“能够开口说话”：监禁中的个体对参与酒精相关简短干预的看法。
"Being able to speak": What individuals in jail perceived as helpful about participating in alcohol-related brief interventions.
机构信息
a Health Services Research and Development, VA Puget Sound Health Care System , Seattle , Washington , USA.
b Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico , Albuquerque , New Mexico , USA.
出版信息
Subst Abus. 2018;39(3):342-347. doi: 10.1080/08897077.2017.1393034. Epub 2017 Dec 5.
BACKGROUND
A significant proportion of individuals within the criminal justice system meet criteria for a substance use disorder. Treatments for individuals who are incarcerated with substance use disorders show minimal to no benefit on postrelease outcomes, suggesting a need to improve their effectiveness, particularly those that can be delivered in a brief format. The purpose of this study was to describe what individuals in jail with substance use disorders perceived as being helpful about 2 brief alcohol-focused interventions, which can be used to inform future treatments with this population.
METHODS
Data came from a parent study where 58 individuals in jail with substance use disorders received either a motivational or educational intervention focused on alcohol and other substance use and then completed a questionnaire assessing what was most and least helpful about the interventions. Qualitative responses were coded using a grounded theory approach.
RESULTS
Results indicated that participants from both interventions reported that receiving individualized attention and talking one-on-one with someone was helpful, and that the interventions were encouraging and elicited hope. There also were specific components from each intervention that participants said were beneficial, including the opportunity to discuss plans for postrelease and to learn about addiction from psychoeducational videos. Participants noted areas for improving future interventions. Suggestions from participants were to offer tangible resources upon release, make session lengths flexible, and reduce assessment burden during research interviews.
CONCLUSIONS
Findings align with established approaches for working with marginalized groups, namely, community-based participatory research methods and shared decision-making models for treatment. This study provided a voice to individuals in jail with substance use disorders, a group often underrepresented in the literature, and may offer an initial look at how to improve treatments for this high-risk population.
背景
在刑事司法系统中，相当一部分人符合物质使用障碍的标准。对于被监禁的物质使用障碍患者的治疗在出狱后结果显示出最小至无益处，这表明需要提高其有效性，特别是那些可以以简短格式提供的治疗方法。本研究的目的是描述被监禁的物质使用障碍患者认为两种简短的以酒精为重点的干预措施有帮助的地方，这可以为未来针对该人群的治疗提供信息。
方法
数据来自一项主要研究，其中 58 名被监禁的物质使用障碍患者接受了以酒精和其他物质使用为重点的动机或教育干预，然后完成了一份评估干预措施最有帮助和最不有帮助的问题的问卷。使用扎根理论方法对定性回复进行编码。
结果
结果表明，来自两种干预措施的参与者都报告说，获得个性化关注和与某人一对一交谈很有帮助，并且干预措施令人鼓舞并激发了希望。每个干预措施都有具体的组成部分，参与者表示这些组成部分是有益的，包括有机会讨论出狱后的计划，并从心理教育视频中了解成瘾。参与者还指出了未来干预措施的改进领域。参与者的建议包括在出狱时提供有形资源、灵活安排会议长度以及减少研究访谈中的评估负担。
结论
研究结果与为边缘化群体开展工作的既定方法一致，即基于社区的参与性研究方法和治疗的共同决策模型。这项研究为被监禁的物质使用障碍患者提供了一个声音，这些患者在文献中经常被代表性不足，并且可能为如何改善这个高风险人群的治疗提供了初步的了解。
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