Mental health experts' perspectives on barriers to dissemination of couples treatment for alcohol use disorders.

Mental health experts' perspectives on barriers to dissemination of couples treatment for alcohol use disorders.
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心理健康专家对传播夫妻酒精使用障碍治疗方法的障碍的看法。

DOI:
10.1037/a0026694
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发表时间:
2012
影响因子:
2.3
通讯作者:
Strong,David
Strong,David
中科院分区:
心理学2区
文献类型:
--
作者:
Schonbrun,YaelChatav;Stuart,GregoryL;Wetle,Terrie;Glynn,TiffanyR;Titelius,EliseN;Strong,David

文献摘要

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尽管有证据支持以夫妻为基础的方法治疗酒精问题的有效性,但此类治疗的提供一直是有限的。为了更好地了解这种治疗方法的有限使用,目前的研究探索了采用夫妇治疗酒精使用障碍的障碍。就这一主题采访了酒精治疗、夫妻治疗和行为伴侣治疗方面的专家(n=12);访谈记录使用扎根理论定性程序进行分析。所有精神健康专家都赞同这样的观点,即实施和接受夫妻治疗给提供者带来了困难。确定了四个主题(提供者一级的后勤障碍、系统一级的后勤障碍、提供者的治疗偏好和缺乏适当的培训)。目前的研究结果为解决采用以夫妇为基础的治疗的障碍提供了指导。
Despite evidence supporting the efficacy of couples-based approaches to treating alcohol problems, provision of such treatments has been limited. To better understand the limited use of this treatment, the current study explored barriers to the adoption of couples treatment for alcohol use disorders. Experts in alcohol treatment, couples treatment, and behavioral couples treatment for alcohol problems (n= 12) were interviewed on this topic; interview transcripts were analyzed using grounded theory qualitative procedures. All mental health experts endorsed the perspective that implementation and acceptance of couples treatment posed difficulties for providers. Four themes (logistical barriers at the provider level, logistical barriers at the system levels, provider treatment preferences, and lack of appropriate training) were identified. Results from the current study provide guidance in addressing barriers to the adoption of couples-based treatments.