Evaluating use of continuous treatment teams for persons with mental illness and substance abuse.
Evaluating use of continuous treatment teams for persons with mental illness and substance abuse.
复制标题
评估持续治疗小组对精神疾病和药物滥用患者的使用情况。
DOI：
10.1176/ps.46.7.689
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Ackerson,TH
中科院分区：
文献类型：
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作者：
Teague,GB;Drake,RE;Ackerson,TH
目的 对新罕布什尔州 7 个地点为同时患有严重精神障碍和药物滥用障碍的患者提供服务的持续治疗团队进行了评估，以确定他们对基于自信社区治疗计划的模型的忠诚度。方法在 27 个月的时间内，根据 13 项对持续治疗团队模型忠诚度的标准，对这 7 个地点的持续治疗团队和标准病例管理计划进行了评估。数据来源包括临床医生的活动日志、机构的管理信息系统、访谈、对工作人员活动和实践的观察以及临床记录和其他文件。结果在 13 个标准中的 10 个标准上，持续治疗团队的得分显着高于病例管理计划。这些团队在实施药物滥用治疗方面比案件管理计划更有效。结论-
ObjectiveContinuous treatment teams serving persons with co-oc-curring severe mental disorders and substance abuse disorders at seven sites in New Hampshire were evaluated to determine their fidelity to a model based on the Program for Assertive Community Treatment.MethodsContinuous treatment teams and standard case management programs at the seven sites were evaluated on 13 criteria forfidelity to the continuous treatment team model over a 27-month period. Data sources included clinicians’ activity logs, agencies’ management information systems, interviews, observation ofstaffactivity and practices, and clinical records and other documents.ResultsThe continuous treatment teams scored significantly higher than the case man-agementprograms on ten oftbe 13 criteria. The teams were more ef-f ective than the case management programs in implementing substance abuse treatment. Conclu-