A preliminary study of the effects of individual patient-level feedback in outpatient substance abuse treatment programs

Paul Crits-Christoph, Sarah Ring-Kurtz, Jessica L. Hamilton, Michael J. Lambert, Robert Gallop, Bridget McClure, Agatha Kulaga, John Rotrosen

Research output: Contribution to journalArticlepeer-review

45 Scopus citations

Abstract

The purpose of this study was to examine the effects of feedback provided to counselors on the outcomes of patients treated at community-based substance abuse treatment programs. A version of the Outcome Questionnaire (OQ-45), adapted to include drug and alcohol use, was administered to patients (N = 304) in 3 substance abuse treatment clinics. Phase I of the study consisted only of administration of the assessment instruments. Phase II consisted of providing feedback reports to counselors based on the adapted OQ-45 at every treatment session up to Session 12. Patients who were found to not be progressing at an expectable rate (i.e., "offtrack") were administered a questionnaire that was used as a second feedback report for counselors. For offtrack patients, feedback compared with no feedback led to significant linear reductions in alcohol use throughout treatment and also in OQ-45 total scores and drug use from the point of the second feedback instrument to Session 12. The effect for improving mental health functioning was evident at only 1 of the 3 clinics. These results suggest that a feedback system adapted to the treatment of substance use problems is a promising approach that should be tested in a larger randomized trial.

Original languageEnglish (US)
Pages (from-to)301-309
Number of pages9
JournalJournal of Substance Abuse Treatment
Volume42
Issue number3
DOIs
StatePublished - Apr 2012
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Phychiatric Mental Health
  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

Keywords

  • Feedback
  • Outcome Questionnaire-45
  • Quality improvement
  • Substance abuse

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