Organizational Predictors and Use of Evidence-Based Practices in Adolescent Substance Abuse Treatment.
Organizational Predictors and Use of Evidence-Based Practices in Adolescent Substance Abuse Treatment.
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DOI：
10.1080/08897077.2014.960959
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发表时间：
2015
期刊：
影响因子：
3.5
通讯作者：
Roman PM
中科院分区：
文献类型：
--
作者：
Paino M;Aletraris L;Roman PM
在美国，青少年药物滥用仍然是一个严重的问题，但治疗中心并不总是接纳青少年客户。在这篇文章中，我们首先确定在何种程度上可用于青少年的一般治疗和是否提供特定的（隔离）轨道。其次，我们研究了与青少年治疗相关的组织特征。第三，我们阐明了如何在治疗中心的青少年病例与提供循证实践（EBP）。利用美国治疗计划的全国代表性样本，我们使用逻辑回归来评估组织特征如何与青少年治疗的提供相关。使用有序逻辑回归，我们分析了治疗中心的青少年病例和组织特征如何影响治疗中心提供药物辅助治疗（MAT）和心理治疗的程度。一半（49.5%）的治疗方案承认青少年和41.8%提供了一个专门的轨道。Logistic回归的结果表明，与治疗青少年和/或有一个只跟踪的组织特征显着相关。我们的研究结果从序数模型表明，治疗中心的青少年的百分比和MAT的程度之间的负相关关系，和青少年客户的百分比和提供的心理社会治疗的程度之间的正相关关系。本文强调了组织障碍治疗进入青少年，谁仍然是一个小比例的客户在治疗中心。然而，当治疗中心为青少年提供服务时，这些青少年可能会在仅提供治疗的轨道和/或服务以及提供几种心理社会EBP的方案中接受护理。最后，青少年不太可能在提供各种MAT的中心接受治疗。
Adolescent substance abuse remains a significant problem in the United States, yet treatment centers do not always admit adolescent clients. In this article, we first determine the extent to which treatment is available for adolescents in general and whether or not adolescent-specific (segregated) tracks are offered. Second, we examine the organizational characteristics associated with adolescent treatment. Third, we illuminate how the adolescent caseload in a treatment center is related to offering evidence-based practices (EBPs). Drawing upon a nationally representative sample of U.S. treatment programs, we use logistic regression to assess how organizational characteristics are associated with the provision of adolescent treatment. Using ordinal logistic regression, we analyze how the treatment center’s adolescent caseload and organizational characteristics affect the extent to which a treatment center offers medication-assisted treatment (MAT) and psychosocial treatment. Half (49.5%) of treatment programs admitted adolescents and 41.8% offered an adolescent-specific track. Findings from the logistic regression suggested several organizational characteristics that were significantly associated with treating adolescents and/or having an adolescent-only track. Our findings from the ordinal models indicated a negative relationship between the percent of adolescents in a treatment center and the extent of MAT, and a positive relationship between the percent of adolescent clients and the extent of psychosocial treatment offered. This paper highlights organizational barriers to treatment entry for adolescents, who remain a small proportion of clients in treatment centers. When treatment centers serve adolescents, however, those adolescents are likely to receive care in adolescent-only tracks and/or services and in programs that offer several psychosocial EBPs. Finally, adolescents are less likely to receive treatment in centers that offer a variety of MAT.
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影响因子：
6
作者：
Baggio, Stephanie;N'Goran, Alexandra A.;Gmel, Gerhard
通讯作者：
Gmel, Gerhard
影响因子：
0.8
作者：
De Sousa, Avinash;De Sousa, Alan
通讯作者：
De Sousa, Alan
影响因子：
3.9
作者：
Clark, DB;Wood, DS;Martin, CS
通讯作者：
Martin, CS
影响因子：
2
作者：
Etheridge, RM;Smith, JC;Hubbard, RL
通讯作者：
Hubbard, RL
影响因子：
--
作者：
Brannigan, R;Schackman, BR;Millman, RB
通讯作者：
Millman, RB