对比药物滥用和心理健康治疗提供者在治疗双重诊断患者方面的观点。

Contrasting the views of substance misuse and mental health treatment providers on treating the dually diagnosed.

作者信息

Grella Christine E

机构信息

Integrated Substance Abuse Programs, UCLA Neuropsychiatric Institute, University of California, Los Angeles, California 90025, USA.

出版信息

Subst Use Misuse. 2003 Aug;38(10):1433-46. doi: 10.1081/ja-120023393.

DOI:10.1081/ja-120023393

PMID:14509546

Abstract

Service delivery to dually diagnosed individuals is often impeded by the divergent treatment approaches used by mental health and substance misuse treatment providers. This paper describes findings from a survey of mental health and substance misuse treatment program administrators and staff in Los Angeles County (n = 275) on their views about treating the dually diagnosed. All groups agreed about the challenges of treating dually diagnosed patients; however, there were differences both between and within providers in the two treatment systems on other aspects of treatment. The findings are discussed within the context of clinical and programmatic efforts to improve service delivery to the dually diagnosed.

摘要

为同时患有精神疾病和物质使用障碍的患者提供服务，常常受到心理健康和物质滥用治疗提供者所采用的不同治疗方法的阻碍。本文描述了一项针对洛杉矶县心理健康和物质滥用治疗项目管理人员及工作人员（n = 275）的调查结果，内容涉及他们对治疗同时患有精神疾病和物质使用障碍患者的看法。所有群体都认同治疗这类患者存在挑战；然而，在两个治疗系统内，不同提供者之间以及同一提供者内部在治疗的其他方面存在差异。本文将在临床和项目工作的背景下讨论这些结果，这些工作旨在改善为同时患有精神疾病和物质使用障碍的患者提供的服务。