Carr W Amory, Ball Samuel A
University of New Haven.
Yale University School of Medicine, The APT Foundation.
J Subst Abuse Treat. 2014 May-Jun;46(5):567-73. doi: 10.1016/j.jsat.2014.01.003. Epub 2014 Jan 10.
Poor retention has been an impediment to the effectiveness of therapeutic communities (TCs) for substance use disorders. We assessed the impact of the resident's perception of the therapeutic environment through the Ward Atmosphere Scale (WAS) on TC retention and examined predictors of the WAS in order to better understand this construct. Among a sample of admissions (N=123) to a 9-month residential TC, forward entry logistic regression analyses using WAS, demographic and clinical variables revealed that heightened perceptions of the orderliness of the therapeutic environment (i.e., the WAS domain of system maintenance) best predicted treatment completion. Furthermore, scores on WAS variables were best explained by the formal therapeutic elements of the TC (as measured by the Survey of Essential Elements Questionnaire) using linear regression. Efforts to improve the resident's perception of these aspects of the ward atmosphere may assist in improving TC completion rates.
留存率低一直是治疗社区（TCs）治疗物质使用障碍有效性的一个障碍。我们通过病房氛围量表（WAS）评估了住院患者对治疗环境的感知对TC留存率的影响，并研究了WAS的预测因素，以便更好地理解这一结构。在一个为期9个月的住院TC的123名入院患者样本中，使用WAS、人口统计学和临床变量进行的向前进入逻辑回归分析表明，对治疗环境有序性的更高感知（即WAS的系统维护领域）最能预测治疗完成情况。此外，使用线性回归，TC的正式治疗要素（通过基本要素调查问卷测量）能最好地解释WAS变量的得分。努力改善住院患者对病房氛围这些方面的感知可能有助于提高TC的完成率。
