Therapeutic communities - Enhancing retention in treatment using "Senior Professor" staff
Therapeutic communities - Enhancing retention in treatment using "Senior Professor" staff
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DOI：
10.1016/s0740-5472(00)00124-0
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发表时间：
2000-12-01
影响因子：
3.9
通讯作者：
Melnick, G
中科院分区：
文献类型：
--
作者：
De Leon, G;Hawke, J;Melnick, G
评价研究记录了治疗社区中药物滥用者的保留与治疗结果之间的密切关系。然而，大多数入院者过早地离开治疗，特别是在入院后的头几个月。本文报告了一项对照研究的结果，该研究评估了干预措施对减少住院TC早期辍学的有效性。在“资深教授”（SP）的干预，最有经验的临床和管理人员在TC计划被用来进行程序的入门研讨会在招生的第一周，传统上辍学率最高的时期。比较了接受干预的实验队列（N = 362）和接受标准或非强化治疗的入院队列（N = 243）的短期保留率（治疗30天）。研究结果表明，SP干预显着降低了早期辍学的可能性相比，控制。这种增强的效果对于动机水平最低的新入职者最为明显。一些理论和临床的影响进行了讨论，以利用有经验的工作人员，以增加保留新入职者的动机水平相对较低，谁是最大的风险，提前辍学。(C)2001 Elsevier Science Inc. All rights reserved.
Evaluation research documents a firm relationship between retention and treatment outcomes among substance abusers in therapeutic communities (TCs). However, most admissions leave treatment prematurely, particularly in the first months after admission. This paper reports findings from a controlled study that assessed the efficacy of an intervention to reduce early dropout in a residential TC. In the "Senior Professor" (SP) intervention, the most experienced clinical and managerial staff in a TC program were utilized to conduct program induction seminars during the first weeks of admissions, traditionally the period of the highest rate of dropout. Rates of short - term retention (30 days of treatment) were compared for the experimental cohort (N = 362), who received the intervention, and a cohort of admissions (N = 243), who received standard or non-enhanced treatment. Findings showed that the SP intervention significantly reduced the likelihood of early dropout compared with controls. The enhanced effects are most evident for the new inductees with the lowest levels of motivation. Some theoretical and clinical implications are discussed as to the utilization of experienced staff to increase retention among new inductees with relatively lower motivational levels, who are at greatest risk for early dropout. (C) 2001 Elsevier Science Inc. All rights reserved.