Sobell M B, Sobell L C
Center for Psychological Studies, Nova Southeastern University, Fort Lauderdale, Florida 33314, USA.
J Consult Clin Psychol. 2000 Aug;68(4):573-9.
A stepped care approach to treatment decisions for alcohol problems consists of the application of decision rules derived from practice in other areas of health care. The treatment used should be (a) individualized, (b) consistent with the research literature and supported by clinical judgment, and (c) least restrictive but still likely to be successful. Used in this way, stepped care emphasizes serving the needs of clients efficiently but without sacrificing quality of care. Issues concerning stepped care are discussed, and the application of a stepped care approach to alcohol treatment services is described.
针对酒精问题的治疗决策采用逐步照护方法，该方法包括应用从其他医疗领域的实践中得出的决策规则。所采用的治疗应：(a) 个性化；(b) 与研究文献一致并得到临床判断的支持；(c) 限制最小但仍有可能成功。以这种方式使用时，逐步照护强调高效满足客户需求，同时不牺牲护理质量。文中讨论了与逐步照护相关的问题，并描述了逐步照护方法在酒精治疗服务中的应用。
