Contingency management: perspectives of Australian service providers
Contingency management: perspectives of Australian service providers
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DOI：
10.1080/09595230601184653
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发表时间：
2007-03-01
影响因子：
3.8
通讯作者：
Ritter, Alison
中科院分区：
文献类型：
--
作者：
Cameron, Jacqui;Ritter, Alison
鉴于非常积极和广泛的研究证据表明了应急管理的效力和效力，澳大利亚必须探讨应急管理是否可以在我们自己的治疗背景下发挥作用。在维多利亚州，对30名有经验的酒精和毒品从业者、服务经理和政策制定者进行了定性访谈。受访者被选为代表戒毒治疗服务类型的范围，并包括农村代表。采用了半结构化面谈时间表，涵盖了他们对应急管理的看法和做法。所有访谈均被逐字记录，并使用N2定性数据分析程序进行分析。大多数关键的信息者都积极倾向于应急管理，尽管对哲学基础有一些担忧。有人对金钱奖励的使用表示关切。主要信息提供人提供的使用应急管理的例子说明了一个过于包容的定义：所有的例子都没有遵守应急管理的主要原则。如果在澳大利亚引入结构化的应急管理，这可能会带来问题。应急管理是一种重要的辅助治疗干预措施，在澳大利亚的使用有可能提高治疗结果。在这项研究中没有发现不可逾越的障碍。
Given the very positive and extensive research evidence demonstrating efficacy and effectiveness of contingency management, it is important that Australia explore whether contingency management has a role to play in our own treatment context. Qualitative interviews were conducted with 30 experienced alcohol and drug practitioners, service managers and policymakers in Victoria. Interviewees were selected to represent the range of drug treatment services types and included rural representation. A semi- structured interview schedule, covering their perceptions and practices of contingency management was used. All interviews were transcribed verbatim and analysed using N2 qualitative data analysis program. The majority of key informants were positively inclined toward contingency management, notwithstanding some concerns about the philosophical underpinnings. Concerns were raised in relation to the use of monetary rewards. Examples of the use of contingency management provided by key informants demonstrated an over- inclusive definition: all the examples did not adhere to the key principles of contingency management. This may create problems if a structured contingency management were to be introduced in Australia. Contingency management is an important adjunctive treatment intervention and its use in Australia has the potential to enhance treatment outcomes. No unmanageable barriers were identified in this study.