Extending residential care through telephone counseling: Initial results from the Betty Ford Center Focused Continuing Care protocol
Extending residential care through telephone counseling: Initial results from the Betty Ford Center Focused Continuing Care protocol
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DOI：
10.1016/j.addbeh.2008.05.004
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发表时间：
2008-09-01
影响因子：
4.4
通讯作者：
Schwarzlose, John T.
中科院分区：
文献类型：
--
作者：
Cacciola, John S.;Camilleri, Amy C.;Schwarzlose, John T.
越来越多的证据表明，慢性护理模式在治疗物质使用障碍时可能有效。1996年，贝蒂福特中心（BFC）开始实施基于电话的持续护理干预，现在称为重点持续护理（FCC），以协助和支持患者从住院治疗过渡到“真实的世界”的长期康复。本文报告了FCC的患者利用率和结局。FCC工作人员在出院后的第一年内对患者（N=4094）进行了临床指导电话呼叫。在每次电话会议期间，都会进行一次简短的调查，以评估患者的恢复情况并指导会议。患者平均完成了14个预定电话中的5.5个（40%），58%完成了5个或更多电话，85%在出院后两个月或更晚参加了FCC。有初步证据表明，更多地参与FCC产生了更积极的结果，早期的出院后行为预测随后的结果。FCC似乎是一种可行的治疗选择。努力修订FCC，以提高其临床和行政价值。(C)2008爱思唯尔有限公司保留所有权利。
There is increasing evidence that a chronic care model may be effective when treating substance use disorders. In 1996, the Betty Ford Center (BFC) began implementing a telephone-based continuing care intervention now called Focused Continuing Care (FCC) to assist and support patients in their transition from residential treatment to longer-term recovery in the "real world". This article reports on patient utilization and outcomes of FCC. FCC staff placed clinically directed telephone calls to patients (N=4094) throughout the first year after discharge. During each call, a short survey was administered to gauge patient recovery and guide the session. Patients completed an average of 5.5 (40%) of 14 scheduled calls, 58% completed 5 or more calls, and 85% were participating in FCC two months post-discharge or later. There was preliminary evidence that greater participation in FCC yielded more positive outcomes and that early post-discharge behaviors predict subsequent outcomes. FCC appears to be a feasible therapeutic option. Efforts to revise FCC to enhance its clinical and administrative value are described. (C) 2008 Elsevier Ltd. All rights reserved.