Morse Gary A, Calsyn Robert J, Dean Klinkenberg W, Helminiak Thomas W, Wolff Nancy, Drake Robert E, Yonker Robert D, Lama Gyanesh, Lemming Matthew R, McCudden Suzanne
Community Alternatives, St Louis, MO, USA.
Community Ment Health J. 2006 Aug;42(4):377-404. doi: 10.1007/s10597-006-9050-y. Epub 2006 Aug 4.
This study compared the costs and outcomes associated with three treatment programs that served 149 individuals with dual disorders (i.e., individuals with co-occurring severe mental illness and substance use disorders) who were homeless at baseline. The three treatment programs were: Integrated Assertive Community Treatment (IACT), Assertive Community Treatment only (ACTO), and standard care (Control). Participants were randomly assigned to treatment and followed for a period of 24 months. Clients in the IACT and ACTO programs were more satisfied with their treatment program and reported more days in stable housing than clients in the Control condition. There were no significant differences between treatment groups on psychiatric symptoms and substance use. The average total costs associated with the IACT and Control conditions were significantly less than the average total costs for the ACTO condition.
本研究比较了三种治疗方案的成本和效果，这三种方案服务于149名双重障碍患者（即同时患有严重精神疾病和物质使用障碍的患者），这些患者在基线时无家可归。这三种治疗方案分别是：综合积极社区治疗（IACT）、仅积极社区治疗（ACTO）和标准护理（对照）。参与者被随机分配接受治疗，并随访24个月。IACT和ACTO方案的客户对其治疗方案更满意，并且报告称与对照条件下的客户相比，他们在稳定住房中的天数更多。治疗组在精神症状和物质使用方面没有显著差异。IACT和对照条件下的平均总成本显著低于ACTO条件下的平均总成本。
