Guydish J, Temoshok L, Dilley J, Rinaldi J
Department of Psychiatry, University of California, San Francisco.
Gen Hosp Psychiatry. 1990 Jan;12(1):1-7. doi: 10.1016/0163-8343(90)90030-g.
This paper reports an outcome evaluation and needs assessment conducted by the AIDS and Substance Abuse Program (ASAP) of the San Francisco AIDS Health Project. The study was designed to: 1) evaluate effectiveness of a hospital based intervention and referral service for HIV affected substance abusers, and 2) gather information from this population regarding accessibility and barriers to drug treatment. Participants were 86 individuals consecutively referred to ASAP over an 8-month period. All received a brief needs assessment interview in addition to the standard ASAP evaluation protocol. Agency follow-up contacts were made for those individuals referred by ASAP to extended substance abuse treatment, with information limited to whether or not the client contacted the designated referral resource. Source of referral to ASAP, interest in treatment, and prior sexual risk behavior change were significant predictors of intervention outcome. Personal unreadiness and treatment program waiting lists were the most frequently reported obstacles to treatment. While most participants reported changing risk behavior in response to the AIDS epidemic, patterns of change differed according to intravenous drug use history.
本文报告了旧金山艾滋病健康项目的艾滋病与药物滥用项目（ASAP）所进行的一项结果评估和需求评估。该研究旨在：1）评估针对感染艾滋病毒的药物滥用者的医院干预及转诊服务的有效性，以及2）从该人群中收集有关药物治疗的可及性和障碍的信息。研究对象为在8个月期间连续被转诊至ASAP的86人。除了标准的ASAP评估方案外，所有人都接受了简短的需求评估访谈。对那些被ASAP转诊至长期药物滥用治疗机构的人员进行了机构随访，信息仅限于客户是否联系了指定的转诊资源。转诊至ASAP的来源、对治疗的兴趣以及先前性风险行为的改变是干预结果的重要预测因素。个人准备不足和治疗项目等候名单是最常被报告的治疗障碍。虽然大多数参与者报告称因艾滋病疫情而改变了风险行为，但改变模式因静脉吸毒史而异。
