Coerced treatment for methamphetamine abuse: Differential patient characteristics and outcomes
Coerced treatment for methamphetamine abuse: Differential patient characteristics and outcomes
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DOI：
10.1081/ada-200056764
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发表时间：
2005-01-01
影响因子：
2.7
通讯作者：
Dylan, M
中科院分区：
文献类型：
--
作者：
Brecht, ML;Anglin, MD;Dylan, M
针对甲基苯丙胺（MA）使用率的上升以及相关的社会成本（如犯罪、虐待和忽视儿童），政策制定者要求越来越多的甲基苯丙胺使用者通过刑事司法系统（CJS）和/或儿童保护服务（CPS）机构接受药物滥用治疗。然而，关于治疗结果的经验证据仍然很少，特别是对于报告他们在这种压力下接受治疗的MA使用者。该分析使用来自洛杉矶县350名接受MA治疗的客户的自然历史访谈数据来检查客户自我报告的进入治疗的CJS/CPS压力，比较背景和治疗特征以及根据这种感知压力和压力来源定义的组间选择的治疗结果。大约一半的客户报告了进入指数（用于抽样）治疗阶段的法律压力。那些报告有压力的人比没有报告压力的人更年轻，接受住院治疗的可能性更小，治疗时间更长。结果（治疗完成，6个月内复发，复发时间，治疗后24个月内使用MA的天数百分比）在压力组和非压力组的简单比较中没有显着差异；然而，当病人和治疗特征得到控制时，那些报告有法律压力的患者在6个月内复发的短期结果更差。结果没有因压力来源而异。
Policymakers have responded to the increase in the prevalence of methamphetamine (MA) use and the associated social costs (such as crime and child abuse and neglect) by mandating a growing number of MA users to substance abuse treatment via the criminal justice system (CJS) and/or child protective service (CPS) agencies. However, empirical evidence remains sparse about treatment Outcomes specifically for MA users who report that their treatment admission occurred under such pressures. This analysis uses natural history interview data from 350 clients treated for MA use in Los Angeles County to examine clients' self-reported CJS/CPS pressure to enter treatment, comparing background and treatment characteristics and selected treatment outcomes across groups defined by existence of such perceived pressure and source of pressure. Approximately half the clients reported legal pressure to enter the index (used for sampling) treatment episode. Those reporting pressure were younger, less likely to have received residential treatment, and had longer treatment episodes than those not reporting pressure. Outcomes (treatment completion, relapse within 6 months, time to relapse, and percentage of days with MA use in 24 months following treatment) did not differ significantly in simple comparisons between the pressured and nonpressured groups; however, when client and treatment characteristics were controlled, the short term outcome of relapse within 6 months was worse for those reporting legal pressure. Outcomes did not differ by source of pressure.