The effect of intake procedures on treatment entry and retention was examined in a natural experiment, in which a methadone maintenance clinic in Israel admitted 127 clients by employing a rapid intake procedure (maximum of 3 days before the initiation of treatment was offered). Using information gathered from patient files, these clients were retrospectively compared to a control group (n = 121) who underwent the clinic's regular intake procedure (between 3 weeks and 3 months). Outcome measures included entry into treatment and subsequent retention in treatment (at 3, 6 and 12 months). Results show that 81% of clients from the rapid intake group entered treatment compared to only 57% from the regular intake group. Treatment retention was similar for both groups. In addition, Jewish clients were more likely to enter treatment via the rapid intake procedure than clients from other religions, and women were retained in treatment longer than men, regardless of the type of intake procedure. Results of this single-site study lend support to the effectiveness of rapid intake procedures as a way to engage clients in treatment and carry significant implications for improving access into treatment.

1.
Effective medical treatment of opiate addiction. National Consensus Development Panel on Effective Medical Treatment of Opiate Addiction. JAMA 1998;280:1936-1943.
2.
McLellan AT, Lewis DC, O'Brien CP, Kleber HD: Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation. JAMA 2000;284:1689-1695.
3.
Booth RE, Corsi KF, Mikulich SK: Improving entry to methadone maintenance among out-of-treatment injection drug users. J Subst Abuse Treat 2003;24:305-311.
4.
Dennis ML, Ingram PW, Burks ME, Rachal JV: Effectiveness of streamlined admissions to methadone treatment: a simplified time-series analysis. J Psychoactive Drugs 1994;26:207-216.
5.
Festinger DS, Lamb RJ, Kirby KC, Marlowe DB: The accelerated intake: a method for increasing initial attendance to outpatient cocaine treatment. J Appl Behav Anal 1996;29:387-389.
6.
Gryczynski J, Schwartz R, O'Grady K, Jaffe J: Treatment entry among individuals on a waiting list for methadone maintenance. Am J Drug Alcohol Abuse 2009;35:290-294.
7.
Booth RE, Corsi KF, Mikulich-Gilbertson SK: Factors associated with methadone maintenance treatment retention among street-recruited injection drug users. Drug Alcohol Depend 2004;74:177-185.
8.
Simpson DD, Joe GW, Rowan-Szal GA: Drug abuse treatment retention and process effects on follow-up outcomes. Drug Alcohol Depend 1997;47:227-235.
9.
Simpson DD, Sells SB: Effectiveness of treatment for drug abuse. Adv Alcohol Subst Abuse 1982;2:7-29.
10.
Simpson DD: The relation of time spent in drug abuse treatment to posttreatment outcome. Am J Psychiatry 1979;136:1449-1453.
11.
Simpson DD: Treatment for drug abuse: follow-up outcomes and length of time spent. Arch Gen Psychiatry 1981;38:875-880.
12.
Appel PW, Ellison AA, Jansky HK, Oldak R: Barriers to enrollment in drug abuse treatment and suggestions for reducing them: opinions of drug injecting street outreach clients and other system stakeholders. Am J Drug Alcohol Abuse 2004;129-153.
13.
Hoffman KA, Ford JH, Tillotson CJ, Choi D, McCarty D: Days to treatment and early retention among patients in treatment for alcohol and drug disorders. Addict Behav 2011;36:643-647.
14.
Peterson JA, Schwartz RP, Mitchell SG, et al: Why don't out-of-treatment individuals enter methadone treatment programmes? Int J Drug Policy 2010;21:36-42.
15.
Redko C, Rapp RC, Carlson RG: Waiting time as a barrier to treatment entry: perceptions of substance users. J Drug Issues 2006;36:831-852.
16.
Festinger DS, Lamb RJ, Marlowe DB, Kirby KC: From telephone to office: intake attendance as a function of appointment delay. Addict Behav 2002;27:131-137.
17.
Hser Y-I, Maglione M, Polinsky ML, Anglin MD: Predicting drug treatment entry among treatment-seeking individuals. J Subst Abuse Treat 1998;15:213-220.
18.
Bell J, Caplehorn JR, McNeil DR: The effect of intake procedures on performance in methadone maintenance. Addiction 1994;89:463-471.
19.
Peles E, Schreiber S, Sason A, Adelson M: Long waiting period to enter methadone maintenance treatment: relation to patient characteristics and outcome. Eur Addict Res 2012;18:149-152.
20.
Woody G, O'Hare K, Mintz J, O'Brien C: Rapid intake: a method for increasing retention rate of heroin addicts seeking methadone treatment. Compr Psychiatry 1975;16:165-169.
21.
Desmond DP, Esquivel M, Maddux JF: Rapid admission and retention on methadone. Am J Drug Alcohol Abuse 1995;21:533.
22.
Greenfield SF, Brooks AJ, Gordon SM, et al: Substance abuse treatment entry, retention, and outcome in women: a review of the literature. Drug Alcohol Depend 2007;86:1-21.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.