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Nine-Year Psychiatric Trajectories and Substance Use Outcomes

Author

Listed:
  • Felicia W. Chi

    (Kaiser Permanente Northern California, Felicia.W.Chi@kp.org)

  • Constance M. Weisner

    (University of California, San Francisco Kaiser Permanente Northern California)

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.

Suggested Citation

  • Felicia W. Chi & Constance M. Weisner, 2008. "Nine-Year Psychiatric Trajectories and Substance Use Outcomes," Evaluation Review, , vol. 32(1), pages 39-58, February.
    • Handle: RePEc:sae:evarev:v:32:y:2008:i:1:p:39-58
    DOI: 10.1177/0193841X07307317
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    References listed on IDEAS

    as
    1. Cook, Philip J. & Moore, Michael J., 1999. "Alcohol," Working Papers 156, The University of Chicago Booth School of Business, George J. Stigler Center for the Study of the Economy and the State.
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