Effect of an Organizational Linkage Intervention on Staff Perceptions of Medication-Assisted Treatment and Referral Intentions in Community Corrections
Effect of an Organizational Linkage Intervention on Staff Perceptions of Medication-Assisted Treatment and Referral Intentions in Community Corrections
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DOI：
10.1016/j.jsat.2014.10.001
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发表时间：
2015-03-01
影响因子：
3.9
通讯作者：
Vocci, Frank J.
中科院分区：
文献类型：
--
作者：
Friedmann, Peter D.;Wilson, Donna;Vocci, Frank J.
简介：药物辅助治疗（MAT）是有效的酒精和阿片类药物使用障碍，但它是污名化和未充分利用在刑事司法settings.Methods：本研究群集随机20个社区矫正网站，以确定是否实验性的实施策略的培训和组织联动干预改善工作人员的MAT和转诊意向的看法比单独的培训。3个小时的培训旨在解决知识、观念和转诊信息方面的不足，组织联系干预措施使社区矫正和戒毒机构在12个月的机构间战略规划和实施过程中聚集在一起。虽然单独的培训与药物治疗的熟悉程度和向客户转诊的知识的增加有关，实验性干预在功能性态度（例如MAT对客户有帮助）和转介意向方面产生了显着的改善。惩教工作人员表现出更大的改善功能的看法和意图，指阿片类药物依赖的客户MAT比treatment staff.Conclusion：知识，观念和信息培训加上组织间的战略规划干预是一种有效的手段来改变态度和意图，指客户的药物辅助治疗在社区矫正设置，特别是在惩教工作人员。爱思唯尔公司出版
Introduction: Medication-assisted treatment (MAT) is effective for alcohol and opioid use disorders but it is stigmatized and underutilized in criminal justice settings.Methods: This study cluster-randomized 20 community corrections sites to determine whether an experimental implementation strategy of training and an organizational linkage intervention improved staff perceptions of MAT and referral intentions more than training alone. The 3-hour training was designed to address deficits in knowledge, perceptions and referral information, and the organizational linkage intervention brought together community corrections and addiction treatment agencies in an interagency strategic planning and implementation process over 12 months.Results: Although training alone was associated with increases in familiarity with pharmacotherapy and knowledge of where to refer clients, the experimental intervention produced significantly greater improvements in functional attitudes (e.g. that MAT is helpful to clients) and referral intentions. Corrections staff demonstrated greater improvements in functional perceptions and intent to refer opioid dependent clients for MAT than did treatment staff.Conclusion: Knowledge, perceptions and information training plus interorganizational strategic planning intervention is an effective means to change attitudes and intent to refer clients for medication assisted treatment in community corrections settings, especially among corrections staff. Published by Elsevier Inc.