Substance abuse treatment client experience in an employed population: results of a client survey.
Substance abuse treatment client experience in an employed population: results of a client survey.
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DOI：
10.1186/1747-597x-7-4
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发表时间：
2012-01-17
期刊：
影响因子：
--
通讯作者：
Ritter G
中科院分区：
文献类型：
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作者：
Merrick EL;Reif S;Hiatt D;Hodgkin D;Horgan CM;Ritter G
了解客户对治疗的看法越来越被认为是改善护理的关键。然而，关于获得物质使用条件帮助的私人保险工人的看法和经验的信息相对较少，特别是在管理行为医疗保健组织（MBHO）人群中。此外，包括先前服务使用情况在内的若干因素的作用尚未得到充分探讨。对过去一年接受药物滥用服务的大型MBHO所覆盖的雇员进行了调查（146名受访者完成了电话调查和自我报告的服务使用情况）。接受治疗的最常见原因是健康问题;家庭，家人或朋友;或工作。先前的治疗使用者报告了更多的原因进入治疗和更多的物质使用相关的工作障碍。大多数受访者认为治疗有很大或一些帮助。四分之一的人报告说，他们得到的治疗比他们认为需要的要少。研究结果指出，需要为以前的服务使用者量身定制治疗，并认识到工作在治疗进入和结果中的作用。即使在已经接受治疗的投保客户中，也可能存在感知到的获取问题。
Understanding client perspectives on treatment is increasingly recognized as key to improving care. Yet information on the perceptions and experiences of workers with private insurance coverage who receive help for substance use conditions is relatively sparse, particularly in managed behavioral health care organization (MBHO) populations. Furthermore, the role of several factors including prior service use has not been fully explored. Employees covered by a large MBHO who had received substance abuse services in the past year were surveyed (146 respondents completed the telephone survey and self-reported service use). The most common reasons for entering treatment were problems with health; home, family or friends; or work. Prior treatment users reported more reasons for entering treatment and more substance use-related work impairment. The majority of all respondents felt treatment helped a lot or some. One quarter reported getting less treatment than they felt they needed. Study findings point to the need to tailor treatment for prior service users and to recognize the role of work in treatment entry and outcomes. Perceived access issues may be present even among insured clients already in treatment.