Case management and client access to health and social services in outpatient substance abuse treatment.
Case management and client access to health and social services in outpatient substance abuse treatment.
复制标题
门诊药物滥用治疗中的病例管理和客户获得健康和社会服务的机会。
DOI：
10.1007/s11414-007-9072-4
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
Lemak,ChristyHarris
中科院分区：
文献类型：
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作者：
Alexander,JeffreyA;Pollack,Harold;Nahra,Tammie;Wells,Rebecca;Lemak,ChristyHarris
个案管理的一个主要目标是协调各治疗机构的服务，并将药物滥用服务与社区提供的其他类型的服务相结合，包括住房、精神健康、医疗和社会服务。然而，案件管理是一个全球性的概念，由几个关键方面组成，其中包括案件管理的覆盖范围、对转介过程的管理程度以及案件管理活动的地点（现场、非现场或现场和现场）。本研究旨在探讨个案管理的具体层面与门诊药物滥用治疗中卫生及辅助社会服务利用率之间的关系。在一般情况下，结果表明，更积极的情况下，在转介过程中，并提供现场和场外的情况下管理是最符合我们的预测，更多地使用健康和辅助社会服务的药物滥用的客户。然而，这些影响是特定于一般保健和精神卫生服务。个案管理似乎对社会服务或善后计划的使用影响不大。
A primary goal of case management is to coordinate services across treatment settings and to integrate substance abuse services with other types of services offered in the community, including housing, mental health, medical, and social services. However, case management is a global construct that consists of several key dimensions, which include extent of case management coverage, the degree of management of the referral process, and the location of case management activity (on-site, off-site, or both). This study examines the relationship between specific dimensions of case management and the utilization of health and ancillary social services in outpatient substance abuse treatment. In general, results suggest that more active case management during the referral process and providing case management both on-site and off-site are most consistent with our predictions of greater use of health and ancillary social services by substance abuse clients. However, these effects are specific to general health care and mental health services. Case management appears to have little effect on use of social services or aftercare plans.