Person: Esarte Eseverri, Sonia
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Esarte Eseverri
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Sonia
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Ciencias de la Salud
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0000-0001-5284-7009
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9641
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Publication Open Access Employment integration after therapeutic community treatment: a case study from Spain(Wiley, 2011) López-Goñi, José Javier; Fernández-Montalvo, Javier; Menéndez, Juan Carlos; Yudego, Fausto; Rico García, Ángel; Esarte Eseverri, Sonia; Psicología y Pedagogía; Psikologia eta PedagogiaThis article describes the employment evolution from pre- to post-treatment of 112 patients in two therapeutic communities of Proyecto Hombre (Spain). Moreover, an analysis was made using the composite scores of the EuropASI in order to evaluate the secondary outcomes in work status, beyond drug consumption. The results show that nearly half of the patients (46% of the sample) changed their employment status after treatment. Specifically, 78.6 per cent of the men (N=77) and 64.3 per cent of the women (N=9) were working after treatment; there were no statistically significant differences between them. Although the unemployment figures after treatment remained high, the residents were satisfied with their work integration. No statistically significant differences were observed between those who completed the treatment and those who did not. Implications of these results for further research and clinical practice are discussed.Publication Open Access Group and individual change in the treatment of drug addictions: a follow-up study in therapeutic communities(Cambridge University Press, 2010) López-Goñi, José Javier; Fernández-Montalvo, Javier; Menéndez, Juan Carlos; Yudego, Fausto; Rico García, Ángel; Esarte Eseverri, Sonia; Psicología y Pedagogía; Psikologia eta PedagogiaThe pre-post treatment change of 112 patients in two therapeutics Spanish communities is described. The Addiction Severity Index (ASI) was used at intake and at the end of the treatment program. Results of the treatment program were evaluated by applying composite scores (CS) of the ASI, and the evolution of each patient was evaluated using the Reliable Change Index (RCI). 69.7% of the sample completed treatment, and 30.3% dropped out prematurely. At intake, the percentage of people who could improve in the different areas of the ASI ranged between 35.1% for alcohol consumption and 95.3% for family relationships. At the follow-up, the percentage of subjects who showed significant statistical improvements in the different areas varied between 7.9% in family relations and 66.7% in alcohol consumption. The percentage of patients who deteriorated was less than 10% for all variables. Implications for further research and clinical practice are commented upon.Publication Open Access Searching objective criteria for patient assignment in addiction treatment(Elsevier, 2017) López-Goñi, José Javier; Fernández-Montalvo, Javier; Arteaga Olleta, Alfonso; Esarte Eseverri, Sonia; Psicología y Pedagogía; Psikologia eta PedagogiaThe main aim of this study was to objectify the treatment assignment criteria used in a clinical centre for addiction treatment in Spain. A sample of 162 patients (87 inpatients and 75 outpatients) who sought treatment between 2010 and 2012 was assessed. Clinical characteristics (addiction severity, psychopathological symptoms, impulsiveness and maladjustment) of the two treatment groups (inpatient and outpatient) into which patients were assigned according to the clinical criteria of therapists were analysed to identify which variables were more relevant for patient placement. Moreover, the therapeutic progression of patients who met and did not meet the assignment criteria received was studied. According to the results, a score above 4 in the family/social support area of the European Addiction Severity Index (EuropASI), or, in cases of a score between 2 and 4 in the family/social area of EuropASI, a score above 2 in the partner subscale of the Maladjustment Scale correctly classified 73.5% of cases (96.6% of inpatients and 46.7% of outpatients). Comparisons of therapeutic results depending on matching or mismatching these assignment criteria showed a larger effect size in mismatching patient assignment criteria for outpatient treatment. The results obtained in this study provide an objective criterion for addicted patient placement. Moreover, from a cost-effective perspective, they question the necessity of inpatient treatment in most cases, demonstrating that outpatient treatment is a sufficient level of care. This study addresses the approach to assigning patients to the treatment modality that best fits them, implementing the least expensive level of care needed to achieve treatment success.