Risk and protective factors for early dropout from telephone monitoring for individuals with drug convictions in community mental health centers in Japan.

Journal: Journal of substance use and addiction treatment

Volume: 

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Drug Dependence Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, -- Ogawa-Higashi, Kodaira-shi, Tokyo, Japan; Graduate School of Health Management, Keio University, Endo, Fujisawa-shi, Kanagawa, Japan. Electronic address: tsutsumi@ncnp.go.jp. Department of Drug Dependence Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, -- Ogawa-Higashi, Kodaira-shi, Tokyo, Japan. Electronic address: atakano@ncnp.go.jp. Department of Drug Dependence Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, -- Ogawa-Higashi, Kodaira-shi, Tokyo, Japan; Kitakyushu Municipal Mental Health and Welfare Center, -- Bashaku, Kokurakita Ward, Kitakyushu, Fukuoka, Japan. Department of Neuropsychiatry, The University of Tokyo Hospital, -- Hongo, Bunkyo-ku, Tokyo, Japan. Department of Neuropsychiatry, Keio University School of Medicine, Shinanomachi, Shinjyuku-ku, Tokyo, Japan. Graduate School of Health Management, Keio University, Endo, Fujisawa-shi, Kanagawa, Japan; Department of Preventive Medicine and Public Health, Keio University School of Medicine, Shinanomachi, Shinjyuku-ku, Tokyo, Japan. Electronic address: ttakebayashi@a.keio.jp. Graduate School of Health Management, Keio University, Endo, Fujisawa-shi, Kanagawa, Japan; Department of Preventive Medicine and Public Health, Keio University School of Medicine, Shinanomachi, Shinjyuku-ku, Tokyo, Japan; Faculty of Nursing and Medical Care, Keio University, Endo, Fujisawa-shi, Kanagawa, Japan. Electronic address: dsugiyama@keio.jp. Department of Drug Dependence Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, -- Ogawa-Higashi, Kodaira-shi, Tokyo, Japan. Electronic address: tmatsu@ncnp.go.jp.

Abstract summary 

Individuals involved with the criminal justice system face challenges in receiving and maintaining substance use disorder (SUD) treatment and support. Although telephone monitoring (TM) could reduce these barriers, data on TM for community-dwelling individuals involved with the criminal justice system and research on individuals who drop out of TM are scarce. We examined the factors associated with dropping out early from the Voice Bridges Project, which provides TM for individuals on probation for drug-related convictions through community mental health centers in Japan.Participants (n = 546) were individuals aged ≥20 years with methamphetamine-related convictions who were on probation. Univariate analyses examine the associations between one-year follow-up status and baseline variables, and multivariate Cox proportional hazards regression analyses identify the risk and protective factors associated with dropping out. Stratified analyses report results based on sex and halfway-house residency.The one-year dropout rate was 43.6 % (n = 238). Multivariate analysis identified two risk factors for dropping out-halfway-house residency and suicide attempts in the past year, and two protective factors-higher education and the current use of SUD services. Sex-stratified analyses showed that halfway-house residency was a risk factor for both men and women. Attempted suicide was a risk factor for women. Conversely, higher education and current use of SUD services were protective factors for men.Our results identify unique risk factors for women, such as a recent history of suicide attempts, and distinctive protective factors for men, including higher education and current use of SUD services, emphasizing the importance of sex-specific approaches. Furthermore, the study reveals that irrespective of sex, vulnerable individuals, such as halfway-house residents, are at a higher risk of dropping out from TM.

Authors & Co-authors:  Tsutsumi Takano Usami Kumakura Kanazawa Takebayashi Sugiyama Matsumoto

Study Outcome 

Source Link: Visit source

Statistics
Citations : 
Authors :  8
Identifiers
Doi : 10.1016/j.josat.2024.209347
SSN : 2949-8759
Study Population
Men
Mesh Terms
Other Terms
Community support;Criminal justice;Drop out;Substance use disorder;Telephone monitoring
Study Design
Study Approach
Country of Study
Publication Country
United States