Programs for drug abusers are plagued by high rates of dropout. Becaus
e of the strong relationship between longer treatment and positive out
come, researchers have begun to study individual and program-specific
factors that influence premature termination of treatment. For the mos
t part, these studies have focused on dichotomous measures of dropout
or number of sessions attended. In this article, we extend this line o
f research in two ways. First, we develop and measure a number of indi
cators of treatment participation based on therapist ratings. Second,
we develop a model of treatment participation that employs both indivi
dual and program-specific factors. The data show that tremendous varia
tion in participation occurred even among those who attended a majorit
y of sessions, which highlights the importance of obtaining more elabo
rate measures of treatment participation. The model predicting treatme
nt participation suggests that initiation of heroin use later in life,
continued use of marijuana, and behavioral indicators of motivation a
re the strongest predictors of program participation. Research and pra
ctical implications of the findings are discussed.