DRUG ABUSE TREATMENT SYSTEM SURVEY

描述：(申请人摘要) 拟议的研究有两个总体目标。首先，它将监视以下方面的变化 全国门诊药物滥用治疗单位的治疗实践 确定他们在多大程度上符合已知或期望的标准 关心。将收集关于几种重要治疗方法的信息 做法，包括：治疗持续时间和强度；客户使用 初级保健、精神保健和社会服务；艾滋病毒预防 做法；为妇女和少数族裔提供特别服务； 以及美沙酮剂量水平。 其次，这项研究将考察关键的组织和社区因素如何 (例如，单位所有权)说明治疗中的变化和变化 练习。例如，各种管理性医疗安排如何影响 治疗持续时间和强度，以及服务对象获得社会和健康的机会 服务？ 为了实现这些目标，国家药物滥用治疗系统调查 (NDATSS)将在1999年继续进行。1999年的数据将给我们提供一个电流 全国治疗实践情况图(n=600个治疗单位)。 此外，随着1999年的调查的增加，我们将拥有来自 全国门诊非美沙酮和美沙酮代表性样本 1988、1990、1995和1999年的单位。大多数治疗单位将是 包括在1999年样本中的(n=387)已经参加了#年的NDATSS 1988年、1990年和1995年。因此，我们将处于强有力的监督地位。 十年(1988-1999年)治疗方法的变化，并使 关于这些变化的推论，可以为政策和实践提供信息。

DESCRIPTION: (Applicant's Abstract) The proposed study has two overall goals. First, it will monitor changes in treatment practices in the nation's outpatient drug abuse treatment units to determine the extent to which they are meeting known or desired standards of care. Information will be gathered on several important treatment practices, including: treatment duration and intensity; clients' use of primary health care, mental health care, and social services; HIV prevention practices; availability of special services for women and ethnic minorities; and methadone dose levels. Second, this study will examine how key organizational and community factors (e.g., unit ownership) account for change and variation in treatment practices. For example, how are various managed care arrangements affecting treatment duration and intensity, and clients access to social and health services? To achieve these goals, the National Drug Abuse Treatment System Survey (NDATSS) will be continued in 1999. The 1999 data will give us a current picture of treatment practices across the nation (n=600 treatment units). Further, with the addition of the 1999 survey, we will have data from a representative national sample of outpatient nonmethadone and methadone units for 1988, 1990, 1995, and 1999. The majority of treatment units to be included in the 1999 sample (n=387) have already participated in NDATSS in 1988, 1990, and 1995. Thus, we will be in a strong position to monitor changes in treatment practices over a decade (1988-1999), and to make causal inferences about these changes that can inform both policy and practice.