ENHANCING THE TREATMENT ATTENDANCE OF MENTALLY-ILL CHEMICAL ABUSERS
ENHANCING THE TREATMENT ATTENDANCE OF MENTALLY-ILL CHEMICAL ABUSERS
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DOI：
10.1016/0005-7916(90)90008-9
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发表时间：
1990-09-01
影响因子：
1.8
通讯作者：
CAREY, MP
中科院分区：
文献类型：
--
作者：
CAREY, KB;CAREY, MP
被诊断为精神疾病和药物滥用的患者往往对治疗的依从性很差。目前的研究验证了这样一种假设，即通过为定期参与提供适度的激励，可以增加参加日间治疗计划的人数。53名患者参加了一项针对精神病药物滥用者的自愿日间治疗计划，他们接受了为期12周的研究。对出席情况进行监测的时间为：(A)奖励干预之前的4周；(B)为定期出席提供奖励的4周；以及(C)奖励之后的4周。激励措施包括在周末向所有参加该计划的患者提供适度的奖励(例如，当地餐馆的优惠券)，这些患者在给定的一周中至少有3天每天至少5小时。结果表明，适度的激励可以提高双重诊断患者的出勤模式。
Patients dually-diagnosed with mental illness and chemical abuse often comply poorly with treatment. The present study tested the hypothesis that attendance at a day treatment program could be increased by offering modest incentives for regular participation. Fifty-three patients, enrolled in a voluntary day treatment program for the mentally ill chemical abuser, were studied for twelve weeks. Attendance was monitored for (a) 4 weeks prior to the incentive intervention; (b) 4 weeks during which an incentive was provided for regular attendance; and (c) 4 weeks following the incentive. The incentive consisted of modest rewards (e.g., coupons from a local restaurant) offered at the end of the week to all patients who attended the program for at least 5 hours a day on at least 3 days in a given week. The results demonstrated that modest incentives can enhance the attendance patterns of the dually-diagnosed.