THERAPEUTIC COMMUNITIES--CLIENT TREATMENT MATCHING

申请人摘要：拟议项目的总体目标是 通过以下方式在三种不同的TC导向治疗环境中提高保留率 提高客户端与设置的匹配度。拟议的研究将 通过实验评估显式引导协议的影响 匹配/转诊决定以三种以TC为导向的治疗方式： 长期住宅(至少12个月)；短期住宅(3-9个月) 和非住院治疗(9-12个月)。一共有三个 具体目标：(L)评估和评价目前的疗效 将客户与3种不同的面向TC的客户相匹配的实践和标准 治疗设置；(2)为了测试显式方案的有效性， 客户匹配协议，用于指导匹配决定；以及 (3)评估客户退学或完成的原因，以进一步验证 并确定可能改善匹配的客户感知因素 决定。 六个多式联运技术中心机构将参与研究的所有阶段。 在目标1下，与人员的面谈将确定目前的标准 转诊到各种治疗环境；这些措施的效果 关于留住的推荐标准是根据600名连续录取的学生确定的 添加到三个设置。在目标2下，在另一台计算机上进行了现场测试 对600名入院者进行了队列调查，以进一步完善标准。然后一秒钟 研究将直接测试精炼的化学机械抛光的效果在连续的两个 在两个条件设计中，每个入院队列600人；当辅导员 不被告知(“盲目”)，然后被告知《议定书》缔约方会议的信息。在……下面 目标3，将面向以下方面评估匹配协议的有效性 面对面和电话采访了700多名辍学生，并完成了 提供他们分居的原因和他们对治疗的看法 适宜性。最后，六家比较多式联运机构参与 仅限于最初一年的活动，在此期间，他们连续 提供每一年的录取、转诊和保留率的文件数据 在他们的三个背景中。这两组人之间的比较将提供 测试项目计划推荐人和客户的总体影响 留存率。

APPLICANT'S ABSTRACT: The overall objective of the proposed project is to enhance retention in three different TC-oriented treatment settings by improving the match between client and setting. The proposed research will experimentally evaluate the impact of an explicit protocol for guiding matching/referral decisions to three TC - oriented treatment modalities: long-term residential (at least 12 months); short-term residential (3-9 months); and non-residential treatment ( 9-12 months). There are three specific aims: (l) To assess and evaluate the efficacy of current practices and criteria in matching clients to 3 different TC oriented treatment settings; (2) To test the efficacy of an explicit protocol, the Client Matching Protocol, (the CMP) for guiding for matching decisions; and (3) To assess client reasons for dropout or completion to further validate the CMP and to identify client perceived factors which may improve matching decisions. Six multimodal TC agencies will participate in all phases of the study. Under Aim 1 interviews with personnel will identify the current criteria for referral to the various treatment settings; the effect of these referral criteria on retention is determined on 600 consecutive admissions to the three settings. Under Aim 2 the CMP is field tested on another cohort of 600 admissions to further refine the criteria. Then a second study will directly test the efficacy of the refined CMP on two consecutive admission cohorts of 600 each in a two condition design; when counselors are uninformed ("blind") and then informed of the CMP information. Under Aim 3, the validity of the matching protocol will be assessed in face to face and telephone interviews with over 700 dropouts and completes who provide their reasons for separation and their perceptions of treatment suitability. Finally, six comparison multimodal TC agencies participate in the activities in the initial year only, during which they continuously provide file data as to admissions, referrals and retention rates in each of their three settings. Comparison between these two groups will provide a test of the general impact of the project program referral and client retention rates.