Colpaert K, Vanderplasschen W, Broekaert E
Department of Orthopedagogics, Ghent University, Ghent, Belgium.
Eur Addict Res. 2007;13(3):156-66. doi: 10.1159/000101552.
Frequent and multiple service utilization among substance abusers is a well-known problem. However, little statistical evidence exists about overlapping agency populations.
This phenomenon was studied in a clear-cut region in Belgium, based on intake information concerning all clients who addressed a drug treatment center within a 6-month period (n=1,139).
Multiple service utilization was rather common but not omnipresent during this particular registration period. Almost 15% of the clients were registered in more than one substance abuse treatment agency. Compared to single agency attendees, multiple agency clients appeared to be more often poly-substance abusers with a longer previous treatment history and greater problem severity.
A continuous care perspective, interagency collaboration and a common tracking and documentation system are recommended to better address the needs of this specific subgroup of substance abusers. More research is needed to clarify whether these multiple service utilization patterns are caused by client-related, agency-related or other factors.
药物滥用者频繁且多次利用服务是一个众所周知的问题。然而，关于重叠机构人群的统计证据很少。
在比利时一个明确界定的地区对这一现象进行了研究，基于6个月内前往戒毒治疗中心的所有客户的 intake 信息（n = 1139）。
在这个特定的登记期间，多次利用服务相当普遍，但并非普遍存在。近15%的客户在不止一个药物滥用治疗机构登记。与单一机构参与者相比，多个机构的客户似乎更常是多药滥用者，有更长的既往治疗史和更严重的问题。
建议采用持续护理视角、机构间协作以及共同的跟踪和记录系统，以更好地满足这一特定药物滥用亚群体的需求。需要更多研究来阐明这些多次服务利用模式是由与客户相关、与机构相关还是其他因素引起的。
