Transportation and retention in outpatient drug abuse treatment programs

Transportation and retention in outpatient drug abuse treatment programs
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DOI:
10.1016/s0740-5472(01)00185-4
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发表时间:
2001-09-01
影响因子:
3.9
通讯作者:
Stein, MD
Stein, MD
中科院分区:
医学2区
文献类型:
--
作者:
Friedmann, PD;Lemon, SC;Stein, MD

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为了确定某些类型的交通援助是否改善门诊治疗保留超过阈值显示有治疗效益,我们分析了来自22个门诊美沙酮维持(OM-NI)计划中的1,144名客户和药物滥用治疗结果研究(DATOS)中22个门诊无药(ODF)计划中的2,031名客户的数据,DATOS是一项全国性的,为期12个月,药物滥用治疗方案的纵向研究。主任的调查提供了关于提供汽车、货车或订约运输服务或个人公共交通凭单/付款的资料。图表摘要治疗保留被二分为365天OMM和90天ODF。单独的多变量分层线性模型显示,提供汽车,货车,或承包运输服务,提高治疗保留超过这些阈值的OMM和ODF,但个人凭证或支付公共交通没有。未来的研究应验证是否汽车,货车,或承包运输服务,提高保留和其他治疗结果在门诊药物滥用治疗。(C)2001 Elsevier Science Inc. All rights reserved.
To determine whether certain types of transportation assistance improve outpatient treatment retention beyond thresholds shown to have therapeutic benefits, we analyzed data from 1,144 clients in 22 outpatient methadone maintenance (OM-NI) programs and 2,031 clients in 22 outpatient drug-free (ODF) programs in the Drug Abuse Treatment Outcomes Study (DATOS), a national, 12-month, longitudinal study of drug abuse treatment programs. Directors' surveys provided information about provision of car, van, or contracted transportation services or individual vouchers/payment for public transportation. Chart-abstracted treatment retention was dichotomized at 365 days for OMM and 90 days for ODF. Separate multivariate hierarchical linear models revealed that provision of car, van, or contracted transportation services improved treatment retention beyond these thresholds for both OMM and ODF, but individual vouchers or payment for public transportation did not. Future research should validate whether car, van, or contracted transportation services improve retention and other treatment outcomes in outpatient drug abuse treatment. (C) 2001 Elsevier Science Inc. All rights reserved.