Dennis Donovan, PhD
Alcohol and Drug Abuse Institute, University of Washington
Alcohol use, abuse, and dependence are common among individuals who are dependent on other drugs such as cocaine, other stimulants such as methamphetamine, and opiates. This study examines the pattern of alcohol use, alcohol-related diagnoses, and severity of other problems among a large sample of drug abusing/dependent participants from 10 CTN studies (see Related Studies, below) enrolled in community-based drug treatment programs across the country.
Among opiate-primary (OP) clients, a prevalence rate for presence of AUD diagnosis was 38%. Comparisons of OP clients with and without AUD revealed the former were more likely to have had a history of pervasive difficulties in psychosocial functioning. Findings suggest the need for detection of and intervention for alcohol misuse at the outset of opiate treatment and support for the practice of availing medical, psychological, case management, and other support services. A high AUD prevalence rate (45%) was found among stimulant-primary clients. Among cocaine-primary clients, those with AUD were more likely to endorse poor psychiatric and psychosocial functioning and to perceive greater need for drug treatment. Among amphetamine-primary clients, those with AUD were more likely to endorse poor psychiatric functioning. Study findings document adverse influences of a common diagnostic feature of stimulant abusers.
Results Article: Hartzler B. Comparison of opiate-primary treatment seekers with and without alcohol use disorder. Journal of Substance Abuse Treatment 2010;39(2):114-123. [get article]
- CTN-0001: Buprenorphine/Naloxone versus Clonidine for Inpatient Opiate Detoxification
- CTN-0002:Buprenorphine/Naloxone versus Clonidine for Outpatient Opiate Detoxification
- CTN-0004: MET (Motivational Enhancement Treatment) to Improve Treatment Engagement and Outcome in Subjects Seeking Treatment for Substance Abuse
- CTN-0006: Motivational Incentives for Enhanced Drug Abuse Recovery: Drug Free Clinics
- CTN-0007: Motivational Incentives for Enhanced Drug Abuse Recovery: Methadone Clinics
- CTN-0009: Smoking Cessation Treatment with Transdermal Nicotine Replacement Therapy in Substance Abuse Rehabilitation Programs
- CTN-0013: Motivational Enhancement Therapy to Improve Treatment Utilization and Outcome in Pregnant Substance Users
- CTN-0017: HIV and HCV Intervention in Drug Treatment Settings
- CTN-0018: Reducing HIV/STD Risk Behaviors: A Research Study for Men in Drug Abuse Treatment
- CTN-0019: Reducing HIV/STD Risk Behaviors: A Research Study for Women in Drug Abuse Treatment
All Participating Nodes: