Client matching: a severity-treatment intensity paradigm.
Client matching: a severity-treatment intensity paradigm.
复制标题
客户匹配：严重程度-治疗强度范例。
DOI：
10.1080/10550880802122703
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发表时间：
2008
影响因子：
2.3
通讯作者：
Cleland,CharlesM
中科院分区：
文献类型：
--
作者：
DeLeon,George;Melnick,Gerald;Cleland,CharlesM
尽管在制定配对策略和客户安置方案方面做出了相当大的努力，但有关配对治疗的益处的研究研究未能产生令人信服的结果。最一致的发现表明了一种匹配的范式，该范式将成功的放置定义为解决疾病严重程度所需的最低治疗强度。本研究的目的是利用药物滥用治疗结果研究的数据，为严重程度-强度范式的有效性提供进一步的实证支持。一种“被动匹配”的方法采用了客户匹配协议决策算法，该算法推荐客户进行长期住院或门诊免药治疗。与门诊非药物治疗中未充分治疗的患者相比，与长期住院治疗相匹配的患者的一年结果在所有结果变量上都更好。研究结果支持严重程度-强度范式的有效性，因为与匹配和过度治疗的患者相比，治疗不足的患者显示出更少的改善。
Despite considerable effort to develop matching strategies and client placement protocols, research studies fail to yield compelling results regarding the benefits of matching to treatment. The most consistent findings suggest a matching paradigm, which defines a successful placement as the least treatment intensity required addressing the severity of the disorder. The purpose of the present study is to provide further empirical support for the validity of a severity-intensity paradigm utilizing data from the Drug Abuse Treatment Outcome Studies. A “passive match” approach employed the Client Matching Protocol decision algorithm, which recommended clients to long-term residential or outpatient drug-free treatment. One-year outcomes for clients matched to long-term residential treatment were better on all outcome variables compared to those undertreated in outpatient drug-free treatment. Findings supported the validity of the severity-intensity paradigm in that undertreated clients showed less improvement compared to matched and overtreated clients.