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甲基苯丙胺使用、风险及成瘾的社会心理治疗中的技术与创新

Technology and innovation in the psychosocial treatment of methamphetamine use, risk and dependence.

作者信息

Kay-Lambkin Frances J

机构信息

National Drug and Alcohol Research Centre, University of New South Wales, Australia.

出版信息

Drug Alcohol Rev. 2008 May;27(3):318-25. doi: 10.1080/09595230801914768.

Abstract

ISSUES

The dramatic increase in methamphetamine use has led to the urgent need for high-quality, effective treatments and management strategies for methamphetamine use problems to be developed and disseminated. Although some evidence exists for the use of psychological, pharmacological and other approaches to treatment for problematic methamphetamine use, other evidence suggests that many methamphetamine users do not access these treatment options due to a range of individual and service-level barriers.

APPROACH

A review of available research literature was undertaken to identify treatment strategies for methamphetamine users, which overcome the problems associated with treatment access for this important target group and involve technological and other innovative approaches.

KEY FINDINGS

Several approaches to addressing problematic methamphetamine use have been suggested, including assertive engagement strategies, flexibility in the provision of treatment and retention strategies and use of a multi-focused intervention package, such as stepped care, perhaps including new technologies as alternatives or supplements to face-to-face-delivered treatments. No research currently exists to examine the possible benefit of these strategies for people with methamphetamine use problems.

IMPLICATIONS

The use of stepped-care intervention packages has the potential to address many of the current challenges faced by both clinicians and clients in treating methamphetamine use problems.

CONCLUSIONS

Although promising, these approaches require further attention and research effort, particularly among the specific group of methamphetamine users.

摘要

问题

甲基苯丙胺使用量的急剧增加导致迫切需要开发并推广针对甲基苯丙胺使用问题的高质量、有效治疗及管理策略。虽然有证据表明可采用心理、药物及其他方法治疗甲基苯丙胺使用问题,但其他证据显示,由于一系列个人及服务层面的障碍,许多甲基苯丙胺使用者无法获得这些治疗选择。

方法

对现有研究文献进行综述,以确定针对甲基苯丙胺使用者的治疗策略,这些策略需克服与该重要目标群体治疗可及性相关的问题,并涉及技术及其他创新方法。

主要发现

已提出多种解决甲基苯丙胺使用问题的方法,包括积极参与策略、治疗提供及留存策略的灵活性,以及使用多重点干预方案,如逐步照护,或许可将新技术作为面对面治疗的替代或补充。目前尚无研究探讨这些策略对甲基苯丙胺使用问题患者可能带来的益处。

启示

使用逐步照护干预方案有可能解决临床医生和患者在治疗甲基苯丙胺使用问题时目前面临的许多挑战。

结论

尽管这些方法很有前景,但仍需进一步关注和研究,尤其是在特定的甲基苯丙胺使用者群体中。

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