Organizational implementation of evidence-based substance abuse treatment in racial and ethnic minority communities.

Organizational implementation of evidence-based substance abuse treatment in racial and ethnic minority communities.
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DOI:
10.1007/s10488-013-0515-3
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发表时间:
2014-11
影响因子:
2.6
通讯作者:
Aarons, Gregory A.
Aarons, Gregory A.
中科院分区:
医学3区
文献类型:
--
作者:
Guerrero, Erick G.;He, Amy;Kim, Ahraemi;Aarons, Gregory A.

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我们评估了与实施应急管理治疗(CMT)和药物辅助治疗(MAT)在物质滥用治疗(SAT)服务种族和少数民族社区的计划相关的组织因素。对2010-2011年从148个公共资助的SAT项目中随机抽样收集的横截面数据的分析表明,接受私人保险与CMT和MAT的实施呈正相关,而更大的项目与MAT的更大实施相关。监管的开放性和期望实施循证实践(EBP)和属性的变化与CMT密切相关,而开放性EBP和接受私人保险的计划,并由母公司管理的相互作用与MAT呈正相关。这些外部的期望和管理态度支持SAT的心理社会和药物治疗的实施。提高少数民族社区的护理标准的影响进行了讨论。
We evaluated organizational factors associated with the implementation of contingency management treatment (CMT) and medication-assisted treatment (MAT) in substance abuse treatment (SAT) programs serving racial and ethnic minority communities. Analysis of cross-sectional data collected in 2010–2011 from a random sample of 148 publicly funded SAT programs showed that accepting private insurance was positively associated with CMT and MAT implementation, whereas larger programs were associated with greater implementation of MAT. Supervisorial openness to and expectations about implementing evidence-based practices (EBPs) and attributes for change were strongly associated with CMT, whereas the interactions between openness to EBPs and programs that accept private insurance and that are governed by parent organizations were positively associated with MAT. These external expectations and managerial attitudes supported the implementation of psychosocial and pharmacotherapy treatments in SAT. Implications for improving standards of care in minority communities are discussed.
DOI: 10.1186/1748-5908-4-50
发表时间: 2009-08-07
期刊: Implementation science : IS
影响因子: --
作者:
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