Harrison Jennifer, Curtis Amy, Cousins Linwood, Spybrook Jessaca
School of Social Work, Western Michigan University, 1903 W. Michigan, Kalamazoo, MI, 49008, USA.
Interdisciplinary Health Sciences PhD Program, Western Michigan University, Kalamazoo, USA.
Community Ment Health J. 2017 Apr;53(3):358-366. doi: 10.1007/s10597-016-0019-1. Epub 2016 May 28.
Individuals with co-occurring illnesses are at risk for poor outcomes related to criminal justice, hospitalization, housing, and employment. High fidelity evidence-based models, including integrated dual disorder treatment (IDDT), are associated with significant outcome improvements. A descriptive analysis of secondary datasets including the full sample of IDDT fidelity reviews completed from 2006 to 2012 in one state was completed. Total IDDT fidelity significantly improved from baseline fidelity review (68) to second review (40) [t(38) = 35.00, p < .001], and from second review to third review (13) [t(12) = 22.60, p < .001], with adequate inner-rater reliability by the second review. Individual items that were lower across reviews included practice penetration and family interventions, and higher individual items included multi-disciplinary team, integrated treatment specialist, and time-unlimited services, and treatment measures are higher than organizational measures in baseline and subsequent reviews. In this large state-wide sample, IDDT took time to implement, and improved fidelity occurred from baseline to third review, and variance between components of the practice was significant.
患有多种并发疾病的个体在刑事司法、住院治疗、住房和就业等方面面临不良后果的风险。包括综合双相障碍治疗（IDDT）在内的高保真循证模型与显著改善的结果相关。对二级数据集进行了描述性分析，该数据集包括2006年至2012年在一个州完成的IDDT保真度审查的完整样本。IDDT的总体保真度从基线保真度审查（68）显著提高到第二次审查（40）[t(38) = 35.00, p <.001]，从第二次审查到第三次审查（13）[t(12) = 22.60, p <.001]，到第二次审查时内部评分者信度充足。各次审查中得分较低的个别项目包括实践渗透和家庭干预，得分较高的个别项目包括多学科团队、综合治疗专家和无时间限制服务，并且在基线审查和后续审查中，治疗措施高于组织措施。在这个全州范围的大样本中，IDDT的实施需要时间，保真度从基线审查到第三次审查有所提高，并且实践各组成部分之间的差异显著。
