合法强制与非强制成年人的大麻治疗结果
Cannabis treatment outcomes among legally coerced and non-coerced adults.
作者信息
Copeland Jan, Maxwell Jane C
机构信息
National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia.
出版信息
BMC Public Health. 2007 Jun 14;7:111. doi: 10.1186/1471-2458-7-111.
BACKGROUND
Treatment seeking for cannabis dependence in general, and particularly the number of criminal justice referrals to cannabis treatment, has increased over the past decade. This study aims to compare the characteristics, psychosocial functioning and treatment outcome of those legally coerced into cannabis treatment compared to those entering treatment without legal coercion.
METHODS
This study is a retrospective audit of the administrative clinical records of 27,198 adults presenting to public Texas treatment programs with cannabis as their primary drug problem between 2000 and 2005.
RESULTS
Of the 69% legally coerced into treatment, there was less psychological distress and greater likelihood of having completed treatment compared with non-coerced clients. Participants who were legally coerced into treatment were also more likely to have received less intensive forms of treatment and to have not used cannabis in the month prior to 90-day post-treatment follow-up.
CONCLUSION
More public health information is needed on cannabis dependence and increased availability of subsidised early and brief interventions in a variety of primary health care settings would reduce the late presentations of the more severely impaired voluntary clients. The limitations of this dataset are discussed.
背景
在过去十年中，寻求大麻依赖治疗的人数总体上有所增加，尤其是被转介到大麻治疗的刑事司法案件数量。本研究旨在比较那些被强制接受大麻治疗的人与那些未经法律强制而接受治疗的人的特征、心理社会功能和治疗结果。
方法
本研究是对2000年至2005年间向德克萨斯州公共治疗项目寻求治疗、以大麻为主要毒品问题的27198名成年人的行政临床记录进行的回顾性审计。
结果
在被强制接受治疗的69%的人中，与未被强制的患者相比，心理困扰较少，完成治疗的可能性更大。被强制接受治疗的参与者也更有可能接受强度较低的治疗形式，并且在治疗后90天随访前的一个月内没有使用过大麻。
结论
需要更多关于大麻依赖的公共卫生信息，并且在各种初级卫生保健环境中增加获得补贴的早期和简短干预措施的机会，将减少更严重受损的自愿患者的延迟就诊。本文讨论了该数据集的局限性。
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