Matching to sufficient treatment: some characteristics of undertreated (mismatched) clients.
Matching to sufficient treatment: some characteristics of undertreated (mismatched) clients.
复制标题
匹配充分的治疗：治疗不足（不匹配）的客户的一些特征。
DOI：
10.1080/10550880903436051
复制
发表时间：
2010
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
调查小组之前使用药物滥用结果研究数据进行的一项研究支持了充分的治疗匹配范式的有效性，该范式将成功的安置定义为解决障碍严重程度所需的最低治疗强度。在治疗强度不足的治疗不足的患者中，结果最差。本研究的目的是进一步阐明未得到充分治疗的客户的特征。对长期住院(LTR)和非药物门诊(ODF)治疗匹配和不匹配的四组患者在几个基线变量上进行了比较。结果表明，与ODF不匹配(治疗不足)的患者的药物使用严重程度、社会和心理问题以及动机显著低于与LTR匹配的客户，但总体高于与ODF匹配的客户和与LTR不匹配的客户(过度治疗)。这些发现强调了确定处于治疗不足风险的患者并促进他们接受足够强度的治疗的重要性。更广泛地说，他们强调需要开发一系列足够强度的治疗方案，以满足不同客户的严重程度差异。
A previous study by the investigative team using Drug Abuse Outcome Study data supported the validity of a sufficient treatment matching paradigm, which defines successful placement as the least treatment intensity required to address the severity of a disorder. The least favorable outcomes were obtained in the under-treated clients who received insufficient treatment intensity. The purpose of the current study was to further clarify characteristics of the undertreated clients. Four groups, those matched and mismatched to long-term residential (LTR) and drug-free outpatient (ODF) treatment, were compared on several baseline variables. Results indicated that the severity levels of drug use, social and psychological problems, and motivation for those mismatched to ODF (undertreated) were significantly lower than the clients matched to LTR but generally higher than the clients matched to ODF and those mismatched to LTR (overtreated). These findings underscore the importance of identifying clients at risk for under-treatment and facilitating their entry into treatments of sufficient intensity. More generally, they highlight the need to develop a range of treatment options of sufficient intensity to meet severity differences among clients.