Booth Robert E, Corsi Karen F, Mikulich Susan K
University of Colorado Health Sciences Center, School of Medicine, Department of Psychiatry, 80206, Denver, CO, USA.
J Subst Abuse Treat. 2003 Jun;24(4):305-11. doi: 10.1016/s0740-5472(03)00038-2.
This study of 577 out-of-treatment drug injectors was designed to assess predictors of methadone maintenance treatment entry, including offering free treatment coupons. Using targeted sampling methods, participants were recruited through street outreach; randomly, they were either assigned a coupon for 90 days of free treatment or required to pay for their treatment. Regardless of assignment, all subjects who desired treatment were provided transportation, rapid intake, and a waiver of the treatment entry fee. Overall, 33% entered treatment, including 66% of those who received a free coupon. Other factors associated with treatment entry included desire for treatment, heroin use, prior treatment experience, associating with fewer drug-using friends, and injecting with a previously used unsterile needle/syringe. Injecting cocaine and smoking crack reduced the probability of treatment entry. Findings lend support to street outreach efforts designed to increase rates of treatment entry among chronic out-of-treatment drug injectors. Additional treatment options are required for those abusing cocaine.
这项针对577名未接受治疗的药物注射者的研究旨在评估美沙酮维持治疗进入的预测因素，包括提供免费治疗优惠券。采用目标抽样方法，通过街头外展招募参与者；随机地，他们要么被分配一张90天免费治疗的优惠券，要么被要求支付治疗费用。无论分配情况如何，所有希望接受治疗的受试者都获得了交通、快速入院服务，并免除了治疗入院费用。总体而言，33%的人进入了治疗，其中66%的人获得了免费优惠券。与治疗进入相关的其他因素包括对治疗的渴望、海洛因使用、既往治疗经历、与较少吸毒朋友交往以及使用以前用过的未消毒针头/注射器注射。注射可卡因和吸食快克可卡因降低了进入治疗的可能性。研究结果支持了旨在提高慢性未接受治疗的药物注射者治疗进入率的街头外展努力。对于滥用可卡因的人需要更多的治疗选择。
