Maxwell Jane Carlisle, Spence Richard T
The Gulf Coast Addiction Technology Transfer Center, The School of Social Work, The University of Texas at Austin, Washington Office, Austin, Texas 78703, USA.
Subst Use Misuse. 2005;40(9-10):1409-26. doi: 10.1081/JA-200066968.
There is little in the literature about treatment of persons with problems with "club" or "party" drugs. This paper looks at the characteristics of individuals admitted to treatment for primary, secondary, or tertiary problems with club drugs such as ecstasy, gamma-hydroxybutyrate (GHB), ketamine, flunitrazepam (Rohypnol), methamphetamine, and hallucinogens (e.g., LSD) in programs funded by the Texas Commission on Alcohol and Drug Abuse. Some 38,350 unduplicated records from 1988 through 2003 of persons admitted with problems with club drugs were compared against users of alcohol or other drugs. Club drug users were more impaired on five of six Addiction Severity Index (ASI) indices at admission and they were more likely to use multiple substances more often. They were more likely than users of alcohol or other drugs to complete treatment, but this varied by drug. At follow-up 90 days after discharge, club drug users continued to report more ASI problems. Profiles of these clients show that ecstasy use has spread beyond the club culture, as indicated by the changes in client demographics over time. GHB clients presented a mixed picture of severe problems at admission and good response to treatment. Hallucinogen clients were young and less likely to complete treatment, while Rohypnol users were on the Texas-Mexico border. The methamphetamine epidemic has resulted in increased admissions, and the proportion of "Ice" smokers has increased. However, methamphetamine clients were less likely to complete treatment and their higher level of problems at admission and follow-up are of concern. Of special note are the indications of co-occurring problems and the need for both mental health and substance dependence treatment for some clients.
关于“俱乐部”或“派对”毒品问题患者的治疗，文献中几乎没有相关内容。本文研究了在得克萨斯州酒精和药物滥用委员会资助的项目中，因摇头丸、γ-羟基丁酸（GHB）、氯胺酮、氟硝西泮（罗眠乐）、甲基苯丙胺和致幻剂（如麦角酸二乙酰胺）等俱乐部毒品出现一级、二级或三级问题而接受治疗的个体特征。将1988年至2003年期间约38350份关于因俱乐部毒品问题入院的个体的非重复记录，与酒精或其他毒品使用者进行了比较。俱乐部毒品使用者在入院时六项成瘾严重程度指数（ASI）中的五项上受损更严重，且他们更频繁地使用多种物质。他们比酒精或其他毒品使用者更有可能完成治疗，但因毒品而异。出院90天后的随访显示，俱乐部毒品使用者报告的ASI问题仍然更多。这些客户的资料表明，摇头丸的使用已经超出了俱乐部文化，这从客户人口统计学随时间的变化可以看出。GHB客户入院时问题严重，但对治疗反应良好。致幻剂客户较为年轻，完成治疗的可能性较小，而罗眠乐使用者集中在得克萨斯州与墨西哥边境地区。甲基苯丙胺的流行导致入院人数增加，吸食“冰毒”的比例上升。然而，甲基苯丙胺客户完成治疗的可能性较小，他们入院时和随访时较高的问题水平令人担忧。特别值得注意的是共病问题的迹象，以及一些客户同时需要心理健康和药物依赖治疗的情况。
