Association of facility characteristics and substance use disorder outcomes at discharge from residential treatment.
Association of facility characteristics and substance use disorder outcomes at discharge from residential treatment.
复制标题
DOI：
10.1016/j.jsat.2021.108664
复制
发表时间：
2022-05
影响因子：
3.9
通讯作者：
Reif S
中科院分区：
文献类型：
--
作者：
Miles J;Mericle A;Ritter G;Reif S
物质使用障碍（SUD）的个人可能受益于在住宅环境中提供的服务和支持。该领域的先前研究主要集中在影响结果的个人水平因素上，很少关注机构水平特征与治疗结果之间的关系。本研究将设施级别的特征纳入到住宅环境治疗SUD的有效性分析中。2015年，来自马萨诸塞州公共资助住院治疗的2713名患者的行政数据与来自33家治疗提供者的设施级调查数据相关联。本研究进行了多水平回归分析，调整了居民人口统计、社会经济、药物使用史和严重程度，以测试设施水平对治疗持续时间和完成程度、出院时住房和就业状况的影响。当居民制定和执行规则时，他们停留的时间更长（β= 30.22, p = 0.006）。随着非临床服务数量的增加（aOR= 0.918, p= 0.029），或在居民以家庭方式一起用餐的设施中（aOR=0.485, p= 0.039），居民完成治疗的可能性较低。当家庭会议少于每周一次时，出院时就业的可能性更大（aOR= 3.37, p= 0.005），而当家庭会议多于每周一次时，出院时就业的可能性更小（aOR= 0.385, p= 0.038）。总体而言，居民管理的增加和成功参与治疗的意外事件的减少与积极的治疗结果相关。未来的研究应该检查居住环境的内部过程，包括点对点的互动，以更好地了解居住特征如何影响结果。
Individuals with substance use disorder (SUD) may benefit from services and supports delivered in residential settings. Prior research in this area has primarily focused on individual-level factors that affect outcomes, with little focus on the relationship between facility-level characteristics and treatment outcomes. This study incorporated facility-level features into an analysis of the effectiveness of residential settings to treat SUD. Administrative data from 2,713 individuals with an index enrollment in publicly funded residential treatment in Massachusetts during 2015 were linked with facility-level survey data from 33 treatment providers. This study conducted multilevel regression analysis, adjusting for resident demographic, socioeconomic, and substance use history and severity, to test facility-level effects on treatment duration and completion, and housing and employment status at discharge. Residents stayed longer when they made and enforced rules (β= 30.22, p = 0.006). Residents were less likely to complete treatment as the number of non-clinical services increased (aOR= 0.918, p= 0.029), or in facilities where residents ate together family style (aOR=0.485, p= 0.039). Being employed at discharge was more likely when house meetings were held less than once per week (aOR= 3.37, p= 0.005) and less likely when held more than once per week (aOR= 0.385, p= 0.038). Overall, increased resident governance and fewer contingencies for successful treatment participation were associated with positive treatment outcomes. Future research should examine the internal processes of residential settings, including peer-to-peer interactions, to better understand how within-residence features affect outcomes.
登录
查看更多内容
影响因子：
0.9
作者：
Jason, Leonard A.;Stevens, Edward B.;Doogan, Nathan J.
通讯作者：
Doogan, Nathan J.
影响因子：
13.8
作者：
Huhn AS;Hobelmann JG;Strickland JC;Oyler GA;Bergeria CL;Umbricht A;Dunn KE
通讯作者：
Dunn KE
影响因子：
2.3
作者：
Jason, Leonard A.;Ferrari, Joseph R.
通讯作者：
Ferrari, Joseph R.
影响因子：
4.2
作者：
McCamant, Lynn E.;Zani, Brigid G.;Gabriel, Roy M.
通讯作者：
Gabriel, Roy M.
影响因子：
2
作者：
Carise, D;McLellan, AT;Gifford, LS
通讯作者：
Gifford, LS