Client engagement and change during drug abuse treatment.

Client engagement and change during drug abuse treatment.
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DOI:
10.1016/0899-3289(95)90309-7
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发表时间:
1995-01-01
期刊:
Journal of substance abuse
影响因子:
--
通讯作者:
Greener, J
Greener, J
中科院分区:
其他
文献类型:
--
作者:
Simpson, D D;Joe, G W;Greener, J

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以前的工作表明,药物滥用治疗的时间长短与更好的结果有关,但治疗参与和过程的作用需要进一步研究。在这项研究中,557名客户在他们的第一个90天的社区为基础的门诊治疗的咨询会议的总数进行了检查有关的治疗交付和进展的指标。显着的客户端的行为标准和心理社会功能的改善,发现在治疗的前3个月,会议出席率呈正相关,有利的行为变化,以及积极的看法,客户和辅导员的治疗互动。客户背景,治疗动机和治疗重点的咨询在第1个月的会议出席率在第3个月后入院接受美沙酮治疗的显着预测。
Previous work has shown length of time in drug abuse treatment is associated with better outcomes, but the role of therapeutic engagement and process needs further examination. In this study, the total number of counseling sessions attended by 557 clients in their first 90 days of community-based outpatient treatment was examined in relation to indicators of treatment delivery and progress. Significant client improvements were found on behavioral criteria and psychosocial functioning during the first 3 months of treatment, and session attendance was positively related to favorable behavioral changes as well as to positive perceptions by clients and counselors of their therapeutic interactions. Client background, treatment motivation, and therapeutic focus of counseling in Month 1 were significant predictors of session attendance in the first 3 months following admission to methadone treatment.