住院治疗调整：提供辅助服务以接纳服用美沙酮的患者。
Residential treatment modifications: adjunctive services to accommodate clients on methadone.
作者信息
Chen TeChieh, Masson Carmen L, Sorensen James L, Greenberg Brian
机构信息
Purdue University, West Lafayette, Indiana 47906, USA.
出版信息
Am J Drug Alcohol Abuse. 2009;35(2):91-4. doi: 10.1080/00952990802647495.
BACKGROUND/OBJECTIVES: This article describes therapeutic community (TC) services modified to support methadone residents and their service utilization in a study of TC patients (N = 231) receiving versus not receiving methadone.
METHODS
Service utilization data are reported from providers (i.e., methadone support group counselor, acupuncturist, and consulting psychiatrist) for 12 months after admission. Descriptive statistics are used to report methadone residents use of methadone support group and acupuncture services. Pearson chi-square tests are used to compare methadone and non-methadone participants use of psychiatrist services. Additionally, such tests were used to compare both groups DSM-IV diagnoses.
RESULTS
Ninety-seven percent of methadone patients attended at least one methadone support group; 52% used acupuncture services. Proportionally more non-methadone residents used psychiatric services (p < .05).
CONCLUSION AND SCIENTIFIC SIGNIFICANCE
Services tailored to methadone residents were accessed by this group. However, while 32% of all participants met diagnostic criteria for a current psychiatric disorder, only 22% received onsite psychiatric care, which questions whether integrated care is being provided adequately for participants with co-occurring disorders.
背景/目的：本文描述了在一项针对接受或未接受美沙酮治疗的治疗社区（TC）患者（N = 231）的研究中，为支持美沙酮使用者及其服务利用而调整的治疗社区服务。
方法
报告了提供者（即美沙酮支持小组顾问、针灸师和咨询精神科医生）在患者入院后12个月的服务利用数据。描述性统计用于报告美沙酮使用者对美沙酮支持小组和针灸服务的使用情况。Pearson卡方检验用于比较美沙酮使用者和非美沙酮使用者对精神科服务的使用情况。此外，此类检验还用于比较两组的DSM-IV诊断。
结果
97%的美沙酮患者至少参加了一次美沙酮支持小组；52%使用了针灸服务。非美沙酮使用者使用精神科服务的比例更高（p < .05）。
结论与科学意义
美沙酮使用者群体使用了为其量身定制的服务。然而，虽然所有参与者中有32%符合当前精神障碍的诊断标准，但只有22%接受了现场精神科护理，这引发了对于同时患有多种疾病的参与者是否得到充分综合护理的质疑。
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