Service delivery in substance abuse treatment: Reexamining "comprehensive" care
Service delivery in substance abuse treatment: Reexamining "comprehensive" care
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DOI：
10.1007/s11414-007-9061-7
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发表时间：
2007-04-01
影响因子：
1.9
通讯作者：
Johnson, J. Aaron
中科院分区：
文献类型：
--
作者：
Ducharme, Lori J.;Mello, Heather L.;Johnson, J. Aaron
物质滥用治疗的客户提出了一系列的服务需求，在各个生活领域。成瘾治疗的理想模式包括提供服务或与服务挂钩，以满足客户的多种需求;反过来，这些综合性和支助性服务与客户保留和治疗结果的改善有关。使用大样本的专业成瘾治疗提供者在公共和私营部门的数据，本文探讨了服务提供的全面性的程度和组织相关性。多变量模型表明，私营部门的治疗设施提供更多的“核心”医疗和治疗服务，而公共部门的方案提供更多的概括性和支持性服务。然而，就所提供服务的绝对数量而言，这两个部门都没有达到服务全面性的理想模式。这些调查结果引起了人们对戒毒治疗所需服务的质量和可得性的关注。
Substance abuse treatment clients present with an array of service needs in various life domains. Ideal models of addiction treatment incorporate provision or linkages to services to meet clients' multiple needs; in turn, these wraparound and supportive services are associated with improvements in client retention and treatment outcomes. Using data from large samples of specialty addiction treatment providers in the public and private sectors, this article examines the extent and Organizational correlates of the comprehensiveness of service delivery. Multivariate models indicate that private sector treatment facilities offer more "core" medical and treatment services, whereas public sector programs offer more wraparound and supportive services. However, both sectors fall short of the ideal model of service comprehensiveness in terms of absolute number of services offered. These findings raise concerns regarding the quality and availability of needed services for treatment of addiction.