社区项目中针对青少年药物滥用的应急管理：一项可行性研究。
Contingency management in community programs treating adolescent substance abuse: a feasibility study.
作者信息
Killeen Therese K, McRae-Clark Aimee L, Waldrop Angela E, Upadhyaya Himanshu, Brady Kathleen T
机构信息
College of Medicine, Institute of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
出版信息
J Child Adolesc Psychiatr Nurs. 2012 Feb;25(1):33-41. doi: 10.1111/j.1744-6171.2011.00313.x.
Abstract
PROBLEM
Adolescent substance abuse remains a public health problem, and more effective treatment approaches are needed.
PURPOSE
The study aims to determine the feasibility and preliminary effectiveness of implementing a cost-effective contingency management (CM) intervention in community substance abuse treatment for adolescents with marijuana use disorders.
METHODS
Thirty-one adolescents with primary marijuana use disorder enrolled in a community treatment were randomized into either a prize-based CM intervention contingent when submitting negative urine drug screens (UDS) or a noncontingent control group.
FINDINGS
There were no significant group differences in percent negative UDS, sustained negative UDS, or retention in treatment.
CONCLUSIONS
CM was difficult to integrate into community treatment programs and did not seem to be an effective adjunct to standard community substance abuse treatment for adolescents with marijuana use disorders. Modifying the CM procedure for adolescents, changing staff attitudes toward CM, and/or combining CM with other evidence-based psychosocial treatment may improve outcomes.
摘要
问题
青少年药物滥用仍然是一个公共卫生问题，需要更有效的治疗方法。
目的
本研究旨在确定在社区对患有大麻使用障碍的青少年进行药物滥用治疗时，实施具有成本效益的应急管理（CM）干预措施的可行性和初步效果。
方法
31名患有原发性大麻使用障碍的青少年参加了社区治疗，他们被随机分为两组，一组是在提交阴性尿液药物筛查（UDS）时给予基于奖励的CM干预组，另一组是无奖励的对照组。
结果
在阴性UDS百分比、持续阴性UDS或治疗留存率方面，两组之间没有显著差异。
结论
CM难以融入社区治疗项目，对于患有大麻使用障碍的青少年，CM似乎并不是标准社区药物滥用治疗的有效辅助手段。调整针对青少年的CM程序、改变工作人员对CM的态度，和/或将CM与其他循证心理社会治疗相结合，可能会改善治疗效果。
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