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增加机会并提供社会服务,以改善对有子女妇女的药物滥用治疗。

Increasing access and providing social services to improve drug abuse treatment for women with children.

作者信息

Marsh J C, D'Aunno T A, Smith B D

机构信息

University of Chicago School of Social Service Administration, IL 60637, USA.

出版信息

Addiction. 2000 Aug;95(8):1237-47. doi: 10.1046/j.1360-0443.2000.958123710.x.

Abstract

AIMS

To assess the impact of a substance abuse treatment program for women with children designed to increase access to treatment through transportation, outreach and child-care services. Also, to assess the impact of using access services on the use of other services and on treatment effectiveness.

DESIGN

A quasi-experimental non-equivalent control group design was used with path analysis to examine the impact of participation in an enhanced services program that provided transportation, outreach and child-care services on the use of other social services and on the use of alcohol and illicit drugs.

SETTING

Treatment clients were interviewed in-person at enhanced treatment programs and regular substance abuse programs.

PARTICIPANTS

Study participants included a randomly selected sample of women with children who were clients of the Illinois Department of Children and Family Services. Participants were enrolled in enhanced or regular substance abuse treatment programs.

MEASUREMENTS

Study participants completed in-person interviews about their characteristics, services use and past and current substance use.

FINDINGS

Participation in the enhanced program was negatively related to substance use. Further, use of access services was related to use of social services which in turn, was negatively related to substance use.

CONCLUSION

The study indicates that services that enhance access to treatment and respond to the range of social service needs of women are important for effective substance abuse treatment for women with children.

摘要

目的

评估一项针对有子女女性的药物滥用治疗项目的影响,该项目旨在通过交通、外展和儿童保育服务增加治疗机会。此外,评估使用获取服务对其他服务的使用以及治疗效果的影响。

设计

采用准实验非等效对照组设计,并进行路径分析,以检验参与提供交通、外展和儿童保育服务的强化服务项目对其他社会服务的使用以及酒精和非法药物使用的影响。

地点

在强化治疗项目和常规药物滥用项目中对治疗客户进行面对面访谈。

参与者

研究参与者包括从伊利诺伊州儿童和家庭服务部的客户中随机抽取的有子女女性样本。参与者被纳入强化或常规药物滥用治疗项目。

测量

研究参与者就其特征、服务使用情况以及过去和当前的药物使用情况完成了面对面访谈。

结果

参与强化项目与药物使用呈负相关。此外,获取服务的使用与社会服务的使用相关,而社会服务的使用又与药物使用呈负相关。

结论

该研究表明,增加治疗机会并满足女性一系列社会服务需求的服务对于有效治疗有子女女性的药物滥用问题很重要。

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