READINESS FOR DRUG TREATMENT--AN ASSESSMENT INSTRUMENT

这份为期18个月的提案的目的是制定和完善一项 临床/研究工具，用于评估客户进入 继续接受药物滥用治疗 该项目将完成一个 对现有工具进行严格的心理测量修订，测量四个 域. 治疗的环境、动机、准备和适合性 (ie., CMRS）。 修订CMRS-R的青少年和成人版本 将与包含以下信息的手册一起沿着开发 管理、评分和心理测量数据， 评价 修订将通过对一项 现有的数据集收集了大约2000个连续入院， 纽约的一个大型城市传统治疗社区。 该数据集 包括原始的CMRS量表沿着广泛的社会- 人口、心理、精神和治疗进展措施。 有三个具体目标： 目标1.项目分析：将对CMRS进行分项分析。 队列1（1984- 1985年）中457名青少年和559名成年客户 为青少年和成年人分别制定的文书 子样本。 目标二。交叉验证：交叉验证研究将是基础 队列2（1986-87年入院）中的455例青少年和500例成人病例 以确认修订的CMRS-R的稳定性。 它将包括 验证性因素分析和预测效度研究，以确定 修订的CMRS-R、保留和治疗之间的相关性 中求进工作总 目标3可推广性：几项研究将审查 有效性和普遍性的CMRS-R的物质滥用者， 不同的环境和治疗方式。 这些研究将涉及 对原始CMRS数据已被删除的药物滥用者进行了较小的样本 在不同的调查中收集。 该项目的最后阶段将 为实施修订后的CMRS-R汇编简要手册。 本项目是联合国开发计划署计划开展的一系列努力中的第一个。 调查小组阐明动态客户因素的贡献 (such作为动机和准备）保留，治疗过程，客户端- 治疗匹配、恢复状态和结局。 具体来说， 产生数据和原型，用于评估准备就绪情况的变化， 治疗和其他亚群和环境中的研究。

The purpose of this 18 month proposal is to develop and refine a clinical/research instrument for assessing client readiness for entering an remaining in substance abuse treatment. The project will complete a rigorous psychometric revision of an existing instrument, measuring four domains. Circumstances, Motivation, Readiness and Suitability for treatmen (ie., the CMRS). An adolescent and an adult version of the revised CMRS-R will be developed along with manuals containing information on administration, scoring and psychometric data necessary for proper evaluation. The revision will be completed through secondary analyses of a existing data set collected on approximately 2000 consecutive admissions to a large urban traditional Therapeutic Community in New York. This data set includes the original CMRS scales along with an extensive array of socio- demographic, psychological, psychiatric and treatment progress measures. There are 3 specific aims: Aim 1. Item analyses: Separate-item analyses of the CMRS will be carried ou for the 457 adolescent and 559 adult clients in Cohort 1 (1984-85 admissions) and separate instruments developed for the adolescent and adult subsamples. Aim 2. Cross Validation: A cross-validation study will be base upon the 455 adolescent and 500 adult cases in Cohort 2 (1986-87 admissions to confirm the stability of the revised CMRS-R. It will include confirmatory factor analyses and predictive validity studies to determine the correlation between the revised CMRS-R, retention, and treatment progress. Aim 3 Generalizability: Several studies will examine the validity and generalizability of the CMRS-R for substance abusers in different settings and treatment modalities. These studies will involve smaller samples of drug abusers on whom original CMRS data have been collected in different investigations. The final phase of the project will be to assemble brief manuals for implementation of the revised CMRS-R. The present project is the first of a series of planned efforts by the investigative team to illuminate the contribution of dynamic client factors (such as motivation and readiness) to retention, treatment process, client- treatment matching, recovery status and outcomes. Specifically it will yield the data and prototype for assessing changes in readiness through treatment and for studies in other subpopulations and settings.