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在加利福尼亚州第36号提案下接受治疗的阿片类药物依赖患者样本的治疗结果

Outcomes in a Sample of Opiod-Dependent Clients Treated Under California's Proposition 36.

作者信息

Chun Jongserl, Guydish Joseph R, Sorensen James L, Haug Nancy A, Andrews Siara, Nelson Larry

机构信息

Currently a research specialist in the Department of Psychiatry at the University of California, San Francisco.

出版信息

J Drug Issues. 2007 Jul 1;37(3):699-715. doi: 10.1177/002204260703700310.

Abstract

This study evaluated treatment outcomes for the reduction of criminal justice involvement and substance use among opioid dependent clients in a therapeutic community setting under California's Proposition 36. We compared treatment outcomes between those mandated to treatment under Proposition 36 (n = 24) and those on probation but not involved in Proposition 36 (n = 61) over 12 months. Over time, both groups showed significant improvement on drug use and employment measures, were more likely to be involved in job training and less likely to be engaged in work activity, and had similar retention in treatment. There was no evidence that treatment outcomes were different between the two groups. These findings may be helpful in guiding policy makers and clinicians in states where similar initiatives are under consideration.

摘要

本研究评估了在加利福尼亚州36号提案下,治疗社区环境中阿片类药物依赖患者减少刑事司法介入和物质使用的治疗效果。我们比较了在12个月内,根据36号提案被强制治疗的患者(n = 24)和处于缓刑期但未参与36号提案的患者(n = 61)的治疗效果。随着时间的推移,两组在药物使用和就业指标上均有显著改善,更有可能参与职业培训,而从事工作活动的可能性较小,并且在治疗中的留存率相似。没有证据表明两组的治疗效果存在差异。这些发现可能有助于指导正在考虑类似举措的州的政策制定者和临床医生。

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