Freese T E, Obert J, Dickow A, Cohen J, Lord R H
UCLA Integrated Substance Abuse Programs, UCLA/Matrix Coordinating Center for the CSAT Methamphetamine Treatment Project, Los Angeles, California, USA.
J Psychoactive Drugs. 2000 Apr-Jun;32(2):177-82. doi: 10.1080/02791072.2000.10400226.
Methamphetamine (MA) abuse has been a problem in the western United States for decades. However, recently the incidence of MA abuse has risen to epidemic levels in some regions and among particular subgroups of the population. Recognizing the need to develop effective treatments for MA dependence, the Center for Substance Abuse Treatment (CSAT) established a multisite Methamphetamine Treatment Program (MTP) that compares the Matrix Model treatment program for MA to the treatments as usual at seven community-based clinics in California, Montana and Hawaii. Examination of the clients receiving services though this project provides an opportunity to explore particular issues of diverse special populations who are impacted by the problem of MA dependence. These groups include rural Americans, Native Americans, Hawaiians, gay and bisexual males and drug court participants. Specifically, this article examines cultural, geographic and situational barriers to accessing and completing treatment and presents strategies that have been used to overcome these barriers.
几十年来，甲基苯丙胺（MA）滥用一直是美国西部的一个问题。然而，最近，MA滥用的发生率在一些地区以及特定人群亚组中已上升到流行程度。认识到需要开发针对MA依赖的有效治疗方法，药物滥用治疗中心（CSAT）设立了一个多地点甲基苯丙胺治疗项目（MTP），该项目在加利福尼亚州、蒙大拿州和夏威夷州的七个社区诊所，将针对MA的矩阵模型治疗方案与常规治疗进行比较。通过该项目对接受服务的客户进行调查，为探讨受MA依赖问题影响的不同特殊人群的特定问题提供了一个机会。这些群体包括美国农村居民、美洲原住民、夏威夷人、男同性恋者和双性恋男性以及药物法庭参与者。具体而言，本文研究了在获得和完成治疗方面存在的文化、地理和情境障碍，并提出了用于克服这些障碍的策略。
