NCJ Number
161023
Journal
Contemporary Drug Problems Volume: 22 Issue: 2 Dated: (Summer 1995) Pages: 237-264
Date Published
1995
Length
28 pages
Annotation
The meaning and components of success in treating homeless crack cocaine addicts were examined from the perspectives of both service providers and clients, with emphasis on the perspectives of successful clients.
Abstract
Data came from a focus group of nine program graduates, mostly black males in their 20's and 30's, and interviews with 16 counselors or case managers. Results revealed seven basic ways of conceptualizing success: sobriety and abstinence, graduation from the treatment program or involvement in it for a long time, attainment of life-skills goals such as sobriety and employment, changes in the psychological and emotional areas, better relationships with family and friends, ability to cope with problems and stress, and a subjective sense of improving. The major elements responsible for success included self-motivation, the treatment culture, 12-step meetings, and support from relatives and friends outside the program. Findings suggested that treatment success is not viewed by clients or staff as a unitary or static concept. Although abstinence is a precondition, the meaning of success is much broader. In fact, the concept of progress may be more accurate than success as an indicator of treatment outcome. 39 references