Turning Point Alcohol and Drug Centre, Melbourne, Australia.
Drug Alcohol Rev. 2009 Nov;28(6):682-4. doi: 10.1111/j.1465-3362.2009.00116.x.
There are a number of tools to assist services to measure their capacity to respond to co-occurring substance use and mental health disorders. This study aimed to examine whether services could accurately self-rate their dual diagnosis capacity.
Data were collected from 13 alcohol and drug services across Australia that participated in a comorbidity capacity building initiative. The organisations provided a range of services, including pharmacotherapy and counselling services, residential and outpatient services, youth and adult services and withdrawal. There was a mix of government and non-government services.
Services rated themselves substantially higher than the independent raters at both baseline and follow up.
The results suggest that services may not accurately assess their own capacity. For organisations trying to make improvements in their services, independent assessment may be more helpful than self-assessment in accurately determining service gaps. Overestimation of capacity may lead to failure to address important service needs.
有许多工具可以帮助服务机构衡量其应对同时存在的物质使用和心理健康障碍的能力。本研究旨在检验服务机构是否能够准确地自我评估其双重诊断能力。
数据来自澳大利亚的 13 个酒精和药物服务机构，这些机构参与了一项共病能力建设计划。这些组织提供了一系列服务，包括药物治疗和咨询服务、住院和门诊服务、青少年和成人服务以及戒断治疗。这些服务机构包括政府和非政府组织。
服务机构在基线和随访时自我评估的得分都远高于独立评估者的得分。
结果表明，服务机构可能无法准确评估自己的能力。对于那些试图改进服务的组织来说，独立评估可能比自我评估更有助于准确确定服务差距。对能力的高估可能导致未能满足重要的服务需求。
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