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	<PublisherInfo>
		<PublisherName>Baywood Publishing Company</PublisherName>
	</PublisherInfo>
	<Journal>
		<JournalInfo JournalType="Journals">
			<JournalPrintISSN>1091-2851</JournalPrintISSN>
			<JournalElectronicISSN>1541-4450</JournalElectronicISSN>
			<JournalTitle>International Journal of Self Help and Self Care</JournalTitle>
			<JournalCode>BWSH</JournalCode>
			<JournalID>300316</JournalID>
			<JournalURL>http://baywood.metapress.com/link.asp?target=journal&amp;id=300316</JournalURL>
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		<Volume>
			<VolumeInfo>
				<VolumeNumber>3</VolumeNumber>
			</VolumeInfo>
			<Issue>
				<IssueInfo IssueType="Regular">
					<IssueNumberBegin>1</IssueNumberBegin>
					<IssueNumberEnd>2</IssueNumberEnd>
					<IssueSupplement>0</IssueSupplement>
					<IssuePartStart>0</IssuePartStart>
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					<IssueSequence>000003000120050701</IssueSequence>
					<IssuePublicationDate>
						<CoverDate Year="2005" Month="7" Day="1"/>
						<CoverDisplay>Number 1-2/2005</CoverDisplay>
					</IssuePublicationDate>
					<IssueID>51GK5LMBV8A1</IssueID>
					<IssueURL>http://baywood.metapress.com/link.asp?target=issue&amp;id=51GK5LMBV8A1</IssueURL>
				</IssueInfo>
				<Article ArticleType="Original">
					<ArticleInfo Free="No" ESM="No">
						<ArticleDOI>10.2190/DA11-VG3L-6VFV-UVCN</ArticleDOI>
						<ArticlePII>DA11VG3L6VFVUVCN</ArticlePII>
						<ArticleSequenceNumber>5</ArticleSequenceNumber>
						<ArticleTitle Language="En">WHY DON'T DRUG USERS GET TREATMENT?</ArticleTitle>
						<ArticleFirstPage>5</ArticleFirstPage>
						<ArticleLastPage>20</ArticleLastPage>
						<ArticleHistory>
							<RegistrationDate>20061002</RegistrationDate>
							<ReceivedDate>20061002</ReceivedDate>
							<Accepted>20061002</Accepted>
							<OnlineDate>20061002</OnlineDate>
						</ArticleHistory>
						<FullTextFileName>DA11VG3L6VFVUVCN.pdf</FullTextFileName>
						<FullTextURL>http://baywood.metapress.com/link.asp?target=contribution&amp;id=DA11VG3L6VFVUVCN</FullTextURL>
						<Composite>1</Composite>
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					<ArticleHeader>
						<AuthorGroup>
							<Author AffiliationID="A1">
								<GivenName>DAVID C.</GivenName>
								<Initials/>
								<FamilyName>BELL</FamilyName>
								<Degrees>PH.D.</Degrees>
								<Roles/>
							</Author>
							<Author AffiliationID="A2">
								<GivenName>BENEDETTA</GivenName>
								<Initials/>
								<FamilyName>BELLI-MCQUEEN</FamilyName>
								<Degrees>M.S., M.A.</Degrees>
								<Roles/>
							</Author>
							<Author AffiliationID="A3">
								<GivenName>SWATI D.</GivenName>
								<Initials/>
								<FamilyName>SHETH</FamilyName>
								<Degrees>B.A.</Degrees>
								<Roles/>
							</Author>
							<Author AffiliationID="A4">
								<GivenName>TABITHA</GivenName>
								<Initials/>
								<FamilyName>SERRANO</FamilyName>
								<Degrees>B.A.</Degrees>
								<Roles/>
							</Author>
							<Affiliation AFFID="A1">
								<OrgDivision/>
								<OrgName>Indiana University Purdue University, Indianapolis</OrgName>
								<OrgAddress/>
							</Affiliation>
							<Affiliation AFFID="A2">
								<OrgDivision/>
								<OrgName>Center for Success and Independence, Houston</OrgName>
								<OrgAddress/>
							</Affiliation>
							<Affiliation AFFID="A3">
								<OrgDivision/>
								<OrgName>Bechtel Corporation, Houston</OrgName>
								<OrgAddress/>
							</Affiliation>
							<Affiliation AFFID="A4">
								<OrgDivision/>
								<OrgName>South Texas College of Law, Houston</OrgName>
								<OrgAddress/>
							</Affiliation>
						</AuthorGroup>
						<Abstract Language="En">Even when drug treatment is available, most drug users do not go to treatment. We examine several theoretical frameworks to identify three critical choice points along the route from drug use to treatment in order to help understand the process: the recognition that drug use is a problem; the desire to stop using drugs; and the desire for help. In a community sample of 131 drug users with complete data, 34% did not recognize that their drug use was a problem and 27% did not think that their problem was severe enough to stop using drugs. A relatively small proportion of the sample (24%) expressed a desire for help, and only 18% entered any kind of treatment during the four years of the study.</Abstract>
						<biblist>
							<bib-other>
								<bibtext seqNum="1">Anglin, M. D. (1992). Similarity of behavior within addict couples. Part I. Methodology and narcotics patterns. The International Journal of the Addictions, 22, 497-524.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="2">Anglin, M. d., Kao, C.-F., Harlow, L. L., Peters, K., &amp;amp; Booth, M. W. (1987). Similarity of behavior within addicts couples. Part I. Methodology and narcotics patterns. The International Journal of the Addictions, 42, 497-524.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="3">Baigent, M., Holme, G., &amp;amp; Hafner, R. J. (1995). Self reports of the interaction between substance abuse and schizophrenia. Australian &amp;amp; New Zealand Journal of Psychiatry, 29(1), 69-74.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="4">Bell, D. C., Montoya, I. D., &amp;amp; Atkinson, J. S. (2000). Partner concordance in reports of joint risk behaviors. Journal of Acquired Immune Deficiency Syndromes, 31, 218-229.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="5">Bell, D. C., Montoya, I. D., Atkinson, J. S., &amp;amp; Yang, S.-J. (2002). Social networks and forecasting the spread of HIV infection. Journal of Acquired Immune Deficiency Syndromes, 31, 218-229.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="6">Bell, D. C., Montoya, I. D., Richard, A. J., &amp;amp; Dayton, C. A. (1998). The motivation for drug treatment: Testing cognitive and 12 step theories. American Journal of Drug and Alcohol Abuse, 24(4), 557-571.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="7">Boys, A., Marsden, J., Griffiths, P., &amp;amp; Strang, J. (2000). Drug-use functions predict cocaine-related problems in young people. Drug and Alcohol Review, 19, 181-190.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="8">Cunningham, J. A., Sobell, L. C., &amp;amp; Gaskin, J. (1994). Alcohol and drug abuser's reasons for seeking treatment. Addictive Behaviors, 19, 691-696.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="9">De Leon, G. (1986). Circumstance, motivation, readiness and suitability as correlates of treatment tenure. Journal of Psychoactive Drugs, 18(3), 203-208.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="10">Fiorentine, R. (1999). After drug treatment: Are 12-step programs effective in maintaining abstinence? American Journal of Drug and Alcohol Abuse, 25(1), 93-116.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="11">Goldstein, P. J. (1985). The drugs/violence nexus: A tripartite conceptual framework. Journal of Drug Issues, 15, 493-506.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="12">Gossop, M., Marsden, M., &amp;amp; Stewart, D. (2002). Dual dependence: Assessment of dependence upon alcohol and illicit drugs and the relationship of alcohol dependence among drug misusers to patterns of drinking, illicit drug use and health problems. Addiction, 97, 169-178.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="13">Green, B. W., &amp;amp; Ritter, C. (2000). Marijuana Use and Depression. Journal of Health and Social Behavior, 41(1), 40-49.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="14">Hartnoll, R. (1992). Research and the help-seeking process. British Journal of Addiction, 87, 429-437.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="15">Hser, Y.-I., Boyle, K., &amp;amp; Anglin, M. D. (1998). Drug use and correlates among sexually transmitted disease patients, emergency room patients, and arrestees. Journal of Drug Issues, 28(2), 437-456.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="16">Keene, J., James, D., &amp;amp; Wilner, P. (1998). Social influences on individual drug use: Three distinct sub-cultures among agency non-attenders. Addiction Research, 6(1), 43-63.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="17">Koegel, P., Sullivan, G., &amp;amp; Burman, A. (1999). Utilization of mental health and substance abuse services among homeless adults in Los Angeles. Medical Care, 37, 306-317.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="18">Leshner, A. I. (1999). Science-based views of drug addiction and its treatment. Journal of the American Medical Association, 282(14), 1314-1316.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="19">Magura, S. (2003). The role of work in substance abuse dependency treatment: A preliminary overview. Substance Use &amp;amp; Misuse, 38(11-13), 1865-1876.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="20">Marsden, J., Griffiths, P., Farrell, M., Gossop, M., &amp;amp; Strang, J. (1998). Cocaine in Britain: Prevalence, problems, and treatment responses. Journal of Drug Issues, 28(1), 1-11.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="21">Mechanic, D. (1975). Sociocultural and psychological factors affecting personal responses to psychological disorder. Journal of Health and Social Behavior, 16, 393-404.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="22">Miller, W. R. (1998). Why do people change addictive behavior? the 1996 H. David Archibald Lecture. Addiction, 93(2), 163-173.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="23">Montoya, I. D., Patek, J. A., Covarrubias, L. D., &amp;amp; Graves J. A. (2000). Posttraumatic stress disorder among Hispanic and African American drug users. American Journal of Drug &amp;amp; Alcohol Abuse, 29(4), 729-741.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="24">Nwakeze, P. C., Magura, S., &amp;amp; Rosenblum, A. (2002). Drug problem recognition, desire for help, and treatment readiness in a soup kitchen population. Substance Use &amp;amp; Misuse, 37(3), 291-312.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="25">Powis, B., Gossop, M., Bury, C., Payne, K., &amp;amp; Griffiths, P. (2000). Drug-using mothers: Social, psychological and substance abuse problems of women opiate users with children. Drug and Alcohol Review, 19, 171-180.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="26">Prochaska, J. O., DiClemente, C. C., &amp;amp; Norcross, J. C. (1992). In search of how people change. American Psychologist, 47, 1102-1114.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="27">Russell, M., Peirce, R. S., Chan, A. W. K., Wieczoreck, W., Mocato, B. S., &amp;amp; Nochajski, T. H. (2001). Natural recovery in a community-based sample of alcoholics: Study design and descriptive data. Substance Use and Misuse, 36(11), 1417-1441.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="28">Sacks, S., &amp;amp; Pearson, F. S. (2003). Co-occurring substance use and mental disorders in offenders: Approaches, findings, and recommendations. Federal Probation, 67(2), 32-40.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="29">Substance Abuse and Mental Health Services Administration (SAMHSA) (2004). Results from the 2003 National Survey on Drug Use and Health: National Findings (DHHS Publication No SMA 04-3964). Rockville, MD: Substance Abuse and Mental Health Services Administration, Office of Applied Studies.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="30">Simpson, D. D., &amp;amp; Joe, G. W. (1993). Motivation as a predictor of early dropout from drug abuse treatment. Psychotherapy, 30, 357-368.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="31">Simpson, D. D., Joe, G. W. ,Broome, K. M., Hiller, M. L., Knight, K., &amp;amp; Rowan-Szal, G. (1997). Program diversity and treatment retention rates in drug abuse treatment outcome study (DATOS). Psychology of Addictive Behaviors, 11(4), 279-293.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="32">Smith, B. H., Molina, B. S. G., &amp;amp; Pelham, w. E. (2002). The clinically meaningful link between alcohol use and attention deficit hyperactivity disorder. Bethesda, MD: National Institute on Alcohol Abuse and Alcoholism.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="33">Sobell, L. C., Cunningham, J. A., &amp;amp; Sobell, M. B. (1996). Recovery from alcohol population surveys. American Journal of Public Health, 86, 966-972.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="34">Tessler, R., &amp;amp; Mechanic, D. (1978). Psychological distress and perceived health status. Journal of Health and Social Behavior, 19, 254-262.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="35">Timko, C., Finney, J. W., Moos, R. H., &amp;amp; Moos, B. S. (1995). Short-term treatment careers and outcomes of previously untreated alcoholics. Journal of Studies on Alcohol, 56, 597-610.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="36">Timko, C., Moos, R. H., Finney, J. W., &amp;amp; Lesar, M. D. (2000). Long-term outcomes of alcohol use disorders: Comparing untreated individuals with those in Alcoholics Anonymous and formal treatment. Journal of Studies on Alcohol, 61(4), 529-540.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="37">Timko, C., Moos, R. H., Finney, J. W., &amp;amp; Moos, B. S. (1994). Outcome of treatment for alcohol abuse and involvement in Alcoholics Anonymous among previously untreated problem drinkers. Journal of Mental Health Administration, 21(2), 145-160.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="38">Waldorf, D., Reinarman, C., &amp;amp; Murphy, C. (1991). Cocaine changes: The experience of using and quitting. Philadelphia: Temple University Press.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="39">Walters, G. (1996). The natural history of substance abuse in an incarcerated criminal population. Journal of Drug Issues, 26, 943-959.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="40">Wilson-Cohn, C., Strauss, S. M., &amp;amp; Falkin, G. P. (2002). The relationship between partner abuse and substance abuse among women mandated to drug treatment. Journal of Family and Violence, 17(1), 91-105.</bibtext>
							</bib-other>
							<bib-other>
								<bibtext seqNum="41">Wu, L. T., Kouzis, A. C., &amp;amp; Leaf, P. J. (1999). Influence of comorbid alcohol and psychiatric disorders on utilization of mental health services in the National Comorbidity Survey. American Journal of Psychiatry, 156, 1230-1236.</bibtext>
							</bib-other>
						</biblist>
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