Friedmann Peter D, Lemon Stephenie C, Durkin Elizabeth M, D'Aunno Thomas A
Department of General Internal Medicine, Rhode Island Hospital, Providence, RI 20903, USA.
J Subst Abuse Treat. 2003 Jan;24(1):81-8. doi: 10.1016/s0740-5472(02)00323-9.
Comprehensive medical and psychosocial services are essential to quality addiction treatment, but their availability declined in the 1980s. To determine whether this downward trend in the availability of comprehensive services continued in the 1990s, we analyzed data from a national panel study of outpatient substance abuse treatment units in 1990, 1995, and 2000. Response rates were greater than 85%. Regarding the availability of comprehensive services, including physical examinations, routine medical care, mental health services, financial counseling and employment counseling, administrators reported whether any substance abuse treatment client received the service in the past year. With the exception of physical examinations, whose reported availability increased from 1990 to 1995, and financial counseling, whose reported availability decreased during the same time, the reported availability of comprehensive services changed little during the 1990s. These findings highlight the continuing need to monitor access to comprehensive services and other quality markers in addiction treatment over time.
全面的医疗和心理社会服务对于高质量的成瘾治疗至关重要，但在20世纪80年代其可及性有所下降。为了确定这种全面服务可及性的下降趋势在20世纪90年代是否持续，我们分析了1990年、1995年和2000年全国门诊药物滥用治疗单位小组研究的数据。回复率超过85%。关于全面服务的可及性，包括体格检查、常规医疗护理、心理健康服务、财务咨询和就业咨询，管理人员报告了过去一年中是否有任何药物滥用治疗患者接受了该服务。除了体格检查（其报告的可及性从1990年到1995年有所增加）和财务咨询（其报告的可及性在同一时期有所下降）外，20世纪90年代全面服务的报告可及性变化不大。这些发现凸显了随着时间推移持续监测成瘾治疗中全面服务的可及性及其他质量指标的必要性。
