SERVICE DELIVERY PROGRAM FOR ALCOHOL DEPENDENCE

针对酒精依赖的服务提供计划

• 批准号: 6285637
• 负责人: NEIL MEISLER
• 金额: $ 7.15万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-20 至 2003-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6285637
• 关键词: alcoholism /alcohol abuse; alcoholism /alcohol abuse therapy; behavioral /social science research tag; health care service availability; health care service utilization; health services research tag; human subject; human therapy evaluation; medically underserved population; mental health services; outcomes research; outpatient care; patient oriented research; public health; rural area; socioeconomics

APPLICANT'S ABSTRACT: The recent report of the National Advisory Council on Alcohol Abuse and Alcoholism, Subcommittee on Health Services Research, recommended that NIAAA support research that focuses on the "dimensions of setting, modality, intensity, and treatment goals." The committee noted that stakeholders want to know more about the impact of different service delivery approaches for different individuals (i.e., What are the outcomes of different treatment modalities, for different types of clients, in different settings? What factors help to make treatment services effective?). In response to these questions, this NIAAA Small Grant Program project explores potential benefits to persons with alcohol dependence, from the application of a "setting-neutral" service delivery strategy (i.e., Assertive Community Treatment) with demonstrated effectiveness in improving treatment adherence for other NIH priority populations that present complex challenges to the service system. The sample population targeted in this study is predominantly rural, African-American, economically disadvantaged, and receives their care from "public" substance abuse service authorities in South Carolina. This application is directly responsive to USPHS goal of improving the effectiveness and efficiency of empirically validated services for disadvantaged populations 'at-risk' for inadequate outcomes of health, mental health, and substance use services with associated deterioration in community functioning. In health services research, the focus is on outcomes in practice settings and under typical rather than ideal conditions, that is, whether treatments that have been shown to be efficacious in controlled trials are also effective in real-life clinical settings. The investigators are an established, interdisciplinary public-academic clinical services research team affiliated with an academic department of psychiatry. They have developed excellent ongoing working relationships with substance abuse and mental health service; agencies in South Carolina. They have broad-based, extensive experience with the variety of current approaches to the community-based care of NIH priority populations. This includes experience with clinical service program implementation, as well as research including conducting numerous randomized trials addressing the effectiveness of field based outreach programs designed to maximize treatment adherence in NIH priority populations (both youths and adults) through intensive outreach efforts.

申请人摘要：国家咨询理事会最近的一份报告， 酒精滥用和酒精中毒，卫生服务研究小组委员会， 建议NIAAA支持研究，重点是"的层面， 设置、模式、强度和治疗目标。"委员会注意到， 利益相关者希望更多地了解不同服务提供方式的影响 用于不同个体的方法（即，不同的结果是什么 治疗模式，为不同类型的客户，在不同的设置？ 哪些因素有助于使治疗服务有效？） 为了回答这些问题，NIAAA小额赠款项目 探讨酒精依赖者的潜在益处， 应用"设置中立"服务提供策略（即，自信 社区治疗），并证明在改善治疗方面的有效性 对其他NIH优先人群的依从性， 到服务系统。 本研究的样本人群为 主要是农村，非洲裔美国人，经济弱势， 接受南部"公共"药物滥用服务当局的照顾 卡罗莱纳。 此应用程序是直接响应USPHS的目标，提高 有效性和效率的经验验证服务， 弱势群体的"风险"，健康，心理和健康的结果不足， 健康和药物使用服务，以及与之相关的社区恶化 功能 在卫生服务研究中，重点是以下方面的结果： 实践环境和典型而非理想条件下，即， 在对照试验中被证明有效的治疗方法 在现实临床环境中也是有效的。 调查人员是一个既定的，跨学科的公共学术 临床服务研究小组隶属于一个学术部门， 精神病学 他们与以下方面建立了良好的持续工作关系： 药物滥用和精神健康服务;南卡罗来纳州机构。 他们 对当前的各种方法有着广泛的基础和丰富的经验 以社区为基础的护理国家卫生研究院的重点人群。 这包括 临床服务项目实施经验，以及研究 包括进行大量的随机试验， 旨在最大限度地提高治疗依从性的实地外展计划， 通过密集的外展，NIH优先人群（包括青年和成人） 努力