Brooner Robert K, Kidorf Michael
Addiction Treatment Services at Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, Maryland 21224, USA.
Sci Pract Perspect. 2002 Jul;1(1):38-47. doi: 10.1151/spp021138.
A new service delivery system for the treatment of opioid dependence, called motivational stepped care, matches the intensity of counseling services to each patient's clinical progress. Adherence to a counseling schedule is reinforced through the linking of counseling attendance with the patient's methadone dispensing schedule and, ultimately, his or her ability to continue receiving treatment services. The article describes the scientific evidence supporting the major elements of the model, the model in action, and evaluations that have been conducted to date.
一种名为动机性逐步照护的用于治疗阿片类药物依赖的新型服务提供系统，会根据每位患者的临床进展来匹配咨询服务的强度。通过将咨询出勤情况与患者的美沙酮配药计划相关联，并最终与患者继续接受治疗服务的能力相联系，来强化对咨询计划的依从性。本文描述了支持该模式主要要素的科学证据、该模式的实际应用情况以及迄今为止所进行的评估。
