1 University of Louisiana at Lafayette, Lafayette, Louisiana, USA.
Qual Health Res. 2018 Jul;28(9):1474-1485. doi: 10.1177/1049732318771005. Epub 2018 Apr 21.
There is a call for drawing on client voice to provide a rich, nuanced understanding of factors influencing substance treatment engagement as to maximizing treatment benefits. We interviewed 60 clients in a short-term inpatient substance treatment program and examined facilitators and barriers to treatment engagement. Thematic analysis yielded four themes, including perceived treatment needs, trust and counselor rapport, peer inspiration, and organizational factors. Perceived treatment needs serve as both a facilitator and a barrier wherein the acknowledgment of needs led to greater treatment engagement whereas a lack of perceived needs hindered treatment engagement. The establishment of trust and counselor rapport and peer inspiration facilitated treatment engagement. Clients rated several organizational factors including a lack of treatment provision, gender-responsive treatment and infrastructure, and ineffective communication with nonclinical staff as barriers to treatment engagement. Clinical implications include enhancing treatment motivation and counselor rapport, establishing gender-responsive treatment programs, and providing trainings for staff.
有人呼吁借鉴客户的声音，提供对影响物质治疗参与的因素的深入了解，以最大限度地提高治疗效果。我们采访了 60 名短期住院物质治疗项目的客户，并研究了治疗参与的促进因素和障碍。主题分析产生了四个主题，包括治疗需求的感知、信任和顾问关系、同伴激励以及组织因素。治疗需求的感知既是促进因素也是障碍，对需求的认识导致了更高的治疗参与度，而缺乏感知需求则阻碍了治疗参与度。信任和顾问关系的建立以及同伴激励促进了治疗的参与。客户对包括缺乏治疗提供、性别响应治疗和基础设施以及与非临床工作人员沟通不畅等几个组织因素进行了评估，认为这些因素是治疗参与的障碍。临床意义包括增强治疗动机和顾问关系，建立性别响应治疗计划，以及为工作人员提供培训。
