Abstract

associated with stable recovery. We analyzed data from a longitudinal study of 581 heroin users admitted to the California Civil Addict Program during 1962–1964 and followed for 30years. Findings showed that before 1986– 1987, approximately 30% reportedmore than 5years of heroin abstinence and 25% reported more than 5years in recovery (defined as heroin abstinence and no incarceration). Longer periods of abstinence were associated with a higher likelihood of remaining abstinent over the subsequent 10-year period (r= .73). Individuals who accumulated five or more years of abstinence were less likely to use, less likely to be involved in criminal justice system, and had better emotional and social functioning. Understanding factors that promote stable recovery can inform health service system policy and design.

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