["Portico"],"relation":{},"ISSN":["0959-5236","1465-3362"],"issn-type":[{"value":"0959-5236","type":"print"},{"value":"1465-3362","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,6]]},"assertion":[{"value":"2009-05-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}