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Research on Social Work Practice, Vol. 17, No. 1, 19-29 (2007)
DOI: 10.1177/1049731506293695
© 2007 SAGE Publications

Therapeutic Components and Differential Treatment Outcomes Among Clients of Israeli Services for Substance Abusers

Miriam Schiff

The Hebrew University, Jerusalem, msschiff{at}mscc.huji.ac.il

Katalin Katz

The Hebrew University, Jerusalem

Objective: This study is the first in a comprehensive examination of therapeutic components and outcome of interventions in a public, nonresidential service for drug addicts in Jerusalem (SHALEM). Method: Data were gathered from 153 clients (35 women, 128 men; 35 Arabs, 118 Jews; median age = 39) using clinical data mining. Results: Men who had been child victims of physical abuse (60%) showed less progress in treatment than men reporting no abuse. Arabs showed greater improvement in reducing violent acts. Only four therapeutic components were significant predictors of a client’s treatment outcomes. Conclusion: Processing of trauma history must become a major therapeutic component, and differential treatment plans for women and men and different ethnic groups should be developed.

Key Words: therapeutic components • treatment outcomes • clinical data mining • services for drug addicts • childhood abuse • gender differences • Arab and Jewish clients • Israel


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