University of Wollongong, Northfields Avenue, School of Psychology, Wollongong, New South Wales 2500, Australia; Illawarra Health and Medical Research Institute, Wollongong, New South Wales 2500, Australia.
University of Wollongong, Northfields Avenue, School of Psychology, Wollongong, New South Wales 2500, Australia; Illawarra Health and Medical Research Institute, Wollongong, New South Wales 2500, Australia.
Addict Behav. 2021 Jun;117:106840. doi: 10.1016/j.addbeh.2021.106840. Epub 2021 Jan 26.
Although continuing care programs have been shown to improve alcohol and other drug (AOD) treatment outcomes, uptake of continuing care has been low. The current study aimed to determine predictors of participants' who both re-confirmed consent to engage in telephone-based continuing care and commenced continuing care once they left residential AOD treatment. These participants had initially consented to partake in continuing care during the course of their residential stay.
Participants were 391 individuals (232 males, 59% and 158 females, 40%) accessing therapeutic communities for AOD treatment provided by The Australian Salvation Army and We Help Ourselves (WHOS). Measures at baseline, collected during residential treatment, included demographics, primary substance of concern, abstinence goal, refusal self-efficacy, cravings for substances, mental health diagnoses, psychological distress, quality of life and feelings of loneliness. All measures were used as predictor variables to determine characteristics of participants who re-confirmed consent to engage in continuing care and commenced continuing care following residential AOD treatment.
Completing residential treatment, being unmarried, and higher levels of loneliness predicted re-confirmation of consent to participate in continuing care following discharge from residential treatment. Participants who were Aboriginal and/or Torres Strait Islander were less likely to provide re-confirmation of consent. Participants were more likely to commence continuing care if they completed residential treatment, were older, and had longer years of substance use.
Tailoring continuing care programs to reach a broader array of individuals such as Indigenous populations and persons who exit treatment services early is needed to ensure these programs can reach all individuals who might need them.
尽管持续护理计划已被证明可以改善酒精和其他药物（AOD）治疗效果，但持续护理的参与率一直很低。本研究旨在确定参与者的预测因素，这些参与者既重新确认同意接受基于电话的持续护理，又在离开住宅 AOD 治疗后开始接受持续护理。这些参与者最初在住院期间同意参加持续护理。
参与者为 391 名（232 名男性，59%和 158 名女性，40%）接受澳大利亚救世军和我们帮助自己（WHOS）提供的治疗社区治疗的人。在住院治疗期间收集的基线测量包括人口统计学、主要关注物质、禁欲目标、拒绝自我效能、对物质的渴望、心理健康诊断、心理困扰、生活质量和孤独感。所有措施均用作预测变量，以确定重新确认同意参加持续护理并在住宅 AOD 治疗后开始持续护理的参与者的特征。
完成住院治疗、未婚和更高水平的孤独感预测了从住院治疗出院后重新确认同意参加持续护理。原住民和/或托雷斯海峡岛民参与者不太可能重新确认同意。如果参与者完成住院治疗、年龄较大且使用药物的年限较长，则更有可能开始接受持续护理。
需要针对更广泛的人群（如土著人口和提前离开治疗服务的人）定制持续护理计划，以确保这些计划能够覆盖所有可能需要的人。
