De Leon George, Melnick Gerald, Cleland Charles M
Center for Therapeutic Community Research, National Development and Research Institutes, Inc., 71 West 23rd Street, 8th Floor, New York, NY 10010, USA.
J Addict Dis. 2008;27(3):99-113. doi: 10.1080/10550880802122703.
Despite considerable effort to develop matching strategies and client placement protocols, research studies fail to yield compelling results regarding the benefits of matching to treatment. The most consistent findings suggest a matching paradigm, which defines a successful placement as the least treatment intensity required addressing the severity of the disorder. The purpose of the present study is to provide further empirical support for the validity of a severity-intensity paradigm utilizing data from the Drug Abuse Treatment Outcome Studies. A "passive match" approach employed the Client Matching Protocol decision algorithm, which recommended clients to long-term residential or outpatient drug-free treatment. One-year outcomes for clients matched to long-term residential treatment were better on all outcome variables compared to those undertreated in outpatient drug-free treatment. Findings supported the validity of the severity-intensity paradigm in that undertreated clients showed less improvement compared to matched and overtreated clients.
尽管在制定匹配策略和客户安置方案方面付出了巨大努力，但关于匹配治疗的益处的研究未能得出令人信服的结果。最一致的研究结果表明了一种匹配模式，该模式将成功安置定义为解决疾病严重程度所需的最低治疗强度。本研究的目的是利用药物滥用治疗结果研究的数据，为严重程度-强度模式的有效性提供进一步的实证支持。一种“被动匹配”方法采用了客户匹配协议决策算法，该算法推荐客户接受长期住院或门诊戒毒治疗。与那些在门诊戒毒治疗中治疗不足的客户相比，匹配到长期住院治疗的客户在所有结果变量上的一年期结果都更好。研究结果支持了严重程度-强度模式的有效性，因为与匹配和过度治疗的客户相比，治疗不足的客户改善较少。
