Community Research and Recovery Program, Department of Psychiatry, New York University School of Medicine, New York, NY 10010, USA.
Am J Drug Alcohol Abuse. 2011 Nov;37(6):525-31. doi: 10.3109/00952990.2011.600385. Epub 2011 Aug 18.
Often high recidivism substance-using patients have difficulty connecting to outpatient treatment contributing to greater functioning disturbances. Approaches to address this problem frequently are staff extensive.
This study evaluates the impact of peer mentorship and/or enhanced dual recovery treatment (DRT) on individuals who are inpatients, substance abusing, and have a history of high recidivism. The primary outcome is post-discharge treatment attendance.
In an inpatient Veterans Administration hospital setting, 96 patients with a history of high recidivism and current and/or past diagnosis of substance use disorders were randomized to either (i) Treatment As Usual (TAU), (ii) TAU + DRT + Mentorship for Addictions Problems to Enhance Engagement to Treatment (MAP-Engage), or (iii) TAU + MAP-Engage.
Overall MAP-Engage was found to be comparable to the DRT + MAP-Engage and both of these conditions were significantly better than TAU alone at increasing adherence to post-discharge substance abuse, medical, and mental health outpatient appointments. CONCLUSION/SCIENTIFIC SIGNIFICANCE: MAP-Engage offers an alternative approach to address lack of attendance to outpatient treatment appointments post discharge that is relatively low in staff reliance.
经常有复吸率高的药物使用患者难以接受门诊治疗，这导致他们的功能障碍更加严重。为了解决这个问题，通常需要投入大量的工作人员。
本研究评估同伴指导和/或强化双重恢复治疗（DRT）对住院、药物滥用且有高复吸史的个体的影响。主要结果是出院后治疗的参与度。
在退伍军人事务部医院的住院环境中，96 名有高复吸史且目前和/或过去有物质使用障碍诊断的患者被随机分配到以下三组之一：（i）常规治疗（TAU），（ii）常规治疗+DRT+同伴指导以增强对治疗的参与（MAP-Engage），或（iii）常规治疗+MAP-Engage。
总体而言，MAP-Engage 与 DRT+MAP-Engage 相当，且这两种情况在增加出院后药物滥用、医疗和心理健康门诊预约的参与度方面均显著优于单独 TAU。
结论/科学意义：MAP-Engage 提供了一种替代方法来解决出院后门诊治疗参与度低的问题，这种方法对工作人员的依赖相对较低。
