Posttreatment drug use abstinence: Does the majority program clientele matter?

Alexandra Duncan, Gerald Melnick, Rashid Ahmed, C. Debra Furr-Holden

Research output: Contribution to journalArticlepeer-review


The current study examines differences in organizational characteristics and client posttreatment drug use abstinence in residential substance abuse treatment programs serving clients with high or low levels of legal coercion to participate in treatment. The findings show that low legal coercion programs have higher counselor caseloads (Z = 59, p <.05) than high coercion programs. Although the results showed that programs with a large proportion of African American clients (β = 14.26, p <.0001) and high legal coercion programs (β = 19.99, p <.05) predicted longer abstinence posttreatment, the final models suggest organizational factors are the key predictors of client posttreatment abstinence.

Original languageEnglish (US)
Pages (from-to)185-208
Number of pages24
JournalJournal of Ethnicity in Substance Abuse
Issue number3
StatePublished - Jul 1 2014


  • legal coercion
  • race
  • substance abuse treatment

ASJC Scopus subject areas

  • Health(social science)
  • Medicine (miscellaneous)


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