Are the treatment goals of culturally competent outpatient substance abuse treatment units congruent with their client profile?
Are the treatment goals of culturally competent outpatient substance abuse treatment units congruent with their client profile?
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DOI：
10.1016/s0740-5472(02)00349-5
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发表时间：
2003-03-01
影响因子：
3.9
通讯作者：
Howard, DL
中科院分区：
文献类型：
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作者：
Howard, DL
这项研究检查了组织治疗目标是否在门诊药物滥用治疗(OSAT)单位之间有所不同，这些单位被确定为为非裔美国人提供文化上合格的护理水平。使用了1995年全国药物滥用治疗系统调查(NDATSS)的横断面数据。在全国具有代表性的699个单位的分层抽样中，618个单位(88%)参与了调查。采用Spearman相关分析、方差分析、Behrens-Fisher t检验、卡方检验和多因素Logistic回归分析。有文化能力的单位，即使在控制了组织和客户特征之后，也比没有文化能力的单位更容易表明实现稳定的就业、精神力量和身体健康是重要的治疗目标。具有文化能力的OSAT单位之间的客户概况与治疗目标的取向是一致的，前者比不具备文化能力的单位更令人苦恼，后者更具整体性；即，治疗整个个体，而不仅仅是成瘾。(C)2003 Elsevier Inc.保留所有权利。
This study examines whether organizational treatment goals varied among outpatient substance abuse treatment (OSAT) units identified as providing a level of culturally competent care for African Americans. Cross-sectional data from the 1995 National Drug Abuse Treatment System Survey (NDATSS) was used. Of the nationally representative, stratified sample of 699 units, 618 (88%) participated. Spearman correlation, analysis of variance, Behrens-Fisher t-tests, chi-square, and multivariate logistic regression were used. Culturally competent units, even after controlling for organizational and client characteristics, were more apt than non-culturally competent units to indicate that achieving steady employment, spiritual strength, and physical health were important treatment goals. A congruency exists among culturally competent OSAT units between the client profile, which is more distressful than that for non-culturally competent units, and the orientation of treatment goals, which are more holistic; that is, treating the total individual, rather than the addiction only. (C) 2003 Elsevier Inc. All rights reserved.