Diversity of drug abuse treatment utilization patterns and outcomes
Diversity of drug abuse treatment utilization patterns and outcomes
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DOI：
10.1016/j.evalprogplan.2003.07.002
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发表时间：
2004-08-01
影响因子：
1.6
通讯作者：
Anglin, MD
中科院分区：
文献类型：
--
作者：
Hser, YI;Huang, D;Anglin, MD
本研究考察了36个月期间药物滥用治疗利用的纵向模式和相关结果。样本包括430名来自不同模式的几个治疗方案的患者;单次治疗组中335例患者报告在参考治疗后未接受额外治疗，连续治疗组中65例患者在参考治疗结束后继续治疗，非连续治疗组30例患者在参考治疗结束后至少1个月重新开始治疗。三组在背景特征和大多数吸毒史和犯罪史方面没有差异。三组在36个月内的累积治疗时间也相似，平均为10-13个月。在36个月期间，三个组中超过60%的患者还报告在参考治疗之前参与了治疗。进行逻辑回归分析，以预测随访时的积极结果（定义为在社区生活期间没有吸毒和犯罪）。在36个月期间累积的更长时间的治疗和参考治疗后的自助组参与与有利的结局呈正相关，而既往治疗与结局呈负相关。相对于非连续治疗组，连续治疗组和单药治疗组患者获得阳性结局的可能性分别是非连续治疗组的2.81倍和2.49倍。研究结果表明，持续参与某种治疗或自助团体对持续恢复至关重要。(C)2004爱思唯尔有限公司保留所有权利。
This study examined the longitudinal patterns of drug abuse treatment utilization over a 36-month period and the associated outcomes. The sample included 430 patients recruited from several treatment programs of different modalities; 335 patients in the single treatment group reported no additional treatment subsequent to the referent treatment, 65 patients in the consecutive treatment group continued in treatment after the referent treatment ended, and 30 patients in the non-consecutive treatment group reentered into treatment at least one month after the referent treatment ended. The three groups did not differ in terms of background characteristics and most of the drug use history and criminal history measures. The cumulative lengths of time in treatment over the 36 months were also similar across the three groups with the mean being 10-13 months. During the 36-month period, more than 60% of the patients across the three groups also reported treatment participation prior to the referent treatment. A logistic regression analysis was conducted to predict the positive outcome (defined as no drug use and no crimes committed while living in the community) at follow-up. Both longer stay in treatment cumulatively across the 36-month period and self-help group participation subsequent to the referent treatment were positively related to the favorable outcome, while prior treatment was negatively related to outcome. Relative to the non-consecutive group, patients in the consecutive group and single treatment group were, respectively, 2.81 times, and 2.49 times more like to have a positive outcome. The study results suggest that continued participation in some kind of treatment or self-help group is critical for sustaining recovery. (C) 2004 Elsevier Ltd. All rights reserved.