Therapeutic Communities: A Three Country Comparison

吸毒成瘾日益盛行及其对公共健康的影响，特别是 世界各地的艾滋病毒/艾滋病需要国际合作研究、培训和技术援助 提高我们对成瘾及其预防和治疗的认识。这项提议是对NIDA的回应 PAS-03-023，国际毒瘾研究，将组建一个国际科学家网络，以 通过合作开展以下研究，促进研究、培训和科学信息交流 三个国家的治疗社区(TC)治疗。该研究将描述客户、计划和 三个大型技术培训项目的组织特点，中国、泰国和美国各一个。这个 将衡量这些计划对已建立的TC最佳实践的忠诚度。数据 从1610个客户收集的数据将用于检查保真度要素和客户之间的关系 保留率、治疗进展和近期(出院时)治疗结果。这项研究将产生 数据收集工具的特定文化翻译，并将审查独特的文化 与每个部位的有效治疗相关的特征。通过将整个人的TCS地址 与药物滥用相关的全方位问题。NIDA的研究证实了(NIDA研究报告 -治疗社区：NIH酒吧。02-4877,2002年8月)。Http://www.drugabuse.gov/ResearchReports/ 治疗/default.html，TC治疗，如果成功，是一种治疗广泛的 健康问题。聚集在一起的国际科学家群体将：1)与国际和平研究所在 进行和管理研究；2)评估每个技术委员会运作的文化背景；3) 向中国和泰国的塔塔咨询公司提供项目完善方面的技术援助/培训；4)传播 在美国和国外的研究结果有助于提高治疗效果；以及5)开发未来 在国际背景下的研究倡议。这项研究在三个方面具有重要意义：1)研究结果将 向国际计划通报有关客户参与、留住和进展的最佳实践 治疗；2)研究将加强与药物滥用和艾滋病毒/艾滋病这两种流行病作斗争的能力 在中国和泰国的关键联络点；以及，3)继续从这个新的 国际研究界可能最终会修改、改进和扩大全球治疗服务。

The increasing prevalence of drug addiction and its public health consequences, particularly the spread of HIV/AIDS around the world, requires international collaborative research, training and technical assistance to improve our understanding of addiction, its prevention and treatment. This proposal, in response to NIDA PAS-03-023, International Research on Drug Addiction, will assemble an international network of scientists to foster research, training and the exchange of scientific information by working collaboratively on a study of therapeutic community (TC) treatment in three countries. The study will describe client, program and organizational characteristics of three large TC programs, one each in China, Thailand and the US. The degree to which these programs show fidelity to established TC best practices will be measured. Data collected from 1610 clients will be used to examine the relationship between elements of fidelity and client retention, progress in treatment and proximal (at discharge) treatment outcomes. The study will produce culturally-specific translations of data collection instruments and will examine the unique cultural characteristics pertinent to effective treatment in each location. By treating the whole person TCs address the full spectrum of substance abuse related problems. As confirmed by NIDA's research (NIDA Research Report - Therapeutic Community: NIH Pub. 02-4877, Aug. 2002). http://www.drugabuse.gov/ResearchReports/ Therapeutic/default.html, TC treatment, if successful, is a cost-effective approach to treating a wide range of health problems. The assembled community of international scientists will: 1) work closely with the PI in the conduct and management of the research; 2) evaluate the cultural context in which each TC operates; 3) provide technical assistance/ training in program refinement to the TCs in China and Thailand; 4) disseminate study findings in the US and abroad that serve to improve treatment effectiveness; and 5) develop future research initiatives in the international settings. The research is significant in three ways: 1) findings will inform international programs regarding best practices for client engagement, retention and progress in treatment; 2) the research will strengthen the capacity to fight the twin epidemics of drug abuse and HIV/AIDS in the critical focal points of China and Thailand; and, 3) continued initiatives emanating from this new international research community may ultimately modify, improve and expand global treatment services.