National Development and Research Institutes, New York, New York 10010, USA.
J Addict Dis. 2012;31(3):303-12. doi: 10.1080/10550887.2012.694605.
As substance use and mental illness services are increasingly integrated, mental health professionals are presented with opportunities to refer greater numbers of dually diagnosed clients to 12-Step groups. This study examined the relationships among clinicians' 12-Step experiences, attitudes, and referral practices in 6 mental health clinics in New York, New York. A path analysis model showed that greater interest in learning about 12-Step groups directly predicted 12-Step referral practices and that 12-Step interest was predicted by clinicians' perception of the helpfulness of 12-Step groups and the severity of their patients' problems with substance abuse. Clinicians' responses to open-ended questions supported this model. Didactic and experiential education for clinicians in substance abuse and mutual aid would likely increase patient referrals to 12-Step groups.
随着物质使用和精神疾病服务的日益融合，精神健康专业人员有机会将更多双重诊断的客户转介到 12 步团体。本研究考察了纽约 6 家心理健康诊所的临床医生的 12 步经验、态度和转介实践之间的关系。路径分析模型显示，对学习 12 步团体的兴趣与 12 步转介实践直接相关，而 12 步兴趣则由临床医生对 12 步团体的帮助程度和患者物质滥用问题的严重程度来预测。临床医生对开放式问题的回答支持了这一模式。对物质滥用和互助的临床医生进行理论和经验教育可能会增加患者向 12 步团体的转介。
