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Facilitated Therapeutic Alliances Increase Treatment Retention among Injection Drug Users (pp. 143-156) $100.00
Authors:  (Karen F. Corsi, Nicole Speer, Sung-Joon Min, Mark Royer, Robert E. Booth, University of Colorado Denver-Anschutz Medical Campus, Department of Psychiatry, Division of Substance Dependence, Denver, Colorado, USA)
This study tested the effects of a facilitated therapeutic alliance (FTA) intervention between clients and addiction counselors on 1) treatment entry and retention, and 2) injection drug use and HIV risk behaviors. Six hundred and sixty-one street-recruited, out-of-treatment, opiate-injecting drug users were randomly assigned to a standard, strengths-based case management only (CM) intervention, or to receive CM plus FTA (CM/FTA). Participants were interviewed on their drug use and HIV risk behaviors at baseline, and at six months post-intervention. Chi-square tests found no effects of the intervention on treatment entry, but significant effects of the intervention on treatment retention. Twenty-eight percent of CM/FTA participants entered methadone maintenance treatment within 6 months of the intervention, compared with 30% of CM participants. However, among those who entered treatment, 78% of the CM/FTA participants remained in treatment more than 90 days, compared to 50% of CM participants. Treatment retention was associated with reductions in injection drug use, and unsafe injection behaviors. Given the effects of treatment retention on reduction of injection drug use and associated unsafe injection behaviors, these findings suggest a facilitated therapeutic alliance may be a critical component to treatment retention and associated reductions in HIV risk behaviors among opiate-injecting drug users. 

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Facilitated Therapeutic Alliances Increase Treatment Retention among Injection Drug Users (pp. 143-156)