Welsh Wayne N, Knudsen Hannah K, Knight Kevin, Ducharme Lori, Pankow Jennifer, Urbine Terry, Lindsey Adrienne, Abdel-Salam Sami, Wood Jennifer, Monico Laura, Link Nathan, Albizu-Garcia Carmen, Friedmann Peter D
Temple University, Philadelphia, USA.
University of Kentucky, Lexington, USA.
Adm Policy Ment Health. 2016 Jan;43(1):105-21. doi: 10.1007/s10488-014-0623-8.
Weak coordination between community correctional agencies and community-based treatment providers is a major barrier to diffusion of medication-assisted treatment (MAT)--the inclusion of medications (e.g., methadone and buprenorphine) in combination with traditional counseling and behavioral therapies to treat substance use disorders. In a multisite cluster randomized trial, experimental sites (j = 10) received a 3-h MAT training plus a 12-month linkage intervention; control sites (j = 10) received the 3-h training alone. Hierarchical linear models showed that the intervention resulted in significant improvements in perceptions of interagency coordination among treatment providers, but not probation/parole agents. Implications for policy and practice are discussed.
社区矫正机构与社区治疗服务提供者之间的协调不力，是药物辅助治疗（MAT）推广的主要障碍。MAT是指将药物（如美沙酮和丁丙诺啡）与传统咨询及行为疗法相结合，用于治疗物质使用障碍。在一项多地点整群随机试验中，试验点（j = 10）接受了为期3小时的MAT培训以及为期12个月的联系干预；对照点（j = 10）仅接受了3小时的培训。分层线性模型显示，该干预显著改善了治疗服务提供者对机构间协调的认知，但对缓刑/假释工作人员的认知改善不明显。文中还讨论了该研究对政策和实践的启示。
