Effectiveness of Rapid Intake into Methadone Treatment: A Natural Experiment in Israel
Effectiveness of Rapid Intake into Methadone Treatment: A Natural Experiment in Israel
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DOI：
10.1159/000375491
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发表时间：
2015-01-01
影响因子：
3.9
通讯作者：
Lawental, Maayan
中科院分区：
文献类型：
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作者：
Lawental, Maayan
在一项自然实验中考察了服药程序对治疗进入和保留的影响，以色列的一家美沙酮维持诊所通过采用快速服药程序(最多在开始治疗前3天)接纳了127名患者。使用从患者档案中收集的信息，将这些客户与接受诊所常规入院程序(3周至3个月)的对照组(n=121)进行回顾性比较。结果测量包括开始治疗和随后在治疗中保留(在3、6和12个月)。结果显示，快速服药组有81%的患者接受了治疗，而常规服药组只有57%。两组患者的治疗保留情况相似。此外，犹太客户比来自其他宗教的客户更有可能通过快速吸纳程序进入治疗，女性接受治疗的时间比男性更长，无论吸纳程序的类型如何。这项单点研究的结果支持了快速摄取程序作为一种让客户参与治疗的方式的有效性，并对改善获得治疗的机会产生了重大影响。(C)2015年S.Karger AG，巴塞尔
The effect of intake procedures on treatment entry and retention was examined in a natural experiment, in which a methadone maintenance clinic in Israel admitted 127 clients by employing a rapid intake procedure (maximum of 3 days before the initiation of treatment was offered). Using information gathered from patient files, these clients were retrospectively compared to a control group (n = 121) who underwent the clinic's regular intake procedure (between 3 weeks and 3 months). Outcome measures included entry into treatment and subsequent retention in treatment (at 3, 6 and 12 months). Results show that 81% of clients from the rapid intake group entered treatment compared to only 57% from the regular intake group. Treatment retention was similar for both groups. In addition, Jewish clients were more likely to enter treatment via the rapid intake procedure than clients from other religions, and women were retained in treatment longer than men, regardless of the type of intake procedure. Results of this single-site study lend support to the effectiveness of rapid intake procedures as a way to engage clients in treatment and carry significant implications for improving access into treatment. (C) 2015 S. Karger AG, Basel