Taking Effective Treatments to Scale: Organizational Effects on Outcomes of Multisystemic Therapy for Youth with Co-occurring Substance Use.

Taking Effective Treatments to Scale: Organizational Effects on Outcomes of Multisystemic Therapy for Youth with Co-occurring Substance Use.
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DOI:
10.1080/1067828x.2012.636684
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发表时间:
2012-01
影响因子:
0.6
通讯作者:
Sheidow AJ
Sheidow AJ
中科院分区:
医学4区
文献类型:
--
作者:
Schoenwald SK;Chapman JE;Henry DB;Sheidow AJ

文献摘要

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一项前瞻性多地点研究检查了组织气候和结构对违法青年的行为和功能的影响,有和没有共同发生的物质治疗严重的反社会行为(即,多系统治疗)。参与者是1979年青年治疗429治疗师在45个供应商组织在北美。混合效应回归模型的结果显示,气候和结构的某些方面没有影响,有些方面有类似的影响,有些方面对这些青年的结果有轻微的差异,有时甚至是违反直觉的影响。被认为是研究的影响,以增加阵列和提供有效的治疗与跨服务部门的青少年共同发生的物质使用。
A prospective multi-site study examined organizational climate and structure effects on the behavior and functioning of delinquent youth with and without co-occurring substance treated with an evidence-based treatment for serious antisocial behavior (i.e., Multisystemic Therapy). Participants were 1979 youth treated by 429 therapists across 45 provider organizations in North America. Results of Mixed Effects Regression Models showed some aspects of climate and structure had no effects, some had similar effects, and some had slightly differential and sometimes counter-intuitive effects on the outcomes of these youth. Implications are considered for research to increase the array and availability of effective treatments for youth with co-occurring substance use across service sectors.