A general hospital day program combining peer-led and professional treatment of cocaine abusers.
A general hospital day program combining peer-led and professional treatment of cocaine abusers.
复制标题
综合医院日间计划结合了同行主导和对可卡因滥用者的专业治疗。
DOI：
10.1176/ps.44.7.644
复制
发表时间：
1993
期刊：
影响因子：
--
通讯作者：
C. Rohrs
中科院分区：
文献类型：
--
作者：
M. Galanter;S. Egelko;G. de Leon;C. Rohrs
客观的
OBJECTIVE
Cocaine abuse, particularly in crack form, is highly prevalent among patients with severe socioeconomic disadvantages who are treated in municipal general hospitals. The authors describe and evaluate a day treatment program for 30 such patients that combines peer-led self-help and professional care provided by a general hospital psychiatric service.
METHODS
Treatment outcomes at one year for 92 patients referred to the day program from the hospital's psychiatric services and 58 perinatal patients referred from the obstetric services were examined using chi square and regression analyses to determine whether certain variables, especially referral source, were related to outcome. An acceptable treatment outcome was defined as three successive negative urinalyses before termination or at the end of one year of treatment.
RESULTS
Almost all the patients were unemployed members of ethnic minorities, and most abused at least one substance in addition to cocaine. The 150 patients attended the program an average of 44 times during the year, and 39 percent had an acceptable treatment outcome. Patients referred from psychiatric services had a better outcome than perinatal patients.
CONCLUSIONS
Peer-led milieu treatment and professional services can be combined in the general hospital to provide intensive ambulatory care for socioeconomically disadvantaged substance abusers. Techniques and services for engaging perinatal patients in treatment should be developed.
可卡因滥用者每周一次心理社会治疗后的结果。
DOI：
10.1176/ajp.148.5.630
发表时间：
1991
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Kang,SY;Kleinman,PH;Woody,GE;Millman,RB;Todd,TC;Kemp,J;Lipton,DS
通讯作者：
Lipton,DS