Amodeo Maryann, Chassler Deborah, Ferguson Faith, Fitzgerald Therese, Lundgren Lena
Boston University School of Social Work, 264 Bay State Road, Boston, MA 02215, USA.
Am J Drug Alcohol Abuse. 2004;30(1):101-20. doi: 10.1081/ada-120029868.
This article examines whether female injection drug users (IDUs) who have a history of using mental health services (i.e., one or more psychiatric hospitalizations or counseling) enter types of drug treatment different from those of female IDUs who do not have a history of using mental health services. Data used for this exploration originate from a statewide drug-treatment database covering all women who entered drug treatment in the state of Massachusetts from 1996 to 2001. A total of 7776 women were included in the study. Through the use of logistic regression analysis, the study determined that those female IDUs who had a mental health service history, compared with female IDUs who had no such history, were about two-thirds more likely to enter substance abuse treatment other than detoxification only. Specifically, women with a mental health service history were about 66% more likely to enter substance abuse treatment modalities such as drug-free outpatient counseling, methadone maintenance, and/or long-term residential services rather than detoxification alone. This is a positive result, indicating that female IDUs who have mental health problems and therefore have high needs for effective substance abuse treatment are entering the more intensive and/or longer term modalities likely to lead to better outcomes. Possible factors accounting for this, including the referral process within detoxification centers, the role of community referral agents, and the experience women gain as a consequence of receiving services in more than one service system, are discussed.
本文探讨有心理健康服务史（即有过一次或多次精神病住院治疗或咨询经历）的女性注射吸毒者进入的戒毒治疗类型是否与没有心理健康服务史的女性注射吸毒者不同。用于此次探究的数据源自一个覆盖1996年至2001年期间在马萨诸塞州进入戒毒治疗的所有女性的全州戒毒治疗数据库。该研究共纳入了7776名女性。通过逻辑回归分析，研究确定，有心理健康服务史的女性注射吸毒者与没有此类病史的女性注射吸毒者相比，进入除单纯戒毒之外的药物滥用治疗的可能性要高出约三分之二。具体而言，有心理健康服务史的女性进入诸如无毒品门诊咨询、美沙酮维持治疗和/或长期住院服务等药物滥用治疗方式而非仅进行戒毒治疗的可能性要高出约66%。这是一个积极的结果，表明有心理健康问题因而对有效的药物滥用治疗有高需求的女性注射吸毒者正在进入更强化和/或更长期的治疗方式，而这些方式可能会带来更好的治疗效果。文中还讨论了对此可能产生影响的因素，包括戒毒中心内部的转诊流程、社区转诊机构的作用，以及女性因在多个服务系统接受服务而获得的经验。
