Treatment utilization and barriers to treatment: results of a survey of dependent methamphetamine users.
Treatment utilization and barriers to treatment: results of a survey of dependent methamphetamine users.
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DOI：
10.1186/1747-597x-6-3
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发表时间：
2011-02-14
期刊：
影响因子：
--
通讯作者：
Pennay A
中科院分区：
文献类型：
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作者：
Kenny P;Harney A;Lee NK;Pennay A
澳大利亚是世界上甲基苯丙胺使用率最高的国家之一；然而，甲基苯丙胺的治疗机会相对较低。这项描述性研究旨在确定依赖甲基苯丙胺吸毒者的治疗利用模式和获得治疗的公认障碍，希望这些信息将使服务机构能够更适当地应对这一群体。对126名现在或过去有甲基苯丙胺依赖史的甲基苯丙胺吸毒者进行了访谈，了解他们的治疗经历和感觉到的治疗障碍。据报道，甲基苯丙胺吸毒者的治疗利用率很低。不接受治疗的主要原因之一是，甲基苯丙胺使用者并不认为他们的药物使用是一个问题(尽管有明显的依赖程度)。在这一群体中，通过使用其他合法和非法药物进行自我解毒的比例很高。与会者指出，对治疗服务解决甲基苯丙胺依赖的能力缺乏信心，以及治疗服务的“以鸦片类药物为中心”的性质是治疗进入的重大障碍。与会者提出的改进建议包括为甲基苯丙胺使用者提供专家服务，强调反应能力，并经常为这一群体提供病例管理服务。为了改善服务，治疗服务机构应重新调整其服务方向，以更好地满足甲基苯丙胺使用者的需求，方法是对甲基苯丙胺使用者的具体开放时间或使用专门用于甲基苯丙胺治疗的空间进行微小改变。应考虑为甲基苯丙胺使用者提供在线治疗和甲基苯丙胺专科诊所等替代方案。
Australia has one of the highest rates of methamphetamine use in the world; however, treatment access for methamphetamine is comparatively low. This descriptive study aimed to identify patterns of treatment utilization and perceived barriers to accessing treatment among dependent methamphetamine users in the hope that such information will enable services to more appropriately respond to this group. One hundred and twenty-six methamphetamine users who had a current or past history of methamphetamine dependence were interviewed about their experiences of, and perceived barriers to, treatment. Treatment utilization among methamphetamine users was reportedly low. One of the main reasons cited for not accessing treatment was that methamphetamine users did not perceive their drug use to be a problem (despite apparent levels of dependence). Self-detoxification with the use of other licit and illicit drugs was high among this group. Participants identified a lack of confidence in the ability of treatment services to address methamphetamine dependence and the 'opiate-centric' nature of treatment services as significant blocks to treatment entry. Suggestions for improvement by participants included operating specialist services for methamphetamine users, placing an emphasis on responsiveness and routinely involving case management services for this group. To improve service delivery, treatment services should reorient their services to better address the needs of methamphetamine users by making small changes such as specific opening times for methamphetamine users or using a dedicated space for methamphetamine treatment. Alternative options such as online treatments and specialist methamphetamine clinics should be considered for methamphetamine users.