An evaluation of the Cleveland criteria for inpatient treatment of substance abuse.
An evaluation of the Cleveland criteria for inpatient treatment of substance abuse.
复制标题
克利夫兰药物滥用住院治疗标准的评估。
DOI：
10.1176/ajp.149.9.1212
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发表时间：
1992
期刊：
影响因子：
--
通讯作者：
Alterman,AI
中科院分区：
文献类型：
--
作者：
McKay,JR;McLellan,AT;Alterman,AI
本研究检验了克利夫兰入院、出院和转移标准的有效性。克利夫兰入院、出院和转移标准是一个综合系统，用于将酒精和药物滥用患者分配到适当水平的护理。根据克利夫兰标准，本应接受住院治疗的患者与根据该标准适当地与日间治疗相匹配的患者进行了比较。结果符合住院治疗标准的患者退出日间医院治疗的可能性不大，也没有证据表明他们在随访期间饮酒或使用可卡因的频率更高。结论对于社会经济水平较低的男性药物滥用者，克利夫兰标准可能不能有效地区分哪些患者能够很好地接受日间医院治疗，哪些患者需要住院治疗。
ObjectiveThis study examined the validity of the Cleveland Admission, Discharge, and Transfer Criteria, a comprehensive system for assigning alcohol-and drug-abusing patients to appropriate levels of care.MethodThe subjects were 143 alcoholic and cocaine-dependent male patients in an intensive Veterans Administration day treatment program for substance abusers. Patients who should have received inpatient treatment according to the Cleveland criteria were compared with those who were properly" matched" to day treatment according to the criteria. The outcome measures were treatment completion, results of urine toxicology screens, and self-reports of substance use and psychosocial functioning.ResultsPatients who met the criteria for inpatient care were not more likely to drop out of day hospital treatment, and there was no evidence that they were drinking or using cocaine more frequently during follow-up. Furthermore, they did not appear to be doing worse on any of the other outcome measures, with the exception of psychological status.ConclusionsThe results suggest that for male substance abusers in the lower socioeconomic levels, the Cleveland criteria may not be effective in differentiating patients who can manage well with day hospital treatment and those who require inpatient treatment.