Dissertation/Thesis Abstract

Outpatient Treatment Approaches, Services and Outcomes for Older Addicted Adults
by MacFarland, Nicole S., Ph.D., State University of New York at Albany, 2014, 127; 3620977
Abstract (Summary)

This study examined the effectiveness of specific practice approaches and interventions utilized within New York State Office of Alcoholism and Substance Abuse Services (OASAS) outpatient treatment programs. The dependent variables were social goal achievement and overall goal achievement. The independent variables examined included health related services, same-age group services, combinations of services, community linkages, and harm reduction.

The principal aim of this study was to identify effective substance abuse treatment services for older adults through a secondary analysis of an existing data set with a purposive, non-probability sample. The sample consisted of 1,456 adults ages 50 and over in 22 (OASAS) outpatient addiction treatment programs throughout the state. After matching program survey data and client level data, binary logistic regression analyses addressed the pertinent control and interaction variables. The main finding was that programs that provided age-tailored services for older addicted adults had better odds of overall goal achievement by a factor of 2.25 (p<.01), and for each increase in the number of age-tailored services provided, programs improved their odds of overall goal attainment by 21.6 percent (p<.001). Strong age-tailored services were associated with 2.3 times greater odds (p<.01) of social goal achievement, and each increase in the number of age-tailored services led to 16.7 percent improved odds (p<.001) of social goal achievement. In addition, the conditions of having employment and older age were variables linked to better odds of overall goal achievement, while the conditions of having parents who were themselves substance addicted and having co-occurring mental illness were variables linked to overall poorer odds for these outcomes. This study verified existing assertions and extended our understanding of effective approaches for the addicted senior population.

Indexing (document details)
Advisor: McCallion, Philip
Commitee: Fortune, Anne E., Loneck, Barry, Rockwood, William
School: State University of New York at Albany
Department: Social Welfare
School Location: United States -- New York
Source: DAI-A 75/09(E), Dissertation Abstracts International
Subjects: Social work
Keywords: Addictions, Geriatric addictions, Late-life addictions, Treatment for older addicted adults
Publication Number: 3620977
ISBN: 978-1-303-91713-4
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