Moos R, Schaefer J, Andrassy J, Moos B
Department of Veterans Affairs Health Care System, 3801 Miranda Avenue, Palo Alto, CA 94304, USA.
J Clin Psychol. 2001 Mar;57(3):273-87. doi: 10.1002/jclp.1011.
To examine the association between the duration and amount of outpatient mental health care, participation in self-help groups, and patients' casemix-adjusted one-year outcomes.
A total of 2,376 patients with substance use disorders, 35% of whom also had psychiatric disorders, were assessed at entry to treatment and at a one-year follow-up. Information about the duration and amount of outpatient mental health care was obtained from a centralized health services utilization database.
Patients who obtained regular outpatient mental health care over a longer interval and patients who attended more self-help group meetings had better one-year substance use and social functioning outcomes than did patients who were less involved in formal and informal care. The amount of outpatient mental health care did not independently predict one-year outcomes.
The duration of outpatient mental health care and the level of self-help involvement are independently associated with less substance use and more positive social functioning. The provision of low intensity treatment for a longer time interval may be a cost-effective way to enhance substance abuse and psychiatric patients' long-term outcomes.
探讨门诊心理健康护理的时长和数量、参与自助小组与患者病例组合调整后的一年期结局之间的关联。
共有2376名物质使用障碍患者，其中35%还患有精神疾病，在治疗开始时和一年随访时进行评估。门诊心理健康护理的时长和数量信息来自一个集中的卫生服务利用数据库。
在较长时间内接受定期门诊心理健康护理的患者以及参加更多自助小组会议的患者，与较少参与正式和非正式护理的患者相比，在一年期物质使用和社会功能结局方面表现更好。门诊心理健康护理的数量并不能独立预测一年期结局。
门诊心理健康护理的时长和自助参与程度与较少的物质使用和更积极的社会功能独立相关。较长时间提供低强度治疗可能是提高药物滥用和精神疾病患者长期结局的一种具有成本效益的方式。
