University of Michigan, School of Social Work, Ann Arbor, MI, USA.
Subst Use Misuse. 2010 Jun;45(7-8):1262-78. doi: 10.3109/10826080903442836.
Practice guidelines are important tools for improving the delivery of evidence-based practices and reducing inappropriate variation in current treatment approaches. This study examined the degree to which guidelines targeted to the treatment of substance use disorders or serious mental illness address treatment of co-occurring disorders. Guidelines archived by the National Guideline Clearinghouse (NGC) were retrieved in December 2007 and content analyzed. Nineteen pertinent guidelines were identified, and 11 included recommendations regarding the assessment and/or treatment of co-occurring disorders. None of the guidelines making recommendations for treatment of co-occurring disorders included outcomes that clearly targeted both substance use and mental health disorders. Limitations and implications of this study are noted.
实践指南是改善基于证据的实践提供方式和减少当前治疗方法中不适当差异的重要工具。本研究调查了针对物质使用障碍或严重精神疾病治疗的指南在多大程度上解决了共病障碍的治疗问题。2007 年 12 月检索了国家指南清除中心(NGC)存档的指南,并进行了内容分析。确定了 19 条相关指南,其中 11 条包括关于共病障碍的评估和/或治疗的建议。没有一条为共病障碍治疗提供建议的指南包括明确针对物质使用和心理健康障碍的治疗结果。本研究的局限性和意义已被注意到。