Department of Mental Health Law & Policy, University of South Florida, 13301 Bruce B. Down Blvd., Tampa, FL, 33612, USA.
Department of Justice, Law, and Criminology, American University, 4400 Massachusetts Ave NW, Washington, DC, 20016, USA.
J Behav Health Serv Res. 2021 Oct;48(4):566-582. doi: 10.1007/s11414-021-09757-1. Epub 2021 Sep 29.
As the prevalence of substance use disorders and drug-related deaths continue to rise, addiction treatment facilities are charged with providing effective and efficient services to curb the national substance use crisis. Direct-care staff in treatment service facilities play a crucial role in whether or not evidence-based practices are incorporated. Without their understanding and utilization of patient engagement best practices, an organization risks maintaining the status quo rather than actively pursuing improved outcomes through empirically supported approaches. Through in-depth interviews (N=13) with nurses, counselors, and behavioral health technicians in an inpatient detoxification facility, this study evaluates the perspectives and experiences of direct-care staff through a lens of patient engagement in treatment planning. The findings from these interviews elucidate how participants' personal characteristics and values, perspectives of patient engagement, understanding of treatment planning, and organizational culture and operations facilitate or inhibit the integration of patient engagement for treatment planning in detox.
随着物质使用障碍和与毒品相关的死亡人数持续上升，戒毒治疗机构承担着提供有效和高效服务的责任，以遏制全国性的物质使用危机。治疗服务机构的直接护理人员在实施基于证据的实践方面起着至关重要的作用。如果他们不理解和利用患者参与的最佳实践，那么该组织就有可能维持现状，而不是通过经验支持的方法积极追求改善结果。本研究通过对住院戒毒机构的护士、顾问和行为健康技术人员进行深入访谈（N=13），从参与治疗计划的患者角度评估直接护理人员的观点和经验。这些访谈的结果阐明了参与者的个人特征和价值观、对患者参与的看法、对治疗计划的理解以及组织文化和运营如何促进或阻碍将患者参与融入戒毒治疗计划。
