DRUG ABUSE TREATMENT SYSTEM SURVEY

本提案的主要目的是探讨 社区精神卫生系统提供药物滥用治疗， 门诊基础。 为实现这一总体目标， 全国免费门诊治疗服务比较研究 目前在社区精神卫生系统提供， 由国家药物研究所支持的社区项目 虐待 将对方案进行调查，以确定 客户端利用率，使用的主要处理技术， 组织和社区环境中的方案交付， 最后，衡量项目的影响或成果。 计划将根据社区特点进行匹配，并由 在最初的筛选电话调查中， 密集的电话采访。 在电话调查之后， 将通过邮寄问卷对次样本进行更详细的调查 方法，最后，对少数模型进行深入的实地研究 方案将通过实地访问和访谈进行。 预期 这项国家比较研究的好处包括：1）信息， 将协助决策者评估社区心理健康的能力， 卫生系统确定需要免费门诊的人口 服务，并为这些客户提供响应服务; 2）提供 更清楚地了解客户之间的关系 药物滥用的特点、组织和社区背景， 提供虐待治疗服务，典型的治疗策略 在社区环境中的程序使用，以及相对有效性 最后3）确定模型方案， 门诊无药治疗，并充分详细描述， 使今后能够复制和传播这些方案。

The primary objective of this proposal is to explore the potential of the community mental health system to deliver drug abuse treatment on an outpatient basis. This overall objective will be met by conducting a national comparative study of drug-free outpatient treatment services currently delivered both in the community mental health system and community based programs supported by the National Institute for Drug Abuse. Programs will be surveyed to identify the prevailing patterns of client utilization, the dominant treatment technologies used, the organizational and community contexts in which the programs are delivered, and finally, measures of program impact or outcome where available. Programs will be matched for community characteristics and surveyed by telephone in an initial screening telephone survey and subsequently in intensive telephone interviews. Following the telephone surveys, sub-samples will be examined in more detail through mail questionnaire methods, and finally, an intensive field study of a small number of model programs will be conducted using site visits and interviews. The expected benefits of this national comparative study include 1) information that will assist policy makers in assessing the capacity of the community mental health system to identify populations in need of drug-free outpatient services and to deliver responsive services to these clients; 2) to provide a clearer understanding of the relationships between client characteristics, the organizational and community contexts in which drug abuse treatment services are delivered, the typical treatment strategies used by programs in the community context, and the relative effectiveness of these strategies; and finally 3) to identify model programs for outpatient drug-free treatment and to describe them in sufficient detail to make replication and dissemination of these programs possible in the future.