The success or failure of drug treatment programs have long been
evaluated by assessing the clients' progress while in treatment and
their status upon completion. This approach does not provide a
complete assessment or an adequate picture of treatment outcomes
over time. A comprehensive evaluation of the success or failure of
treatment should also include client status in the years following
treatment for a fair assessment of the long-term efficacy of any
drug-treatment program.
What happens to former clients who left treatment? What
influence did the treatment have on their lives? These are the
questions that Marvin R. Burt seeks to answer with the follow-up
studies included in this book. By selecting samples of former
clients treated by two of the largest drug treatment agencies in
the U.S. and control groups, Burt compares client behavior in terms
of drug abuse, criminal activity, and socioeconomic productivity
before, immediately following, and well after treatment.
The findings in this book challenge many common assumptions
about drug treatment programs. Burt finds larger than expected
positive behavioral changes in clients regardless of treatment
duration or type, and demographic or background characteristics.
Whether the results are attributable to the clients' maturation,
commitment to change, or a reduction in the availability of drugs,
the positive results of treatment are encouraging. This volume
provides valuable insight into the natural history of drug abuse
and outcomes for client groups.
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