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Nine-Year Psychiatric Trajectories and Substance Use Outcomes

Felicia W. Chi and Constance M. Weisner
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Felicia W. Chi: Kaiser Permanente Northern California, Felicia.W.Chi@kp.org
Constance M. Weisner: University of California, San Francisco Kaiser Permanente Northern California

Evaluation Review, 2008, vol. 32, issue 1, 39-58

Abstract: This study identifies longitudinal psychiatric trajectories of 934 adult individuals entering chemical dependency treatment in a private, managed care health plan and examines the relationship of these trajectories with substance use (SU) outcomes. The authors apply a group-based modeling approach to identify trajectory groups based on repeated measures of psychiatric severity for 9 years and identify four distinct groups. Results of multivariate logistic generalized estimating equation models find an association between psychiatric trajectories and long-term SU. Older cohorts and life course measures of marital status and employment status as individuals changed over time are related to drug and some alcohol outcomes.

Keywords: longitudinal substance use outcomes; psychiatric trajectories; group-based modeling; managed care; adult chemical dependency patients (search for similar items in EconPapers)
Date: 2008
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Persistent link: https://EconPapers.repec.org/RePEc:sae:evarev:v:32:y:2008:i:1:p:39-58

DOI: 10.1177/0193841X07307317

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