Adolescent and therapist perception of barriers to outpatient substance abuse treatment
Adolescent and therapist perception of barriers to outpatient substance abuse treatment
复制标题
DOI：
10.1080/10550490601003631
复制
发表时间：
2006-01-01
影响因子：
3.7
通讯作者：
Wintersteen, Matthew B.
中科院分区：
文献类型：
--
作者：
Mensinger, Janell Lynn;Diamond, Guy S.;Wintersteen, Matthew B.
行为障碍是有效提供行为健康服务的最令人烦恼的问题之一。大多数先前的研究集中在患者的人口统计学和精神病理学因素预测辍学。我们研究了患者和治疗师治疗后报告的障碍参加治疗。600名青少年和他们的治疗师完成了知觉障碍治疗量表（PBT）在出院时从一个简短的物质滥用干预。调整后的协变量，结果表明，感知障碍，特别是实际的障碍，缺乏治疗准备，相关性和兼容性，相关的会议出席。转移到一个更以患者为中心的方法来理解治疗保留进行了讨论。
Attrition is one of the most vexing problems for the effective delivery of behavioral health services. Most prior studies focus on patient demographics and psychopathology factors predicting dropout. We examined patient and therapist post-treatment reports of barriers to attending treatment. Six hundred adolescents and their therapists completed the Perceived Barriers to Treatment scale (PBT) at discharge from a brief substance abuse intervention. After adjusting for covariates, results suggest that perceived barriers, in particular, practical obstacles, lack of treatment readiness, relevance, and compatibility, are related to sessions attended. Shifting to a more patient centered approach for understanding treatment retention is discussed.