+1 Recommend
1 collections
      • Record: found
      • Abstract: found
      • Article: found

      Risky decision-making predicts short-term outcome of community but not residential treatment for opiate addiction. Implications for case management.

      Drug and Alcohol Dependence

      Adult, Ambulatory Care, Case Management, Decision Making, Female, Follow-Up Studies, Gambling, psychology, Humans, Impulsive Behavior, Male, Middle Aged, Opioid-Related Disorders, rehabilitation, therapy, Psychiatric Status Rating Scales, Residential Treatment, Reward, Risk-Taking, Software, Time Factors, Treatment Outcome, Young Adult

      Read this article at

          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.


          Opiate addiction is associated with decision-making deficits and we previously showed that the extent of these impairments predicts aspects of treatment outcome. Here we aimed to establish whether measures of decision-making performance might be used to inform placement matching. Two groups of opiate dependent individuals, one receiving treatment in a community setting (n=48) and one in a residential setting (n=32) were administered computerised tests of decision-making, impulsivity and planning shortly after the beginning of treatment, to be followed up three months into each programme. In the community sample, performance on the decision-making tasks at initial assessment predicted abstinence from illicit drugs at follow-up. In contrast, in the residential sample there was no relationship between decision-making and clinical outcome. Intact decision-making processes appear to be necessary for upholding a resolve to avoid taking drugs in a community setting, but the importance of these mechanisms may be attenuated in a residential treatment setting. The results support the placement matching hypothesis, suggesting that individuals with more prominent decision-making deficits may particularly benefit from treatment in a residential setting and from the inclusion of aspects of cognitive rehabilitation in their treatment programme. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

          Related collections

          Author and article information



          Comment on this article