Kellogg Scott H, Burns Marylee, Coleman Peter, Stitzer Maxine, Wale Joyce B, Kreek Mary Jeanne
The Rockefeller University, New York, NY 10021-6399, USA.
J Subst Abuse Treat. 2005 Jan;28(1):57-65. doi: 10.1016/j.jsat.2004.10.007.
This paper explores the impact of the adoption of the contingency management approach by the Chemical Dependency Treatment Services of the New York City Health and Hospitals Corporation (HHC). The utilization of this approach grew out of an alliance between NIDA Clinical Trials Network-affiliated clinicians and researchers and a leadership team at the HHC. Interviews and dialogues with administrators, staff, and patients revealed a shared sense that the use of contingency management had: (1) increased patient motivation for treatment and recovery; (2) facilitated therapeutic progress and goal attainment; (3) improved the attitude and morale of many staff members and administrators; and (4) developed a more collegial and affirming relationship not only between patients and staff, but also among staff members.
本文探讨了纽约市卫生与医院集团（HHC）的药物依赖治疗服务部门采用应急管理方法所产生的影响。这种方法的应用源于美国国家药物滥用研究所临床试验网络附属的临床医生和研究人员与HHC的一个领导团队之间的合作。通过对管理人员、工作人员和患者进行访谈与对话发现，大家普遍认为应急管理的使用带来了以下效果：（1）增强了患者接受治疗和康复的动力；（2）促进了治疗进展和目标达成；（3）改善了许多工作人员和管理人员的态度及士气；（4）不仅在患者与工作人员之间，而且在工作人员之间建立了更加融洽和相互肯定的关系。
