Longitudinal effects of integrated treatment on alcohol use for persons with serious mental illness and substance use disorders
Longitudinal effects of integrated treatment on alcohol use for persons with serious mental illness and substance use disorders
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DOI：
10.1007/bf02291740
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发表时间：
2000-08-01
影响因子：
1.9
通讯作者：
Luke, DA
中科院分区：
文献类型：
--
作者：
Herman, SE;Frank, KA;Luke, DA
采用随机实验设计，将参与者分配到心理健康和药物使用综合治疗计划或标准医院治疗中。一个多水平的非线性模型被用来估计在18个月以上患有严重精神疾病和药物使用障碍的人在饮酒天数上的医院治疗效果。综合治疗方案对出院后2个月的饮酒率有显著影响，使饮酒率下降了54%。出院时戒酒的动机、治疗后自助就诊和社会支持戒酒也被发现在随访期内降低了使用率。对精神健康治疗和善后支持的影响也进行了讨论。
A randomized experimental design was used to assign participants to an integrated mental health and substance use treatment program or to standard hospital treatment. A multilevel, nonlinear model was used to estimate hospital treatment effects on days of alcohol use for persons with serious mental illness and substance use disorders over 18 months. The integrated treatment program had a significant effect on the rate of alcohol use at 2 months postdischarge, reducing the rate of use by 54%. Motivation for sobriety at hospital discharge, posttreatment self-help attendance, and social support for sobriety were also found to reduce the rate of use during the follow-up period. Implications for mental health treatment and aftercare support are discussed.