Treatment Research Institute, 600 Public Ledger Building, 150 South Independence Mall West, Philadelphia, PA 19106, USA.
Curr Psychiatry Rep. 2009 Oct;11(5):370-6. doi: 10.1007/s11920-009-0056-3.
Adaptive interventions apply a priori decision rules for adjusting treatment services in response to participants' clinical presentation or performance in treatment. This pilot study (n = 30) experimentally examined an adaptive intervention in a misdemeanor drug court. The participants were primarily charged with possession of marijuana (73%) or possession of drug paraphernalia (23%). Results revealed that participants in the adaptive condition had higher graduation rates and required significantly less time to graduate from the program and achieve a final resolution of the case. It took an average of nearly 4 fewer months for participants in the adaptive intervention to resolve their cases compared with those participating in drug court as usual. Participants in the adaptive condition also reported equivalent satisfaction with the program and therapeutic alliances with their counselors. These data suggest that adaptive interventions may enhance the efficiency and effectiveness of drug courts and justify examining adaptive interventions in large-scale drug court studies.
适应性干预措施根据参与者的临床表现或治疗中的表现，应用事先制定的决策规则来调整治疗服务。本试点研究（n=30）在轻罪毒品法庭中对适应性干预措施进行了实验性研究。参与者主要被控持有大麻（73%）或持有吸毒用具（23%）。结果显示，适应性条件下的参与者毕业率更高，完成项目并最终解决案件所需的时间明显更少。与参加常规毒品法庭的参与者相比，接受适应性干预的参与者平均结案时间缩短了近 4 个月。适应性干预组的参与者对项目的满意度和与顾问的治疗联盟也相当。这些数据表明，适应性干预措施可能会提高毒品法庭的效率和效果，并证明在大规模毒品法庭研究中检验适应性干预措施是合理的。
