Substance use disorder;
treatment;
childhood trauma;
neglect;
program completion;
length of stay;
clinical data mining;
ABUSE;
EXPOSURE;
OUTCOMES;
VIOLENCE;
GENDER;
ADULTS;
IMPACT;
D O I:
10.1080/07347324.2023.2205830
中图分类号:
R194 [卫生标准、卫生检查、医药管理];
学科分类号:
摘要:
Using clinical data mining (CDM) methodology, this study evaluates the relationship between childhood trauma and treatment outcomes among adults with substance use disorders. Data come from three substance use treatment facilities operating under the same agency using the same treatment program (N = 444). We examined the influence of childhood trauma, neglect, and school violence on substance use treatment completion and length of stay. We also looked at the connection between client's family history of substance use and their experience of neglect and childhood trauma. We found that family history of substance use was significantly related to both neglect and childhood trauma. We also found that the number of weeks a client spent in treatment was associated treatment location. Furthermore, client age at admission and program completion were significantly related. Marital status, sex, and number of diagnoses significantly related to childhood trauma. These findings suggest that comprehensive assessments that focus on understanding client demographics and history of family substance use can guide effective intervention. Further research on how childhood trauma influences substance use treatment outcomes can also help improve treatment.