Process improvement needs in substance abuse treatment: Admissions walk-through results
Process improvement needs in substance abuse treatment: Admissions walk-through results
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DOI：
10.1016/j.jsat.2007.02.003
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发表时间：
2007-12-01
影响因子：
3.9
通讯作者：
Molfenter, Todd
中科院分区：
文献类型：
--
作者：
Ford, James H., II;Green, Carla A.;Molfenter, Todd
研究人员质疑成瘾治疗基础设施是否能够为大量有需要的人提供高质量的护理。在这方面，罗伯特·伍德约翰逊基金会和药物滥用治疗中心建立了一个全国性的网络，以改善治疗的获得和保留。申请机构描述了录取过程的结果。这项定性研究使用了罗伯特·伍德约翰逊基金会的327份申请中的叙述性文本，重点关注与入学相关的问题。我们开发并应用了一个编码方案，然后从代码派生的文本中提取主题。主要主题描述了在接受治疗期间报告的问题：工作人员与客户的接触不足;繁琐的程序和过程;难以满足客户复杂的生活和需求;以及基础设施问题。次主题阐明了与进程有关的具体问题。尽管我们的分析结果是描述性和探索性的，但它们表明了走查练习对项目评估的价值以及可能影响治疗获得和保留的项目水平因素。(c)2007爱思唯尔公司All rights reserved.
Researchers have questioned whether the addiction treatment infrastructure will be able to deliver high-quality care to the large numbers of people in need. In this context, the Robert Wood Johnson Foundation and the Center for Substance Abuse Treatment created a nationwide network to improve access and retention in treatment. Applicant agencies described results of an admission process walk-through. This qualitative study used narrative text from 327 applications to the Robert Wood Johnson Foundation, focusing on admissions-related problems. We developed and applied a coding scheme and then extracted themes from code-derived text. Primary themes described problems reported during treatment admissions: poor staff engagement with clients; burdensome procedures and processes; difficulties with addressing the clients' complex lives and needs; and infrastructure problems. Subthemes elucidated specific process-related problems. Although the findings from our analyses are descriptive and exploratory, they suggest the value of walk-through exercises for program assessment and program-level factors that may affect treatment access and retention. (c) 2007 Elsevier Inc. All rights reserved.