Relation of premorbid cognitive abilities to substance users' problems at treatment intake and improvements with substance abuse treatment and case management

Robert I Block; Marsha E Bates; James A Hall

doi:10.1081/ADA-120023456

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Relation of premorbid cognitive abilities to substance users' problems at treatment intake and improvements with substance abuse treatment and case management

Journal article

Peer reviewed

Relation of premorbid cognitive abilities to substance users' problems at treatment intake and improvements with substance abuse treatment and case management

Robert I Block, Marsha E Bates and James A Hall

The American journal of drug and alcohol abuse, Vol.29(3), pp.515-538

08/2003

DOI: 10.1081/ADA-120023456

PMID: 14510038

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Abstract

Substance users' premorbid cognitive skills and abilities, assessed by their scores on standardized achievement tests (Iowa Tests of Basic Skills) during the fourth grade of elementary school, were examined as predictors of their problems at treatment intake and improvements with substance abuse treatment and case management over a 12-month follow-up period. Clients were assigned to four groups differing in the type of case management provided. Among 213 clients meeting criteria for the study, problems in several areas at treatment intake (assessed by the Addiction Severity Index) were milder for those with higher, relative to lower, premorbid cognitive abilities. Relationships of premorbid cognitive abilities to improvements at follow-ups were more prominent for clients who worked with case managers primarily via telecommunications than for clients who generally met with case managers at the substance abuse treatment or an independent agency, or who received only limited case management services from primary drug counselors. Thorough utilization of an interactive voice response system available to the telecommunications group might have placed demands on cognitive abilities that were less emphasized in the other groups. Alcohol differed markedly from other drugs in how improvements in problems were related to premorbid cognitive abilities among clients in the telecommunications group, and, to a lesser extent, among clients who generally met with case managers in person. Premorbid cognitive abilities should be considered when examining how outcomes are related to clients' characteristics and how maximally effective treatments can be selected based on clients' characteristics.

Severity of Illness Index

Substance-Related Disorders - rehabilitation

Comorbidity

Humans

Male

Educational Status

Cognition - drug effects

Alcoholism - rehabilitation

Substance Abuse Treatment Centers - methods

Iowa

Outcome and Process Assessment (Health Care)

Telecommunications - utilization

Case Management

Counseling

Substance-Related Disorders - psychology

Adult

Female

Psychological Tests

Principal Component Analysis

Schools

Substance-Related Disorders - diagnosis

Details

Title: Subtitle: Relation of premorbid cognitive abilities to substance users' problems at treatment intake and improvements with substance abuse treatment and case management
Creators: Robert I Block - Department of Anesthesia. University of Iowa, Iowa City, Iowa 52242, USA. robert-block@uiowa.edu
Marsha E Bates
James A Hall
Resource Type: Journal article
Publication Details: The American journal of drug and alcohol abuse, Vol.29(3), pp.515-538
Publisher: England
DOI: 10.1081/ADA-120023456
PMID: 14510038
ISSN: 0095-2990
eISSN: 1097-9891
Grant note: K02 AA00325 / NIAAA NIH HHS DA008733 / NIDA NIH HHS
Language: English
Date published: 08/2003
Academic Unit: Iowa Neuroscience Institute; Anesthesia
Record Identifier: 9984006404902771

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