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The Use Made of Treatment: an Alternative Approach to the Evaluation of Alcoholism Services

Published online by Cambridge University Press:  16 June 2009

Fred E. Yates  and
Hugh Norris
Fred E. Yates
Affiliation:
Alcoholics Rehabilitation Research Group, University of Birmingham
Hugh Norris
Affiliation:
Alcoholics Rehabilitation Research Group, University of Birmingham
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Extract

Despite much evaluative research on alcoholism services, the effectiveness of treatment is still an unsettled matter. The inconclusive results of empirical studies comparing different methods and extensive statistical analysis of their findings do not point a clear way forward for future evaluative efforts. Using a sample of follow-up data from an evaluation study of three residential units (not considered here) this report sets out to demonstrate that dynamics in individual drinking patterns make surveys of studies which have applied different outcome criteria very unreliable. The feasibility of the single controlled study in evaluation is also questioned and attributed to the inappropriate use of a “quality control” model. An alternative approach which avoids the methodological and practical difficulties of the conventional design examines the use made of treatment by clients. A more realistic account based on individual cases is urged which recognizes that seeking help for a drink problem is only one of a number of ways in which the treatment episode fits into the lives of problem drinkers. Some observational evidence is presented and a reinterpretation of Costello' successful and unsuccessful treatment groupings is made in support of a treatment-use approach to evaluation.

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 9 , Issue 4 , October 1981 , pp. 291 - 309
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1981

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References

Armor, D. J., Polich, J. M. and Stambul, H. B. (1976). Alcoholism and Treatment. The Rand Corporation: Santa Monica, California.Google Scholar
Barr, H. C., Rosen, A., Antes, D. E. and Ottenberg, D. J. (1973). 2-Year follow up study of 724 drug and alcohol addicts treated together in an abstinence therapeutic community. Unpublished study from the Eagleville Hospital and Rehabilitation Center, P.O. Box 45, Eagleville Penna, 19408.Google Scholar
Boruch, R. F. and Rindskopf, D. (1977). On randomized experiments, approximation to experiments and data analysis. In Evaluation Research Methods, Rutman, Leonard (Ed.), Beverley Hills, California: Sage Publications.Google Scholar
Bowman, R. S., Stein, L. I. and Newton, J. R. (1975). I. On measuring patterns of alcohol consumption. II. Relationships between drinking behaviour and social adjustment in a sample of problem drinkers. Quarterly Journal of Studies on Alcohol 36, 1154–1172.CrossRefGoogle Scholar
Caddy, G. R., Addingto, H. J. and Perkins, D. (1978). Individualised behaviour therapy for alcoholics. Third year independent double-blind follow up. Behaviour Research and Therapy 16, 345–362.CrossRefGoogle ScholarPubMed
Costello, R. M. (1975a). Alcoholism treatment and evaluation: in search of methods. International Journal of Addiction 10, 251–275.CrossRefGoogle ScholarPubMed
Costello, R. M. (1975b). Alcoholism treatment and evaluation: in search of methods. II Collation of 2-year follow up studies. International Journal of Addiction 10, 857–867.CrossRefGoogle ScholarPubMed
Crawford, J. J. and Chalupsky, A. B. (1977). The reported evaluation of alcoholism treatment, 1968–1971: a methodological review. Addictive Behaviour 2, 63–74.CrossRefGoogle ScholarPubMed
Cronkite, R. C. and Moos, R. H. (1978). Evaluating alcoholism treatment programs: an integrated approach. Journal of Consulting and Clinical Psychology 46, 1105–119.CrossRefGoogle ScholarPubMed
Cronkite, R. C. and Moos, R. H. (1980). Determinants of the post treatment functioning of alcoholic patients: a conceptual framework. Journal of Consulting and Clinical Psychology 48, 305–316.CrossRefGoogle Scholar
Edwards, G., Orford, J., Egert, S., Guthrie, S., Hawker, A., Hensman, C., Mitcheson, M., Oppenheimer, E. and Taylor, C. (1977). Alcoholism: a controlled trial of “treatment” and “advice”. Journal of the Study of Alcoholism 38, 1004–10031.CrossRefGoogle ScholarPubMed
Emrick, C. D. (1974). A review of psychologically oriented treatment of alcoholism. I. The use and interrelationships of outcome criteria and drinking behaviour following treatment. Quarterly Journal of Studies on Alcohol 35, 523–549.CrossRefGoogle ScholarPubMed
Emrick, C. D. (1975). A review of psychologically oriented treatment of alcoholism. II. The relative effectiveness of different treatment approaches and the effectiveness of treatment versus no treatment. Journal of the Study of Alcoholism 36, 88–108.CrossRefGoogle ScholarPubMed
Hill, M. J. and Blane, H. T. (1967). Evaluation of psychotherapy with alcoholics; a critical review. Quarterly Journal of Studies on Alcohol 28, 76–104.CrossRefGoogle ScholarPubMed
Jeffrey, D. B. (1975). Treatment evaluation in research on addictive behaviour. Additive Behaviour 1, 23–26.CrossRefGoogle Scholar
Levinson, T. (1977). Practical experiences in treatment through follow up studies. Alcoholism: Clinical and Experimental Research 1, 319–323.CrossRefGoogle Scholar
Little, R., Schultz, F. A. and Mandell, M. (1977). Describing alcohol consumption. A comparison of 3 methods and a new approach. Journal of the Study of Alcoholism 38, 554–562.CrossRefGoogle ScholarPubMed
Lloyd, R. W. and Salzberg, H. C. (1975). Controlled social drinking: an alternative to abstinence as a treatment goal for some alcohol abusers. Psychology Bulletin 82, 815–843.CrossRefGoogle ScholarPubMed
Mandell, W. (1975). Does the type of treatment make a difference? Maryland State Medical Journal 03, 80–83.Google Scholar
McCaslin, F. C. and Ershoff, D. H. (1978). A critique of project evaluation. International Journal of the Addictions 13, 1281–1301.CrossRefGoogle Scholar
Orford, J. and Hawker, A. (1974). An investigation of an alcoholism rehabilitation halfway house: II. The complex question of client motivation. British Journal of Addiction 69, 315–323.Google ScholarPubMed
Orford, J., Oppenheimer, E. and Edwards, G. (1976). Abstinence or control: the outcome for excessive drinkers two years after consultation. Behaviour Research and Therapy 14, 409–418.CrossRefGoogle ScholarPubMed
Room, R. (1980). Treatment-seeking populations and larger realitites. In Alcoholism Treatment in Transition, Edwards, G. and Grant, M. (Eds.), London: Croom Helm.Google Scholar
Sobell, M. B. and Sobell, L. C. (1978). Behavioral Treatment of Alcohol Problems: Individualized Therapy and Controlled Drinking, New York: Plenum.CrossRefGoogle Scholar
Stallings, D. L. and Oncken, G. R. (1977). The relative change index in evaluating alcoholism treatment outcome. Journal of the Study of Alcoholism 38, 457–464.CrossRefGoogle ScholarPubMed
Sterne, M. W. and Pittman, D. J. (1965). The concept of motivation: a source of institutional and professional blockage in the treatment of alcoholics. Quarterly Journal of Studies on Alcohol 26, 41–57.CrossRefGoogle ScholarPubMed
Storm, T. and Cutler, R. E. (1969). Treated and untreated alcoholics: some reflections on the role of treatment in the process of recovery from alcoholism.In North American Association of Alcoholics Programs. Selected papers presented at the General Sessions Meeting,18–21, 20th Annual Meeting.Google Scholar
Washbrook, R. A. H. (1977). Alcoholism v. Crime in Birmingham, England. International Journal of Offender Therapy and Comparative Criminology 21, 166–173.CrossRefGoogle Scholar
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