Characteristics and 9-month outcomes of discharged methadone maintenance clients.
Characteristics and 9-month outcomes of discharged methadone maintenance clients.
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DOI：
10.1016/j.jsat.2010.09.007
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发表时间：
2011-03
影响因子：
3.9
通讯作者：
Drapkin M
中科院分区：
文献类型：
--
作者：
Coviello DM;Zanis DA;Wesnoski SA;Lynch KG;Drapkin M
本研究是一项临床试验的次要数据分析，评估外展病例管理（OCM）在将出院美沙酮患者重新纳入治疗中的有效性。最初的试验评估了OCM干预的有效性相比，被动转介（PR）的美沙酮客户谁需要治疗后出院，但没有重新参与。本研究的目的是评估所有从美沙酮维持治疗（MMT）中出院的客户（包括重新参与治疗的客户）的特征和长期结果。共有230名美沙酮客户接受了三个月的采访，然后在出院后九个月再次接受采访。与需要治疗但没有重新参与的参与者（NoTx：56%）相比，那些成功重新参加治疗的参与者（Tx; 44%）更有可能是女性，未婚，失业，有更长的镇静剂使用史，报告更多的精神病住院治疗，最初参加的是基于社区的而不是退伍军人管理局（VA）计划。尽管有更严重的问题，但与NoTx组相比，Tx组的阿片类药物阳性尿液较少，并且在出院后9个月报告的IV药物使用较少。研究结果强调了快速治疗重新参与的重要性。
This study is a secondary data analysis of a clinical trial assessing the effectiveness of outreach case management (OCM) in linking discharged methadone patients back into treatment. The original trial assessed the effectiveness of the OCM intervention compared to a passive referral (PR) among methadone clients who needed treatment post-discharge, but had not re-engaged. The purpose of the current study was to assess the characteristics and long-term outcomes of all clients who were discharged from methadone maintenance treatment (MMT) including those who had re-engaged in treatment. A total of 230 methadone clients were interviewed three months and then again at nine months following discharge from treatment. Compared to participants who needed treatment, but had not re-engaged (NoTx: 56%), those who had successfully re-enrolled in treatment (Tx; 44%) were more likely to be female, not married, unemployed, had a longer history of sedative use, reported more psychiatric hospitalizations and were originally enrolled in a community-based rather than a Veterans Administration (VA) program. Despite having more severe problems, the Tx group had fewer opioid positive urines and reported less IV drug use at nine months post-discharge compared to the NoTx group. The findings highlight the importance of rapid treatment re-engagement.
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DOI：
10.1016/s0899-3289(00)00055-9
发表时间：
2000-01-01
期刊：
JOURNAL OF SUBSTANCE ABUSE
影响因子：
--
作者：
Luchansky, B;He, LJ;Stark, KD
通讯作者：
Stark, KD
DOI：
10.15288/jsa.1997.58.231
发表时间：
1997-05-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
Humphreys, K;Moos, RH;Cohen, C
通讯作者：
Cohen, C
影响因子：
1.9
作者：
MCLELLAN, AT;LUBORSKY, L;OBRIEN, CP
通讯作者：
OBRIEN, CP
影响因子：
2
作者：
Caplehorn, JRM;Dalton, MSYN;Nisbet, JG
通讯作者：
Nisbet, JG
影响因子：
3.4
作者：
Hubbard, RL;Craddock, SG;Etheridge, RM
通讯作者：
Etheridge, RM