Melnick Gerald, Wexler Harry K, Chaple Michael, Cleland Charles M
Center for the Integration of Research and Practice, National Development and Research Institutes, Inc., New York, NY 10010, USA.
J Subst Abuse Treat. 2009 Mar;36(2):174-82. doi: 10.1016/j.jsat.2008.05.002. Epub 2008 Jul 26.
Previous studies demonstrated the relationship between consensus among both staff and clients with client engagement in treatment and between client consensus and 1-year treatment outcomes. The present article explores the correlates of staff consensus, defined as the level of agreement among staff as to the importance of treatment activities in their program, using a national sample of 80 residential substance abuse treatment programs. Constructive conflict resolution had the largest effect on consensus. Low client-to-staff ratios, staff education, and staff experience in substance abuse treatment were also significantly related to consensus. Frequency of training, an expected correlate of consensus, was negatively associated with consensus, whereas frequency of supervision was not a significant correlate. The implications of the findings for future research and program improvement are discussed.
以往的研究表明，员工与客户之间的共识与客户参与治疗之间存在关联，客户共识与1年治疗结果之间也存在关联。本文使用80个住院药物滥用治疗项目的全国样本，探讨了员工共识的相关因素，员工共识被定义为员工对其项目中治疗活动重要性的一致程度。建设性冲突解决对共识的影响最大。低客户与员工比例、员工教育程度以及员工在药物滥用治疗方面的经验也与共识显著相关。培训频率，作为共识的一个预期相关因素，与共识呈负相关，而监督频率则不是一个显著的相关因素。文中讨论了这些研究结果对未来研究和项目改进的意义。
