Measuring treatment philosophy: A scale for substance abuse recovery programs
Measuring treatment philosophy: A scale for substance abuse recovery programs
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DOI：
10.1016/s0740-5472(97)00246-8
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发表时间：
1998-01-01
影响因子：
3.9
通讯作者：
Room, JA
中科院分区：
文献类型：
--
作者：
Kaskutas, LA;Greenfield, TK;Room, JA
对指导药物滥用治疗方案的哲学进行评估一直是治疗研究工作者难以接近的一个主题。不同的治疗理念通常是由多维度的理论结构所代表的，这些理论结构不容易通过定量手段进行评估。在美国，药物滥用治疗方案在设计治疗方案时被认为符合疾病（或医学）模型、社会学习（或心理）模型或社会社区模型，本文提出了一个社会模型哲学量表（SMPS），用于对治疗方案遵循社会模型方法的程度进行分类。SMPS的最终版本（可从第一作者）包含33个问题，用于住宅项目，分为六个概念域：物理环境，工作人员的角色，权威基础，药物滥用问题的看法，LS，治理和社区;方向。总体内部可靠性较高（α = 0.92），子量表α介于0.57和0.79之间。重测分析表明，从SMPS获得的信息是一致的跨时间，管理员和受访者。此外，SMPS是简短和易于管理。报告了项目创建和最终项目选择中使用的方法。虽然不是为了区分哲学以外的社会模式，早期的结果表明，仪式SMPS也可以用来分类其他程序的哲学。(C)1998年爱思唯尔科学公司
The assessment of the philosophy that guides substance abuse treatment programs has been a difficult subject to approach by those working in treatment research. Differing treatment philosophies are generally, represented by multi-dimensional theoretical constructs that do not easily lend themselves to assessment by quantitative means. in the U.S., substance abuse treatment programs have been suggested as fitting into a disease (or medical) model, a social learning (or psychological) model, or a social community model in designing a treatment regime for clients.This paper presents a Social Model Philosophy Scale (SMPS) to classify the Extent to which a given treatment program follows a social model approach to treatment. The final version of the SMPS (available from the first author) contains 33 questions for use in residential programs, divided into six conceptual domains: physical environment, staff role, authority base, view of substance abuse problems,ls, governance, and community; orientation. Overall internal reliability is high (alpha = .92), with subscale alphas ranging between .57 and .79. Test-retest analyses showed that the information obtained from the SMPS is consistent across time, administrators, and respondents. In addition, the SMPS is brief and easy to administer. Methodology used in item creation and final item selection is reported. Although not designed to distinguish philosophies other-than social model, early results suggest that rite SMPS may also be used to classify other program philosophies. (C) 1998 Elsevier Science Inc.