2018, Number 4
<< Back Next >>
Salud Mental 2018; 41 (4)
Factors associated with retention in faith-based drug treatment centers in the Mexican-American border
Bojorquez I, Rodríguez D, Odgers O, Jaimes R
Language: English
References: 33
Page: 169-177
PDF size: 417.05 Kb.
ABSTRACT
Introduction. Faith-based centers are major providers of residential treatment for substance use problems in
Mexico, but relatively few studies have been conducted in this context.
Objective. To explore factors associated
with treatment retention in two faith-based (with different religious orientation) residential treatment facilities
for male drug users in Tijuana, Mexico.
Method. We conducted an exploratory follow-up study of 328 clients
admitted during 2014-2015 to either an Evangelical Pentecostal center or a faith-based center without a specific
religious affiliation. The main outcome was retention, defined as remaining in treatment for at least three
months.
Results. Among participants, the retention rate was 38.7%. Multivariate logistic regression models
showed that age (OR 1.04; 95% CI [1.01, 1.06];
p = .002) and having used heroin or opioids in the past 30
days (OR .50; 95% CI [.25, 1.00];
p = .049) were associated with retention. Having a personal religious affiliation
was associated with retention in the Evangelical Pentecostal center, but not in the center without a specific
religious affiliation.
Discussion and conclusion. The retention rate was low, but within the previously reported
range. The interaction of personal religious affiliation and the religious orientation of the center suggests
that a match between a person’s religious convictions and those of the center could be important for retention.
More research is needed to clarify the utility of faith-based centers for religious and non-religious drug users.
REFERENCES
Aharonovich, E., Hasin, D. S., Brooks, A. C., Liu, X., Bisaga, A., & Nunes, E. V. (2006). Cognitive deficits predict low treatment retention in cocaine dependent patients. Drug and Alcohol Dependence, 81(3), 313-322. doi: 10.1016/j.drugalcdep. 2005.08.003
American Psychiatric Association & Work Group on Substance Use Disorders. (2010). Practice Guideline for the Treatment of Patients With Substance Use Disorders. American Psychiatric Association.
Arndt, S., Acion, L., & White, K. (2013). How the states stack up: disparities in substance abuse outpatient treatment completion rates for minorities. Drug and Alcohol Dependence, 132(3), 547-554. doi: 10.1016/j.drugalcdep.2013.03.015
Berenzon, S., Saavedra, N., Medina-Mora, M. E., Aparicio, V., & Galván, J. (2013). Evaluación del sistema de salud mental en México: ¿hacia dónde encaminar la atención?. Revista Panamericana de Salud Pública, 33(4), 252-258.
Borson, S., Scanlan, J. M., Watanabe, J., Tu, S. P., & Lessig, M. (2005). Simplifying detection of cognitive impairment: comparison of the Mini-Cog and Mini-Mental State Examination in a multiethnic sample. Journal of the American Geriatrics Society, 53(5), 871-874. doi: 10.1111/j.1532-5415.2005.53269.x
Carver, C. S. (1997). You want to measure coping but your protocol’s too long: consider the brief COPE. International Journal of Behavioral Medicine, 4(1), 92- 100. Retrieved from: http://www.psy.miami.edu/faculty/ccarver/sclspan.html
Evans, E., Li, L., & Hser, Y. I. (2009). Client and program factors associated with dropout from court mandated drug treatment. Evaluation and Program Planning, 32(3), 204-212. doi: 10.1016/j.evalprogplan.2008.12.003
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198. Retrieved from: http://www.dgplades. salud.gob.mx/Contenidos/Documentos/MMSE.pdf
Galaviz, G. & Odgers, O. (2014). Estado laico y alternativas terapéuticas religiosas. El caso de México en el tratamiento de adicciones. Debates do NER, 2(26), 253-276.
Garcia, A. (2015). Serenity: Violence, Inequality, and Recovery on the Edge of Mexico City. Medical anthropology quarterly, 29(4), 455-472. doi: 10.1111/ maq.12208
Garnick, D. W., Lee, M. T., Horgan, C. M., Acevedo, A., & Washington Circle Public Sector, W. (2009). Adapting Washington Circle performance measures for public sector substance abuse treatment systems. Journal of Substance Abuse Treatment, 36(3), 265-277. doi: 10.1016/j.jsat.2008.06.008
Hall, E. A. (2001). Feelings about drug use: Drug-related locus of control. Los Angeles, CA: UCLA Integrated Substance Abuse Programs.
Hernandez, O. L. O., & Ortiz, O. O. (2015). Renacer en Cristo. Cuerpo y subjetivación en la experiencia de rehabilitación de adicciones en los centros evangélico pentecostales. Ciencias Sociales y Religión/Ciências Sociais e Religião, 17(22), 90-119.
Instituto Nacional de Psiquatría Ramón de la Fuente Muñiz, Instituto Nacional de Salud Pública, Comisión Nacional Contra las Adicciones, & Secretaría de Salud. (2017). Encuesta Nacional de Consumo de Drogas, Alcohol y Tabaco 2016- 2017: Reporte de Drogas. Ciudad de México: INPRFM.
Koenig, H. C., & Büssing, A. (2010). The Duke University Religion Index (DUREL): A Five-Item Measure for Use in Epidemological Studies. Religions, 1(1), 78-85.
Lang, M. A., & Belenko, S. (2000). Predicting retention in a residential drug treatment alternative to prison program. Journal of Substance Abuse Treatment, 19(2), 145-160.
Lewandowski, C. A. & Hill, T. J. (2009). The impact of emotional and material social support on women’s drug treatment completion. Health & Social Work, 34(3), 213-221.
Lozano-Verduzco, I., Marín-Navarrete, R., Romero-Mendoza, M., & Tena-Suck, A. (2015). Experiences of Power and Violence in Mexican Men Attending Mutual- Aid Residential Centers for Addiction Treatment. American Journal of Men’s Health, 10(3), 237-249. doi: 10.1177/1557988314565812
Marín-Navarrete, R., Eliosa-Hernández, A., Lozano-Verduzco, I., Fernández-De la Fuente, C., Turnbull, B., & Tena-Suck, A. (2013). Estudio sobre la experiencia de hombres atendidos en centros residenciales de ayuda mutua para la atención de las adicciones. Salud Mental, 36(5), 393-402.
McKellar, J., Kelly, J., Harris, A., & Moos, R. (2006). Pretreatment and during treatment risk factors for dropout among patients with substance use disorders. Addictive Behaviors, 31(3), 450-460. doi: 10.1016/j.addbeh.2005.05.024
Meier, P. S. & Best, D. (2006). Programme factors that influence completion of residential treatment. Drug and Alcohol Review, 25(4), 349-355. doi: 10.1080/09595230600741230
Meier, P. S., Donmall, M. C., McElduff, P., Barrowclough, C., & Heller, R. F. (2006). The role of the early therapeutic alliance in predicting drug treatment dropout. Drug and Alcohol Dependence, 83(1), 57-64. doi: 10.1016/j.drugalcdep. 2005.10.010
Mokri, H., Ávila-Funes, J. A., Meillon, C., Gutierrez R. L. M., & Amieva, H. (2013). Normative data for the Mini-Mental State Examination, the Free and Cued Selective Reminding Test and the Isaacs Set Test for an older adult Mexican population: the Coyoacan cohort study. The Clinical Neuropsychologist, 27(6), 1004-1018. doi: 10.1080/13854046.2013.809793
Mulder, R. T., Frampton, C. M., Peka, H., Hampton, G., & Marsters, T. (2009). Predictors of 3-month retention in a drug treatment therapeutic community. Drug and Alcohol Review, 28(4), 366-371. doi: 10.1111/j.1465-3362.2009.00050.x
Odgers, O., Galaviz, G., & Hernandez, A. (2009). Tendencias del cambio religioso en la región norte de México. In: A. Hernandez & C. Rivera (Eds.), Regiones y religiones en México, estudios de la transformación sociorreligiosa. Tijuana: El Colegio de la Frontera Norte.
Parhami, I., Davtian, M., Collard, M., Lopez, J., & Fong, T. W. (2014). A preliminary 6-month prospective study examining self-reported religious preference, religiosity/spirituality, and retention at a Jewish residential treatment center for substance-related disorders. The Journal of Behavioral Health Services & Research, 41(3), 390-401. doi: 10.1007/s11414-012-9279-x
Secretaría de Salud. (2015). Sistema de Vigilancia Epidemiológica para las Adicciones. Informe 2014. Ciudad de México: Secretaría de Salud.
StataCorp, L. P. (2013). Stata Statistical Software: Release 13. College Station, TX: StataCorp LP.
Stoll, D. (1990). Is Latin America turning protestant? The politics of evangelical growth. Berkeley: University of California Press.
Sung, H. E. & Chu, D. C. (2013). The varieties of religious experience and the retention of clients in Taiwanese faith-based residential drug user treatment. Substance Use & Misuse, 48(12), 1219-1232. doi: 10.3109/10826084.2013.805597
Tate, S. R., Wu, J., McQuaid, J. R., Cummins, K., Shriver, C., Krenek, M., & Brown, S. A. (2008). Comorbidity of substance dependence and depression: role of life stress and self-efficacy in sustaining abstinence. Psychology of Addictive Behaviors, 22(1), 47-57. doi: 10.1037/0893-164X.22.1.47
Vanderpot, L. E. (2014). Case study explorations of the interrelationship between spirituality and psychiatric medication use. Spirituality in Clinical Practice, 1(4), 300-306.
Zhang, Z., Friedmann, P. D., & Gerstein, D. R. (2003). Does retention matter? Treatment duration and improvement in drug use. Addiction, 98(5), 673-684.