Reluctant Referrals: The Effectiveness of Legal Coercion in Outpatient Treatment for Problem Drinkers
Reluctant Referrals: The Effectiveness of Legal Coercion in Outpatient Treatment for Problem Drinkers
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不情愿的转诊：法律强制在问题饮酒者门诊治疗中的有效性
DOI：
10.1177/002204268201200102
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发表时间：
1982
影响因子：
1.7
通讯作者：
A. Mauss
中科院分区：
文献类型：
--
作者：
R. Dunham;A. Mauss
一个令人讨厌的悖论在与公共问题饮酒者打交道时一直面临政策制定者和从业者，这是认识到与酒精有关的罪犯的状况，既是轻罪和疾病。根据法律模型和一种应对酒精相关问题的治疗模型，讨论了这种悖论。多元协方差模型用于比较法院强迫治疗的问题饮酒者的治疗有效性，而饮酒者自愿开始治疗，同时统计控制了治疗前的差异。关于有效性以及强制元素在有效性中所起的作用，转介的类型确实对治疗结果产生了重要的独立影响。该转介涉及的胁迫元素没有颠覆治疗模型的目标；确实，它使成功的治疗结果比严格自愿自我推荐的可能性要大得多。最后，在不合规的罚款更确定，不一定是更严重的情况下，强制证明更有效。
An annoying paradox which has been facing policy-makers and practitioners alike in their efforts to deal with public problem drinkers is that of recognizing the condition of alcohol-related offenders as both a misdemeanor and a disease. This paradox is discussed in terms of a legal model and a therapeutic model for responding to alcohol-related problems. A multivariate covariance model is used to compare the effectiveness of treatment for problem drinkers coerced into treatment by the courts and problem drinkers voluntarily initiating treatment, while statistically controlling for pre-treatment group differences. With regards to effectiveness, and the role played by an element of coercion in effectiveness, type of referral did have an important independent impact upon treatment outcome. An element of coercion involved in that referral did not subvert the goals of the therapeutic model; indeed, it rendered successful treatment outcome considerably more likely than with strictly voluntary self-referral. Finally, coercion proved somewhat more effective where the penalties for non-compliance were the more certain, not necessarily the more severe.