Facilitating Outpatient Treatment Entry Following Detoxification for Injection Drug Use: A Multisite Test of Three Interventions
Facilitating Outpatient Treatment Entry Following Detoxification for Injection Drug Use: A Multisite Test of Three Interventions
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DOI：
10.1037/a0014205
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发表时间：
2009-06-01
影响因子：
3.4
通讯作者：
McCarty, Dennis
中科院分区：
文献类型：
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作者：
Campbell, Barbara K.;Fuller, Bret E.;McCarty, Dennis
在国家药物滥用治疗临床试验网络（CTN）内进行了一项多中心随机试验，以测试3种干预措施，以加强戒毒后的治疗启动：（a）单次治疗，在常规治疗基础上增加治疗联盟干预（TA）;（B）2次治疗。咨询和教育、HIV/HCV风险降低干预（C&E），添加到常规治疗中;和（c）仅常规治疗（TAU）。注射吸毒者（n = 632）参加住宅戒毒在8个社区治疗方案被随机分配到I的3个研究条件。TA参与者报告比TAU参与者更早进入门诊治疗。报告的C&E治疗条目在TA和TAU之间下降，C&E和其他条件之间没有显着差异。通过对所有报告进入治疗的参与者的门诊治疗周数进行测量，干预措施在保留方面没有差异。建立联盟的干预措施似乎在促进从戒毒转为门诊治疗方面是有效的，但可能有必要采取额外的治疗参与干预措施来提高保留率。
A multisite, randomized trial within the National Drug Abuse Treatment Clinical Trials Network (CTN) was conducted to test 3 interventions to enhance treatment initiation following detoxification: (a) a single session, therapeutic alliance intervention (TA) added to usual treatment; (b) a 2-session. counseling and education, HIV/HCV risk reduction intervention (C&E), added to usual treatment; and (c) treatment as usual (TAU) only. Injection drug users (n = 632) enrolled in residential detoxification at 8 community treatment programs were randomized to I of the 3 study conditions. TA participants reported entering outpatient treatment sooner and in greater numbers than TAU participants. Reported treatment entry for C&E fell between TA and TAU with no significant differences between C&E and the other conditions. There were no differences among the interventions in retention, as measured by weeks of outpatient treatment for all participants who reported treatment entry. Alliance building interventions appear to be effective in facilitating transfer from detoxification to outpatient treatment, but additional treatment engagement interventions may be necessary to improve retention.