THERAPEUTIC COMMUNITIES--CLIENT TREATMENT MATCHING

申请人摘要：建议项目的总体目标是 在三种不同的以TC为导向的治疗环境中提高保留率， 提高了客户与场景的匹配度。 拟议的研究将 通过实验评估明确的协议对指导 匹配/转介决定，以三个TC为导向的治疗模式： 长期住宅（至少12个月）;短期住宅（3-9个月） 非住院治疗（9-12个月）。 有三 具体目标：（l）评估和评价目前 将客户与3种不同的技术合作导向相匹配的做法和标准 治疗设置;（2）为了测试明确协议的有效性， 客户匹配协议（CMP），用于指导匹配决策;以及 (3)评估客户辍学或完成的原因，以进一步验证 CMP，并确定客户感知的可改善匹配的因素 决策 六个多式联运技术合作机构将参与研究的所有阶段。 根据目标1，与人员面谈将确定当前的标准 转介到各种治疗环境;这些影响 根据600名连续录取的学生确定保留的转诊标准 到三个设置。 在目标2下，CMP在另一个 600人的入学队列，以进一步完善标准。 然后第二 研究将直接测试两个连续的改进CMP的功效 在两个条件设计中，每个600人的入院队列;当咨询师 不知情（“盲”），然后被告知CMP信息。 下 目标3，匹配协议的有效性将在面对 与700多名辍学者进行面对面和电话访谈， 提供他们分离的原因和他们对待遇的看法 适合性 最后，六个比较多式联运技术合作机构参加了 仅在最初一年开展活动，在此期间， 提供档案数据，以录取，转介和保留率，在每个 他们的三个设置。 这两组之间的比较将提供 测试项目的一般影响程序转介和客户端 保留率。

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.