Michigan Department of Health and Human Services, Lansing, MI, USA.
Western Michigan University, Kalamazoo, MI, USA.
Community Ment Health J. 2019 Jan;55(1):24-30. doi: 10.1007/s10597-018-0261-9. Epub 2018 Mar 16.
Mental health and substance use disorders co-occur frequently, and are associated with poorer outcomes in life domains including housing, employment, health, and recovery. Finding evidence-based interventions for engagement and recovery can be a challenge for practitioners and organizations, as it involves accepting new interventions, and then implementing and measuring the results. However, practitioners frequently use their opinions or non-generalizable experiences rather than evidence-based findings to guide their practice. Medication-assisted therapy programs, especially for individuals with co-occurring mental health and substance use disorders, is an area of treatment where there are solid evidence-based outcome findings and where, nonetheless, many practitioners continue to use less-, or non-effective treatment approaches. Conflict between groups of staff using two different approaches can have serious negative impact on treatment outcome. These can be effectively addressed through a combination of education and interventions aimed at resolving intra-staff conflict.
心理健康和物质使用障碍常常同时发生，并与住房、就业、健康和康复等生活领域的较差结果相关。对于从业者和组织来说，找到针对参与和康复的循证干预措施可能是一项挑战，因为这涉及到接受新的干预措施，然后实施和衡量结果。然而，从业者经常使用他们的意见或不可推广的经验，而不是循证发现来指导他们的实践。药物辅助治疗方案，特别是针对同时患有心理健康和物质使用障碍的个体，是治疗领域的一个方面，这里有可靠的基于证据的结果，但尽管如此，许多从业者仍然继续使用效果较差或无效的治疗方法。使用两种不同方法的员工群体之间的冲突可能会对治疗结果产生严重的负面影响。通过结合旨在解决员工内部冲突的教育和干预措施，可以有效地解决这些问题。
