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The Narconon Drug Rehabilitation Program: Ongoing Program Evaluation

September 11-12, 1997
Presentation by Shelley L. Beckman. Ph.D.
International Conference on Human Detoxification


Results

Drug Tests During Program Delivery

Urine samples were taken on intake, at two weeks, at one month and at two months into the program for a subset of the full study population. The clients were not warned that samples were to be taken.

88 clients comprise this study group. 68 of these 88 clients, or 77%, tested positive for drug metabolites in urine on intake. The portion testing positive for drug metabolites did vary by primary drug of abuse.

100% of the clients whose major drug was crack cocaine had positive urine tests. Other forms of cocaine showed 62% of clients with positive tests for drug metabolites. Almost 70% of amphetamine users had positive urine tests, 85% of opiate users and 50% of alcoholics.

As clients progressed through the program, there was a steady decrease in both the percentage of clients testing positive for drugs of abuse and the level of drug found in urine. Testing in this case was occurring during the withdrawal and detoxification treatment periods. Minute but detectable levels of drug metabolites were found in a significant proportion of these clients for several weeks.

On intake, 77% of clients tested positive for drug metabolites. By two weeks, 35% tested positive for drugs of abuse, though the majority of tests were in the low range.

At one month 15% still tested positive for drug metabolites. The levels of drugs found at this time were quite low, not indicative of recent drug use.

At two months, slightly higher levels of drug metabolites were found in four clients while two demonstrated low levels of metabolites. Two of those with the higher levels were clients who staff had suspected of drinking alcohol and they did test positive.

For most follow-up samples, the level of drug metabolites was less than 1/20th of that found at intake. Although this does not preclude continuing drug use, the low levels suggest that what we are seeing is ongoing elimination of drug metabolites in most of these clients, particularly given the fact that they were on the detoxification program at the time.

This portion of the overall study demonstrates that several weeks may be required for elimination of drug metabolites in some clients. Detectable levels of drugs continue to be eliminated for some weeks in at least a third of the Narconon clients tested.

Monitoring Program Delivery

Daily and weekly reports were made throughout the study period. These assisted Narconon management to isolate specific problem areas in delivery and correct or improve the quality of the program.

Among the improvements implemented during this study were:

  1. Specific drills to help the Narconon client gain control over his addiction.
  2. Staff training enhancements in the area of detecting clients not qualified for the Narconon program.
  3. Increased follow-up contact with graduates to help them stay off drugs and apply what they gained from Narconon to their everyday lives.

Weekly then monthly calls from staff helped clients through minor difficulties before they turned into major ones.


» Continued


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