DRUG ABUSE TREATMENT SYSTEM SURVEY

描述：（申请人摘要） 拟议的研究有两个总体目标。 首先，它将监测 全国门诊药物滥用治疗单位的治疗实践， 确定他们在多大程度上符合已知或期望的标准， 在乎 将收集几种重要治疗方法的信息 做法，包括：治疗时间和强度;客户使用 初级卫生保健、精神卫生保健和社会服务;艾滋病毒预防 为妇女和少数民族提供特殊服务; 和美沙酮剂量水平。 其次，本研究将探讨关键的组织和社区因素 (e.g.,单位所有权）的变化和变化的处理 实践 例如，各种管理式护理安排如何影响 治疗持续时间和强度，以及客户获得社会和保健服务的机会 服务？ 为了实现这些目标，国家药物滥用治疗系统调查 1999年将继续进行国家数据处理和跟踪系统的工作。 1999年的数据会给我们一个 全国治疗实践情况（n=600个治疗单位）。 此外，加上1999年的调查，我们将有一个 全国门诊非美沙酮和美沙酮代表性样本 1988年、1990年、1995年和1999年的单位。 大多数治疗单位将 包括在1999年的样本（n=387）已经参加了NDATSS， 1988、1990和1995年。 因此，我们将处于一个强有力的地位， 十年来（1988-1999年）治疗实践的变化，并使因果关系 对这些变化的推断可以为政策和实践提供信息。

DESCRIPTION: (Applicant's Abstract) The proposed study has two overall goals. First, it will monitor changes in treatment practices in the nation's outpatient drug abuse treatment units to determine the extent to which they are meeting known or desired standards of care. Information will be gathered on several important treatment practices, including: treatment duration and intensity; clients' use of primary health care, mental health care, and social services; HIV prevention practices; availability of special services for women and ethnic minorities; and methadone dose levels. Second, this study will examine how key organizational and community factors (e.g., unit ownership) account for change and variation in treatment practices. For example, how are various managed care arrangements affecting treatment duration and intensity, and clients access to social and health services? To achieve these goals, the National Drug Abuse Treatment System Survey (NDATSS) will be continued in 1999. The 1999 data will give us a current picture of treatment practices across the nation (n=600 treatment units). Further, with the addition of the 1999 survey, we will have data from a representative national sample of outpatient nonmethadone and methadone units for 1988, 1990, 1995, and 1999. The majority of treatment units to be included in the 1999 sample (n=387) have already participated in NDATSS in 1988, 1990, and 1995. Thus, we will be in a strong position to monitor changes in treatment practices over a decade (1988-1999), and to make causal inferences about these changes that can inform both policy and practice.