Passetti Lora L, Godley Mark D, Kaminer Yifrah
Chestnut Health Systems, 448 Wylie Drive, Normal, IL 61761, USA.
Chestnut Health Systems, 448 Wylie Drive, Normal, IL 61761, USA.
Child Adolesc Psychiatr Clin N Am. 2016 Oct;25(4):669-84. doi: 10.1016/j.chc.2016.06.003. Epub 2016 Aug 3.
Adolescents who enter treatment for substance use often do not complete the program and do not connect with continuing care services. Most return to some level of substance use. Our review found 10 outcome studies of continuing care treatment. More assertive approaches can increase continuing care initiation rates and rapid initiation of continuing care makes a difference in reducing substance use. Continuing care is appropriate for those who complete treatment and for those who do not. Adaptive treatment designs hold promise for establishing decision rules as to which adolescents need low-intensity continuing care services and which need more intensive care.
接受物质使用治疗的青少年往往无法完成治疗项目,也无法与后续护理服务建立联系。大多数人会恢复到某种程度的物质使用状态。我们的综述发现了10项关于后续护理治疗的结果研究。更积极主动的方法可以提高后续护理的启动率,而快速启动后续护理对于减少物质使用有重要意义。后续护理适用于完成治疗的人和未完成治疗的人。适应性治疗设计有望建立决策规则,以确定哪些青少年需要低强度的后续护理服务,哪些需要更强化的护理。