DRUG ABUSE TREATMENT SYSTEM SURVEY

拟议的研究有两个总体目标。首先，我们将研究 国家门诊药物治疗实践的程度 治疗系统符合已知或期望的护理标准。 将收集有关治疗的几个重要方面的信息 包括：客户评估做法、客户收到 各种服务(例如，心理健康咨询)、治疗时间、 以及出院后对客户进行跟进的努力。有了这个信息 我们可以评估这些单元达到已知或所需标准的程度。 关爱。例如，单位在多大程度上提供美沙酮剂量 达到推荐水平(D‘Aunno&Vaughn，1992)？第二个目标 是检查关键组织因素(例如，单位所有权、 资金、人员配备、地点)可以解释治疗的差异 实践和服务。为了实现这些目标，我们将继续 1994年全国药物滥用治疗系统调查。有了附加的 在1994年的调查中，我们将有一个具有代表性的国家的面板数据 1988年、1990年和1990年门诊戒毒和美沙酮单位样本 1994年。尽管1994年的调查将保留我们 在以前的调查中，它将特别侧重于治疗做法，以及 可以影响他们的组织因素，在两个关键领域： 1.特殊人群的需求。在更广泛的人口中 药物滥用客户，我们将重点关注艾滋病毒高危客户 感染，妇女(特别是孕妇和有孩子的妇女)，以及 少数民族。 2.患者对初级卫生保健的需求。我们将研究变化 在初级卫生保健的可获得性和联系方面。我们会 重点关注可用服务的数量和类型以及形式 与初级保健的联系，无论是通过转介、合同还是在- 住房条款。 3.最后，我们将检查关键组织 环境因素和处理单位的环境因素可以占到 治疗实践中的差异。这些因素包括所有权， 资金来源和机制所在地(包括地理位置和 在上级组织中的位置)、治疗目标/理念和员工 特点。

The proposed study has two overall goals. First, we will examine the extent to which treatment practices in the nation's outpatient drug treatment system are meeting known or desired standards of care. Information will be gathered on several important aspects of treatment including: client assessment practices, extent to which clients receive various services (e.g., mental health counseling), length of treatment, and efforts to follow-up clients post discharge. With this information we can assess how well the units are meeting known or desired standards of care. For example, to what extent are units providing methadone doses that meet recommended levels (D'Aunno & Vaughn, 1992)? The second goal is to examine how well key organizational factors (e.g., unit ownership, funding, staffing, location) can account for variation in treatment practices and services. To achieve these goals, we will continue the National Drug Abuse Treatment System Survey in 1994. With the addition of the 1994 survey, we will have panel data for a representative national sample of outpatient drug-free and methadone units for 1988, 1990 and 1994. Though the 1994 survey will retain much of the content of our previous surveys, it will focus especially on treatment practices, and organizational factors that can affect them, in two key areas: 1. The needs of special populations. Within the broader population of drug abuse clients, we will focus on clients at high risk for HIV infection, women (especially pregnant women and those with children), and ethnic minority groups. 2. Client's needs for primary health care. We will examine variation in the availability of, and linkages to, primary health care. We will focus on the number and type of available services as well as the form of linkage to primary care whether through referral, contract, or in- house provision. 3. Finally, we will examine the extent to which key organizational factors and factors in the environment of treatment units can account for variation in treatment practices. These factors include ownership, funding sources and mechanisms location (both geographic location and location in a parent organization), treatment goals/philosophy, and staff characteristics.