Vogler R E, Compton J V, Weissbach T A
J Community Psychol. 1976 Oct;4(4):357-61. doi: 10.1002/1520-6629(197610)4:4<357::aid-jcop2290040406>3.0.co;2-a.
This paper reports on referral sources and the disposition of 409 problem drinkers who were contacted over a two-year period for participation in a 17-week alcohol abuse treatment program. A longitudinal follow-up design was used with 103 persons to evaluate various learning-based techniques in moderating their drinking habits. Referrals were analyzed by source (75% were legal referrals), percentage completing the program (70%, 72%, and 69% for self, legal, and mental health referrals), and "success" at one year. Legal referrals reported a significantly smaller pretreatment alcohol intake than self and mental health referrals. However, the decrease in alcohol intake for legal and nonlegal referrals were almost identical. The stigma of alcoholism as a disease and the coercion associated with referral by legal agencies were considered to be factors in acceptance of treatment and in treatment outcome.
本文报告了409名问题饮酒者的转诊来源及处置情况，这些人在两年时间里被联系参与一个为期17周的酒精滥用治疗项目。采用纵向随访设计对103人进行研究，以评估各种基于学习的技术对他们饮酒习惯的调节作用。按来源（75%为法定转诊）、完成项目的百分比（自我转诊、法定转诊和心理健康转诊者分别为70%、72%和69%）以及一年后的“成功率”对转诊情况进行了分析。法定转诊者报告的治疗前酒精摄入量明显低于自我转诊者和心理健康转诊者。然而，法定转诊者和非法定转诊者的酒精摄入量减少情况几乎相同。酒精中毒作为一种疾病的污名以及与法定机构转诊相关的强制因素被认为是影响接受治疗和治疗效果的因素。
