Fletcher Bennett W, Broome Kirk M, Delany Peter J, Shields Joseph, Flynn Patrick M
National Institute on Drug Abuse National Institutes of Health, 6001 Executive Boulevard, Room 5159, Bethesda, MD 20892, USA.
J Subst Abuse Treat. 2003 Oct;25(3):165-75. doi: 10.1016/s0740-5472(03)00126-0.
This study examined patient and program factors that influenced the receipt of scheduled supportive services in the Drug Abuse Treatment Outcome Studies (DATOS). Patients (N = 2,932) in 21 long-term residential (LTR) programs, 27 outpatient methadone treatment (OMT), and 25 outpatient drug-free programs were interviewed at admission and at 3 months during treatment. A hierarchical regression analysis was used to examine the relationship between patient-level and program-level factors associated with receiving supportive services in seven categories (medical, psychological, family, legal, educational, vocational, and financial). LTR patients received more services on average than outpatients (especially OMT), but patients overall received few services in the first 3 months of treatment. The patient-level likelihood of receiving services was related to being female and to having higher problem severity at intake. At the program level, outpatient clientele with higher problem severity received more services if they entered a program whose other enrolled patients were less troubled on average.
本研究考察了在药物滥用治疗结果研究（DATOS）中影响获得定期支持性服务的患者因素和项目因素。对21个长期住院治疗（LTR）项目、27个门诊美沙酮治疗（OMT）项目和25个门诊戒毒项目中的患者（N = 2932）在入院时和治疗3个月时进行了访谈。采用分层回归分析来考察与接受七类（医疗、心理、家庭、法律、教育、职业和财务）支持性服务相关的患者层面和项目层面因素之间的关系。长期住院治疗患者平均比门诊患者（尤其是门诊美沙酮治疗患者）接受更多服务，但患者总体上在治疗的前3个月接受的服务较少。接受服务的患者层面可能性与女性身份以及入院时问题严重程度较高有关。在项目层面，如果问题严重程度较高的门诊患者进入一个其其他登记患者平均问题较少的项目，他们会接受更多服务。
