Drug treatment outcomes for persons on waiting lists
Drug treatment outcomes for persons on waiting lists
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DOI：
10.1080/00952990802146340
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发表时间：
2008-01-01
影响因子：
2.7
通讯作者：
Gleghorn, Alice
中科院分区：
文献类型：
--
作者：
Chun, JongSerl;Guydish, Joseph R.;Gleghorn, Alice
这项研究审查了药物滥用治疗等候名单上的人获得治疗的机会和结果。参与者（n = 170）被招募时，他们进入美沙酮戒毒计划或日间治疗计划，并分别等待美沙酮维持或住院治疗。参与者在基线和2个月随访时接受了采访。不包括索引治疗事件，73%的患者在随访期间接受了一些治疗。混合效应回归用于比较在指数发作后进行和未进行治疗的客户的短期结果。我们发现，随着时间的推移，所有参与者的毒品问题都会增加。与未接受治疗的人相比，那些在随访时接受治疗的人报告了更高的就业问题（随时间推移而崩溃）。最后，参加任何后续治疗的参与者随着时间的推移显示精神问题减少，而那些没有参加后续治疗的参与者则显示精神问题增加。在被列入等候名单后60天内进入治疗的参与者在精神病学指标上有所改善，但在药物滥用指标上没有改善。
This study examined treatment access and outcomes for persons placed on drug abuse treatment waiting lists. Participants (n = 170) were recruited when they entered either a methadone detoxification program or a day treatment program, and were waiting for methadone maintenance or residential treatment, respectively. Participants were interviewed at baseline and 2-months follow-up. Excluding the index treatment episode, 73% received some treatment during the follow-up period. Mixed effects regression was used to compare short-term outcomes for clients who did and did not enter treatment following the index episode. We found increased drug problems, over time, for all participants. Those enrolled in treatment at follow-up reported higher employment problems (collapsed across time) compared with those not in treatment. Last, participants enrolled in any subsequent treatment showed a decrease in psychiatric problems over time, while those not enrolled in subsequent treatment showed an increase in psychiatric problems. Participants who entered treatment within 60 days after being placed on a waiting list showed improvement on psychiatric measures but not on substance abuse measures.