Trends in comprehensive service availability in outpatient drug abuse treatment

Trends in comprehensive service availability in outpatient drug abuse treatment
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DOI:
10.1016/s0740-5472(02)00323-9
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发表时间:
2003-01-01
影响因子:
3.9
通讯作者:
D'Aunno, TA
D'Aunno, TA
中科院分区:
医学2区
文献类型:
--
作者:
Friedmann, PD;Lemon, SC;D'Aunno, TA

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全面的医疗和心理社会服务对高质量的戒毒治疗至关重要,但在1980年代,这种服务的提供有所减少。为了确定在20世纪90年代,这种综合服务的可用性下降的趋势是否继续,我们分析了1990年,1995年和2000年门诊药物滥用治疗单位的全国小组研究的数据。应答率大于85%。关于提供全面的服务,包括身体检查,常规医疗护理,心理健康服务,财务咨询和就业咨询,管理人员报告了过去一年中是否有任何物质滥用治疗客户接受过服务。1990年代期间,除据报告可利用的体检服务从1990年至1995年有所增加和据报告可利用的财务咨询服务在同一时期有所减少外,据报告可利用的综合服务变化不大。这些研究结果强调,随着时间的推移,继续需要监测成瘾治疗中获得综合服务和其他质量指标的情况。(C)2003年爱思唯尔科学公司All rights reserved.
Comprehensive medical and psychosocial services are essential to quality addiction treatment, but their availability declined in the 1980s. To determine whether this downward trend in the availability of comprehensive services continued in the 1990s, we analyzed data from a national panel study of outpatient substance abuse treatment units in 1990, 1995, and 2000. Response rates were greater than 85%. Regarding the availability of comprehensive set-vices, including physical examinations, routine medical care, mental health services, financial counseling and employment counseling, administrators reported whether any substance abuse treatment client received the service in the past year. With the exception of physical examinations, whose reported availability increased from 1990 to 1995, and financial counseling, whose reported availability decreased during the same time, the reported availability of comprehensive services changed little during the 1990s. These findings highlight the continuing need to monitor access to comprehensive services and other quality markers in addiction treatment over time. (C) 2003 Elsevier Science Inc. All rights reserved.