Grella Christine E, Shi Yifei
UCLA Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior David Geffen School of Medicine at UCLA University of California, Los Angeles 1640 S. Sepulveda Blvd., Suite 200 Los Angeles, CA 90025 Phone (310) 267-5451 Fax (310) 473-7885.
J Dual Diagn. 2011 Jan 1;7(1-2):103-112. doi: 10.1080/15504263.2011.566067.
Few studies have examined the stability of both substance use and mental health outcomes following residential drug abuse treatment for individuals with co-occurring disorders (COD). This study examines outcomes at 6 and 12 months for individuals with COD, in relationship to services received over the follow-up period. METHODS: Participants with COD (N=310) were sampled from 11 residential drug abuse treatment programs and completed in-depth assessments within 30 days of intake and at 6- and 12-month follow-ups. A path model was developed testing the relationships among treatment participation and services received, psychological status, and substance use outcomes across the two follow-up points. RESULTS: Retention for at least 90 days in residential drug treatment was associated with less inpatient mental health treatment and more mental health services received at 6 months; outpatient mental health treatment was associated with reduced substance use at 6 months. Substance use at 6 months was associated with more psychological distress at both 6 and 12 months and more inpatient mental health treatment at 12 months. CONCLUSIONS: Findings suggest that receipt of mental health services following residential drug abuse treatment for patients with COD is critical to improving their longer-term outcomes.
很少有研究考察过同时患有药物使用障碍和精神障碍（COD）的个体在接受住院药物滥用治疗后，其药物使用和心理健康状况的稳定性。本研究考察了COD个体在6个月和12个月时的治疗结果，并分析了随访期间所接受服务之间的关系。方法：从11个住院药物滥用治疗项目中抽取了310名COD参与者，他们在入院后30天内以及6个月和12个月随访时完成了深度评估。构建了一个路径模型，以检验两个随访点上治疗参与情况、所接受服务、心理状态和药物使用结果之间的关系。结果：在住院药物治疗中至少保留90天与6个月时较少的住院心理健康治疗以及较多的心理健康服务相关；门诊心理健康治疗与6个月时药物使用减少相关。6个月时的药物使用与6个月和12个月时更多的心理困扰以及12个月时更多的住院心理健康治疗相关。结论：研究结果表明，为患有COD的患者提供住院药物滥用治疗后的心理健康服务对于改善他们的长期治疗结果至关重要。
